When do you pursue MR imaging in patients who present for migraine evaluation?

Age Criteria: Extreme of ages is an indication for Neuroimaging. Especially if it's a new patient. (Ages 6 and under and 50 and above.)

Onset Criteria: Any new-onset headache (even full-filling migraine criteria) with onset < 6 months and change in headache pattern (both symptoms or severity) < 6 months is criteria.

Exam Criteria: Any abnormality of neuro exam and especially fundoycopic exam is an absolute indication for Neuroimaging.

Red Flags: At times, in patients with a pre-existing diagnosis of migraine, they may have different types of headaches which may be an additional diagnosis (e.g. Established patient of migraine can have IIH-related headaches as well or now develop TAC, etc). This should trigger Neuroimaging as well.

These cr...