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Updated: May 13, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

MRI in headache.

Michael Eller1, Peter J Goadsby

  • 1Headache Group-Department of Neurology, University of California, San Francisco, CA, USA.

Expert Review of Neurotherapeutics
|March 2, 2013
PubMed
Summary
This summary is machine-generated.

For most headaches, MRI is not needed unless red flags appear. Primary headaches, like migraines, rarely require imaging, preventing unnecessary medical costs and anxiety.

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Area of Science:

  • Neurology
  • Radiology

Background:

  • Primary headaches are common, with migraine causing significant morbidity.
  • Secondary headaches stem from underlying conditions or lesions.
  • The utility of MRI for headache diagnosis is a frequent clinical question.

Purpose of the Study:

  • To evaluate the necessity of MRI in diagnosing primary headaches.
  • To clarify imaging guidelines for various headache phenotypes.

Main Methods:

  • Review of studies comparing imaging findings in headache populations versus the general community.
  • Analysis of clinical decision-making regarding MRI for headaches.

Main Results:

  • No significant difference in pathological or incidental findings between headache patients and the general population.
  • Routine MRI is not indicated for primary headache diagnoses.
  • Patients with 'red flags' warrant imaging to rule out secondary causes.

Conclusions:

  • Avoid routine MRI for primary headaches to prevent iatrogenic morbidity.
  • MRI is indicated for headaches with 'red flags' or specific phenotypes like trigeminal autonomic cephalalgias.