Migraine CT: Difference between revisions
Jump to navigation
Jump to search
Teresa Stahl (talk | contribs) |
Rim Halaby (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Migraine}} | {{Migraine}} | ||
{{CMG}} | |||
==Overview== | ==Overview== | ||
Head images such [[CT]] and [[MRI]] | [[Neuroimaging]] is not necessary in patients with a clinical diagnosis of migraine. Head images such [[CT]] and [[MRI]] might be needed to rule out other suspected possible causes of [[headache]]. It is suggested to order a [[CT scan]] without [[radiocontrast|contrast]] among patients with an unusual [[headache]] | ||
==CT And MRI== | ==CT And MRI== | ||
| Line 9: | Line 10: | ||
[[CT]] is indicated in patients with: <ref> name="pmid10993991">{{cite journal| author=Silberstein SD| title=Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. | journal=Neurology | year= 2000 | volume= 55 | issue= 6 | pages= 754-62 | pmid=10993991 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10993991 }} </ref> <ref name="pmid24400971">{{cite journal| author=Lanteri-Minet M, Valade D, Geraud G, Lucas C, Donnet A| title=Revised French guidelines for the diagnosis and management of migraine in adults and children. | journal=J Headache Pain | year= 2014 | volume= 15 | issue= 1 | pages= 2 | pmid=24400971 | doi=10.1186/1129-2377-15-2 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24400971 }} </ref> | [[CT]] is indicated in patients with: <ref> name="pmid10993991">{{cite journal| author=Silberstein SD| title=Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. | journal=Neurology | year= 2000 | volume= 55 | issue= 6 | pages= 754-62 | pmid=10993991 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10993991 }} </ref> <ref name="pmid24400971">{{cite journal| author=Lanteri-Minet M, Valade D, Geraud G, Lucas C, Donnet A| title=Revised French guidelines for the diagnosis and management of migraine in adults and children. | journal=J Headache Pain | year= 2014 | volume= 15 | issue= 1 | pages= 2 | pmid=24400971 | doi=10.1186/1129-2377-15-2 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24400971 }} </ref> | ||
* Abnormal [[ | * Abnormal [[physical examination]] | ||
* Atypical [[aura]]: sudden onset, lasting more than 1 hour, always at the same side and/or without [[visual]] symptoms | * Atypical [[aura]]: sudden onset, lasting more than 1 hour, always at the same side and/or without [[visual]] symptoms | ||
* Migraine attacks that begin after 50 years of age | * Migraine attacks that begin after 50 years of age | ||
[[CT]] is not indicated in: | [[CT]] is not indicated in: | ||
* Patients with a diagnosis of migraine in accordance with the [[ | * Patients with a diagnosis of migraine in accordance with the [[migraine classification|criteria for migraine]]. | ||
* Differentiating a migraine from other [[ | * Differentiating a migraine from other primary [[headaches]] | ||
Symptoms that may indicate an abnormality on [[neuroimaging]]:<ref> name="pmid8800932">{{cite journal| author=Russell MB, Olesen J| title=A nosographic analysis of the migraine aura in a general population. | journal=Brain | year= 1996 | volume= 119 ( Pt 2) | issue= | pages= 355-61 | pmid=8800932 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8800932 }} </ref><ref> name="pmid7877390">{{cite journal| author=Kumar KL, Cooney TG| title=Headaches. | journal=Med Clin North Am | year= 1995 | volume= 79 | issue= 2 | pages= 261-86 | pmid=7877390 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7877390 }} </ref> | Symptoms that may indicate an abnormality on [[neuroimaging]]:<ref> name="pmid8800932">{{cite journal| author=Russell MB, Olesen J| title=A nosographic analysis of the migraine aura in a general population. | journal=Brain | year= 1996 | volume= 119 ( Pt 2) | issue= | pages= 355-61 | pmid=8800932 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8800932 }} </ref><ref> name="pmid7877390">{{cite journal| author=Kumar KL, Cooney TG| title=Headaches. | journal=Med Clin North Am | year= 1995 | volume= 79 | issue= 2 | pages= 261-86 | pmid=7877390 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7877390 }} </ref> | ||
| Line 22: | Line 23: | ||
* [[Focal neurologic signs]] | * [[Focal neurologic signs]] | ||
* If [[headache]]'s are awakening the patient. | * If [[headache]]'s are awakening the patient. | ||
==References== | ==References== | ||
Revision as of 21:36, 7 February 2014
|
Migraine Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Migraine CT On the Web |
|
American Roentgen Ray Society Images of Migraine CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Neuroimaging is not necessary in patients with a clinical diagnosis of migraine. Head images such CT and MRI might be needed to rule out other suspected possible causes of headache. It is suggested to order a CT scan without contrast among patients with an unusual headache
CT And MRI
CT is indicated in patients with: [1] [2]
- Abnormal physical examination
- Atypical aura: sudden onset, lasting more than 1 hour, always at the same side and/or without visual symptoms
- Migraine attacks that begin after 50 years of age
CT is not indicated in:
- Patients with a diagnosis of migraine in accordance with the criteria for migraine.
- Differentiating a migraine from other primary headaches
Symptoms that may indicate an abnormality on neuroimaging:[3][4]
- Increase of headache's frequency
- Poor coordination
- Focal neurologic signs
- If headache's are awakening the patient.
References
- ↑ name="pmid10993991">Silberstein SD (2000). "Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology". Neurology. 55 (6): 754–62. PMID 10993991.
- ↑ Lanteri-Minet M, Valade D, Geraud G, Lucas C, Donnet A (2014). "Revised French guidelines for the diagnosis and management of migraine in adults and children". J Headache Pain. 15 (1): 2. doi:10.1186/1129-2377-15-2. PMID 24400971.
- ↑ name="pmid8800932">Russell MB, Olesen J (1996). "A nosographic analysis of the migraine aura in a general population". Brain. 119 ( Pt 2): 355–61. PMID 8800932.
- ↑ name="pmid7877390">Kumar KL, Cooney TG (1995). "Headaches". Med Clin North Am. 79 (2): 261–86. PMID 7877390.