Editor's Correspondence |

Emergency Department Treatment of Migraine Headaches

David R. Vinson, MD
Arch Intern Med. 2002;162(7):845-846. doi:.
Text Size: A A A
Published online


The study by Maizels1 on the management of emergency department patients with benign headache observed that adequate histories and physical examinations are inconsistently performed. For this corrective I am grateful. Two assertions of this study, however, merit further discussion.

By using the strict diagnostic criteria for migraine headache devised by the International Headache Society (IHS), Maizels calculates a high incidence of misdiagnosis. Because many features of the criteria were selected arbitrarily without scientific validation,2 simpler criteria for migraine have been proposed for use in clinical practice.3 One wonders how much more accurate these diagnosticians would appear if they were allowed to diagnose a migraine without aura if it was the patient's third (not fifth) episode or if it lasted 84 (not 72) hours.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Homocysteine and migraine. A narrative review. Clin Chim Acta Published online Mar 5, 2014.;