When should I see a neurologist for migraines?

Consider making an appointment with a neurologist if: Your headache is continuous for more than a day or two. Your headaches tend to come on suddenly. Your head pain is worsened by straining.
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Can a neurologist tell if you have migraines?

If you have migraines or a family history of migraines, a doctor trained in treating headaches (neurologist) will likely diagnose migraines based on your medical history, symptoms, and a physical and neurological examination.
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Are migraines considered a neurological disease?

Migraine is a complex condition with a variety of symptoms, usually featuring a severe headache. It is one of the most common neurological conditions, affecting one person in seven.
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Do migraines show up on an MRI?

An MRI can't diagnose migraines, cluster, or tension headaches, but it can help doctors rule out other medical conditions that may cause your symptoms, such as: A brain tumor. An infection in your brain, called an abscess. The buildup of fluid in the brain, called hydrocephalus.
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What kind of tests are done for migraines?

Tests for Diagnosing Headaches
  • Blood chemistry and urinalysis. These tests may determine many medical conditions, including diabetes, thyroid problems, and infections, which can cause headaches.
  • CT scan. ...
  • MRI. ...
  • Sinus X-ray. ...
  • EEG. ...
  • Eye exam. ...
  • Spinal tap.
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When to see a neurologist for headaches or migraines | Ohio State Medical Center



Which painkiller is best for migraine?

Many people who have migraines find that over-the-counter painkillers, such as paracetamol, aspirin and ibuprofen, can help to reduce their symptoms. They tend to be most effective if taken at the first signs of a migraine attack, as this gives them time to absorb into your bloodstream and ease your symptoms.
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Can blood test detect migraine?

In addition to medical history, we may use advanced diagnostic techniques to identify your headache pain. These tests are especially effective in helping to diagnose secondary headache pain. This may include: Erythrocyte sedimentation rate (ESR), a blood test that can detect inflammation.
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Do brain tumors cause migraines?

Some brain tumors do not cause headaches at all, since the brain itself isn't capable of sensing pain. Only when a tumor is large enough to press on nerves or vessels do they cause headache.
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Can migraine damage your brain?

Migraines cause serious pain. If you get them, you've probably wondered if they have a lasting effect on your brain. Research suggests that the answer is yes. Migraines can cause lesions, which are areas of damage to the brain.
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What are the red flags for headaches?

“Red flags” for secondary disorders include sudden onset of headache, onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness, focal neurologic signs or symptoms, papilledema and headache ...
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What diseases are linked to migraines?

For many patients, migraine is associated with other illnesses such as:
  • Depression.
  • Anxiety.
  • Stroke.
  • Irritable bowel syndrome.
  • Epilepsy.
  • Hypertension.
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When is a migraine serious?

One of the most common signs that a migraine may be serious is when it lasts for more than three days without responding to treatment. Other warning signs and when to know if a migraine is seriuous include: Intense, continuous nausea and vomiting. High fever.
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What are the four stages of a migraine?

Migraines, which affect children and teenagers as well as adults, can progress through four stages: prodrome, aura, attack and post-drome. Not everyone who has migraines goes through all stages.
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When should you see a neurologist?

See a neurologist if you or a loved one experience any of the following but have not been diagnosed with a seizure disorder like epilepsy: Violent shaking. Uncontrollable stiffening of the body, especially the arms and legs. Staring spells (the person isn't connecting or responding, or seems to be daydreaming)
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What does a neurologist do on your first visit?

During your first appointment, a Neurologist will likely ask you to participate in a physical exam and neurological exam. Neurological exams are tests that measure muscle strength, sensation, reflexes, and coordination. Because of the complexity of the nervous system, you may be asked to undergo further testing.
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What should I ask my neurologist about migraines?

Questions to Ask Your Doctor About Migraines
  • How can I pinpoint what triggers my headache?
  • What should I keep track of in a headache diary?
  • Could any of my medicines (such as birth control pills) be making my migraine headaches worse?
  • Is there a chance my migraine symptoms might go away in a few years?
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What does a migraine look like on an MRI?

What does migraine look like on an MRI? In some people with migraine, MRI scans of the brain may show white spots or areas. These are caused by lesions or irregular areas in the white matter of the brain. White matter tissue is deep in the brain and is mostly made up of nerves.
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What does it mean if you have migraines everyday?

Conditions that might cause nonprimary chronic daily headaches include: Inflammation or other problems with the blood vessels in and around the brain, including stroke. Infections, such as meningitis. Intracranial pressure that's either too high or too low.
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What will happen if migraine is not treated?

If left untreated, your headache pain will become moderate to severe. Pain can shift from one side of your head to the other, or it can affect the front of your head, the back of your head or feel like it's affecting your whole head.
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What were your first signs of a brain tumor?

Symptoms
  • New onset or change in pattern of headaches.
  • Headaches that gradually become more frequent and more severe.
  • Unexplained nausea or vomiting.
  • Vision problems, such as blurred vision, double vision or loss of peripheral vision.
  • Gradual loss of sensation or movement in an arm or a leg.
  • Difficulty with balance.
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How do I know if my headache is a brain tumor?

Symptoms of a brain tumor headache
  1. headaches that wake you up at night.
  2. headache pain that changes as you change positions.
  3. headache pain that doesn't respond to standard pain relievers such as aspirin, acetaminophen (Tylenol), or ibuprofen (Advil)
  4. headaches that last for days or weeks at a time.
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What do brain tumors headaches feel like?

For most individuals, a brain tumor headache is localized to a specific area and is typically worse in the early morning or at night. They can be dull, pressure-like headaches that are made worse by coughing or sneezing. Over time, these headaches stop responding to over-the-counter medication.
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When is an MRI needed for migraines?

While many people with migraine don't need an MRI, your doctor might recommend it if you have any headache red flags. These are sudden changes in headache patterns or certain signs that there may be a more serious underlying problem, including: Increase in frequency or changes in the intensity of headache.
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Can a CT scan detect migraine headaches?

Medical professionals will not use a CT scan to diagnose migraine headaches. If a person is experiencing migraine, a CT scan will rarely show the cause of the pain. However, a doctor may order a CT scan or similar imaging test to rule out other causes of a person's headaches.
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Can an EEG detect migraines?

EEGs are not routinely recommended for headache patients because they do not help with a primary headache diagnosis. They are helpful only in patients with visual symptoms or brainstem auras. Epilepsy and headaches often occur simultaneously in the same patient.
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