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Updated: Jan 18, 2026
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
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Migraine in the Emergency Department
1Department of Emergency Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, New York, NY 10461, USA; Montefiore Medical Center, Bronx, NY, USA.
Neurologic Clinics
|September 30, 2019
Summary
Diagnostic testing offers limited value for emergency department patients with migraine. Effective nonopioid treatments exist, and care should address both the acute attack and the underlying migraine disorder.
Area of Science:
- Neurology
- Emergency Medicine
Background:
- Migraine is a common neurological disorder presenting with severe headache.
- Emergency departments (EDs) frequently manage patients experiencing acute migraine attacks.
Purpose of the Study:
- To evaluate the utility of diagnostic testing in ED migraine presentations.
- To outline appropriate management strategies for acute migraine in the ED.
Main Methods:
- Review of current literature on diagnostic testing for migraine in the ED.
- Analysis of available nonopioid, disease-specific treatments for acute migraine.
Main Results:
- Diagnostic testing provides limited diagnostic yield in patients presenting with migraine to the ED.
- Evidence-based, nonopioid treatments are effective for acute migraine management.
- Acute migraine presentation signifies an underlying chronic condition.
Conclusions:
- ED diagnostic testing for migraine is generally not indicated.
- Management should focus on treating the acute migraine attack and addressing the chronic nature of the disorder.
- Emergency physicians should integrate disease-specific, nonopioid therapies into acute migraine care plans.
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