The Mayo Clinic Diet Book, learn more

Free

E-newsletter

Subscribe to Housecall

Our weekly general interest
e-newsletter keeps you up to date on a wide variety of health topics.

Sign up now

Tests and diagnosis

By Mayo Clinic staff

Pain Management Advisor

Subscribe to our Pain Management Advisor
e-newsletter for tips to manage pain.

Sign up now

If you have typical migraines or a family history of migraine headaches, your doctor will likely diagnose the condition on the basis of your medical history and a physical exam. But if your headaches are unusual, severe or sudden, your doctor may recommend a variety of tests to rule out other possible causes for your pain.

  • Computerized tomography (CT). This imaging procedure uses a series of computer-directed X-rays that provides a cross-sectional view of your brain. This helps doctors diagnose tumors, infections and other possible medical problems that may be causing your headaches.
  • Magnetic resonance imaging (MRI). MRIs use radio waves and a powerful magnet to produce very detailed cross-sectional views of your brain. MRI scans help doctors diagnose tumors, strokes, aneurysms, neurological diseases and other brain abnormalities. An MRI can also be used to examine the blood vessels that supply the brain.
  • Spinal tap (lumbar puncture). If your doctor suspects an underlying condition, such as meningitis — an inflammation of the membranes (meninges) and cerebrospinal fluid surrounding your brain and spinal cord — he or she may recommend a spinal tap (lumbar puncture). In this procedure, a thin needle is inserted between two vertebrae in your lower back to extract a sample of cerebrospinal fluid (CSF) for laboratory analysis.
Treatments and drugs Preparing for your appointment
References
  1. NINDS Migraine information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/migraine/migraine.htm. Accessed March 28, 2011.
  2. Cutrer FM, et al. Pathophysiology, clinical manifestations, and diagnosis of migraine in adults. http://www.uptodate.com/home/index.html. Accessed March 28, 2011.
  3. Boes CJ, et al. Headache and other craniofacial pain. In: Bradley WG, et al. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008. http://www.mdconsult.com/books/page.do?sid=1155758096&eid=4-u1.0-B978-0-7506-7525-3..50111-4&isbn=978-0-7506-7525-3&uniqId=240648610-3. Accessed May 1, 2011.
  4. Migraine. National Headache Foundation. http://www.headaches.org/education/Headache_Topic_Sheets/Migraine. Accessed March 30, 2011.
  5. Headache diagnosis and testing. American Headache Society. http://www.americanheadachesociety.org/assets/NAP_for_Web_-_Headache_Diagnosis_&_Testing.pdf. Accessed April 1, 2011.
  6. Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/headachehope.pdf. Accessed April 1, 2011.
  7. Migraine. Journal of the American Medical Association. 2009;301:2608.
  8. Calhoun AH. Estrogen-associated migraine. http://www.uptodate.com/home/index.html. Accessed March 28, 2011.
  9. Hormones and migraines. National Headache Foundation. http://www.headaches.org/education/Headache_Topic_Sheets/Hormones_and_Migraine. Accessed March 30, 2011.
  10. Bajwa ZH, et al. Acute treatment of migraine in adults. .http://www.uptodate.com/home/index.html. Accessed March 28, 2011.
  11. SSRIs, triptans and serotonin syndrome: What is the risk of serotonin syndrome in migraine? American Headache Society. http://www.achenet.org/education/patients/SSRIsTriptansandSerotoninSyndrome.asp?print=y. Accessed April 1, 2011.
  12. Keeping a headache diary can help your doctor help you. National Headache Foundation. http://www.headaches.org/pdf/How_Keep_Headache_Diary.pdf. Accessed April 1, 2011.
  13. Gilmore B, et al. Treatment of acute migraine headache. American Family Physician. 2011;83:271.
  14. Migraine prevention: A guide to the latest methods and treatments. National Headache Foundation. http://www.headaches.org/educational_modules/migraine_module/page_home.htm. Accessed March 31, 2011.
  15. Fenstermacher N, et al. Pharmacological prevention of migraine. British Medical Journal. 2011;342:540.
  16. Bajwa ZH, et al. Preventive treatment of migraine in adults. http://www.uptodate.com/home/index.html. Accessed March 28, 2011.
  17. Cruse RP. Management of migraine headache in children. http://www.uptodate.com/home/index.html. Accessed March 28, 2011.
  18. Chaibi A, et al. Manual therapies for migraine: A systematic review. Journal of Headache and Pain. 2011; epub Feb. 5.
  19. Exertional headaches. National Headache Foundation. http://www.headaches.org/education/Headache_Topic_Sheets/Exertional_Headaches. Accessed March 31, 2011.
  20. FDA approves Botox to treat chronic migraine. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm229782.htm. Accessed April 14, 2011.
DS00120 June 4, 2011

© 1998-2013 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

  • Print

  • Share on:

  • Email

Advertisement


Text Size: smaller largerlarger