Investigations
1st investigations to order
no initial test
Test
Result
Test
Result
clinical diagnosis
Investigations to consider
brain CT/MRI
Test
Result
Test
Not recommended to be performed routinely for paediatric migraine.
The presence of hypertension, bradycardia, altered consciousness level, or any focal neurological deficit suggests a more serious injury or alternative diagnosis and is an indication for urgent central nervous system imaging.
May help to reassure very anxious patients and families.
Result
almost always normal in paediatric migraine; usually performed to rule-in highly suspected alternative diagnosis; may rarely demonstrate focal ischaemia in patients with hemiplegic migraine
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