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Background: Chronic migraine is common, affecting approximately 1% of the general population, and causes significant disability. Objective: To summarize optimal involvement of primary care physicians in chronic migraine care, and to provide algorithms to assist them in the diagnosis and management of patients with chronic migraine. 2014-11-17 Migraine is a complex disorder characterized by recurrent episodes of headache, most often unilateral and in some cases associated with visual or sensory symptoms—collectively known as an aura—that arise most often before the head pain but that may occur during or afterward (see the image below). Migraine is most common in women and has a str This category includes diagnostic criteria for migraine and its variants, along with tension-type headache (TTH) and other trigeminal autonomic cephalalgias (TACs). Migraines can occur with or without aura; specifically, at least 2 attacks that include 1 or more reversible visual, sensory, or other symptoms that meet specific temporal criteria. Personal and Family History in Migraine Diagnosis. There are many different factors that your doctor will consider when determining if you have migraine or a different type of headache disorder.

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com. 1 Jan 2019 Preventive medication therapy reduces migraine frequency, severity, and Center for Complementary and Integrative Health, and UpToDate. 2010;30(7):804-14. 8.

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The initial interviews and brief questionnaires revealed that PCPs are aware of the prevalence of migraine but are uncertain about the details of management. Eighty-three of 120 physicians completed the comprehensive survey. Only 47% would order imaging for a new type of headache, 31% for worsening headache, and 35% for a headache Consider diagnosis of migraine in patients with previous diagnosis of recurring sinus headache.
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One in 10 people have migraine. The patient’s history is the essential diagnostic tool.
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