Migraine physical examination: Difference between revisions
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{{Migraine}} | {{Migraine}} | ||
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==Overview== | |||
The majority of patients with headaches complains have a normal physical and neurological examination. | |||
==Physical Examination== | |||
===Appearance=== | |||
The patient appear with a headache. | |||
===Vital signs=== | |||
* [[Tachycardia]]/ [[bradycardia]] | |||
* [[Hypertension]]/ [[hypotension]] | |||
===Eye=== | |||
* [[Red eye|Conjunctival injection]] may be present | |||
* [[Ophthalmoscope # indications|Fundoscopy]]: [[papilledema]] may be present | |||
===Neurologic=== | |||
* [[Horner's syndrome]] <ref> name="pmid17204927">{{cite journal| author=Murphy MA, Hou LC| title=Recurrent isolated horner syndrome. | journal=J Neuroophthalmol | year= 2006 | volume= 26 | issue= 4 | pages= 296 | pmid=17204927 | doi=10.1097/01.wno.0000249324.19486.2a | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17204927 }} </ref> may be present | |||
*[[Adie syndrome| Adie type pupil]] <ref> name="pmid21510238">{{cite journal| author=Tafakhori A, Aghamollaii V, Modabbernia A, Pourmahmoodian H| title=Adie's pupil during migraine attack: case report and review of literature. | journal=Acta Neurol Belg | year= 2011 | volume= 111 | issue= 1 | pages= 66-8 | pmid=21510238 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21510238 }} </ref> may be present | |||
===Head and neck=== | |||
* Cranial/ cervical muscle [[tenderness]] may be present | |||
* Listen for bruit at neck and head for clinical sights of [[Cerebral arteriovenous malformation| arteriovenous malformation]]. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 18:14, 3 February 2014
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Overview
The majority of patients with headaches complains have a normal physical and neurological examination.
Physical Examination
Appearance
The patient appear with a headache.
Vital signs
Eye
- Conjunctival injection may be present
- Fundoscopy: papilledema may be present
Neurologic
- Horner's syndrome [1] may be present
- Adie type pupil [2] may be present
Head and neck
- Cranial/ cervical muscle tenderness may be present
- Listen for bruit at neck and head for clinical sights of arteriovenous malformation.
References
- ↑ name="pmid17204927">Murphy MA, Hou LC (2006). "Recurrent isolated horner syndrome". J Neuroophthalmol. 26 (4): 296. doi:10.1097/01.wno.0000249324.19486.2a. PMID 17204927.
- ↑ name="pmid21510238">Tafakhori A, Aghamollaii V, Modabbernia A, Pourmahmoodian H (2011). "Adie's pupil during migraine attack: case report and review of literature". Acta Neurol Belg. 111 (1): 66–8. PMID 21510238.