Conflict of Interest: None.
Evaluation and Treatment of Migraine in the Emergency Department: A Review
Article first published online: 4 JUN 2014
© 2014 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 54, Issue 7, pages 1131–1145, July/August 2014
How to Cite
Minen, M. T., Tanev, K. and Friedman, B. W. (2014), Evaluation and Treatment of Migraine in the Emergency Department: A Review. Headache: The Journal of Head and Face Pain, 54: 1131–1145. doi: 10.1111/head.12399
There was no financial support for the research.
- Issue published online: 16 JUL 2014
- Article first published online: 4 JUN 2014
- Manuscript Accepted: 17 APR 2014
- emergency department;
- computerized tomography;
Head pain is the fifth most common reason for emergency department (ED) visits. It is second only to focal weakness as the most common reason for neurological consultation in the ED. This manuscript reviews how patients with migraine, the most common primary headache disorder for which patients seek medical treatment, are managed in the ED. We discuss existing guidelines for head imaging in patients with migraine, recommended pharmacologic treatments, and current treatment trends. We also review studies evaluating the discharge care of migraine patients in the ED. With the goal of standardizing, streamlining, and optimizing ED-based migraine care, we offer ideas for future research to improve the evaluation, treatment, and discharge care of patients who present to an ED with acute migraine.