Migraine headaches are usually diagnosed when the symptoms described above are present. Migraine generally begins in childhood to early adulthood. While migraines can first occur in an individual beyond the age of fifty, advancing age makes other types of headaches more likely. A family history is usually present, suggesting a genetic predisposition in migraine sufferers. In addition to diagnosing migraine from the clinical presentation there is usually an accompanying normal examination.
Patients with the first headache ever, worst headache ever, or where there is a significant change in headache or the presence of nervous system symptoms, like visual or hearing or sensory loss, may require additional tests. The tests may include blood testing, brain scanning (either CT or MRI), and a spinal tap.
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