Migraine physical examination
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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.