A modern approach to migraine diagnosis

Abstract

Headache is currently one of the most common disorders of the nervous system, and such type of headache as migraine significantly reduces the quality of life and working capacity of the population, which affects healthcare, economy, and social sphere of the country. A competent approach to the diagnosis of migraine implements further timely therapeutic and preventive measures. For an integrated approach to diagnosis, it is necessary to resort to international standards and criteria, which are explained in this review. It is important to note that migraine can be mistaken for other conditions and cephalgic syndromes with similar clinical manifestations. The doctor's attention should first of all be aimed at a clinical study, according to the results of which it is already possible to make a diagnosis. Neuroimaging methods should not be used routinely in all patients, but only if there are indications. Based on the analysis of the literature, we have identified the key signs of migraine with and without aura, chronic migraine, as well as provided the information necessary for differential diagnosis with other pathologies.