Migraine: ictal features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Migraine: ictal features. It is a disabling pulsating headache. It is unilateral in half of cases. Fully referenced neurology checklist.
Features of migraine headache
- It is a disabling pulsating headache
- It is unilateral in half of cases
- Unilateral headaches are more frequently right sided
- Unilateral headaches may alternate sides
- About 63% of unilateral headaches correlate with the subject’s handedness
Accompanying headache features
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Accompanying features of right sided migraine headaches
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Accompanying features of right sided migraine headaches
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Accompanying cranial autonomic features
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Unusual accompanying features
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Significant differential diagnoses
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References
- Blum ASS, Riggins NY, Hersey DP, Atwood GS, Littenberg B. Left- vs right-sided migraine: a scoping review. J Neurol 2023; 270:2938-2949.
- Haut S. Differentiating migraine from epilepsy. Adv Stud Med 2005; 5(6E):S658-S665.
- van Dongen RM, Haan J. Symptoms related to the visual system in migraine. F1000Res 2019; pii: F1000 Faculty Rev-1219.
- Calhoun AH, Ford S, Millen C, Finkel AG, Nie Y. The prevalence of neck pain in migraine. Headache 2010; 50:1273-1277.
- Al-Khazali HM, Younis S, Al-Sayegh Z, Ashina S, Ashina M, Schytz HW. Prevalence of neck pain in migraine: a systematic review and meta-analysis. Cephalalgia 2022; 42:663-673.
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