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Updated: Oct 10, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
CE: Diagnosing and Managing Migraine
Allene Goetz1, Samantha McCormick, Rosemary Phillips
1Allene Goetz is a board-certified clinical nurse specialist and Samantha McCormick is a board-certified physician assistant, both in the Headache and Facial Pain program in the Department of Neurology at UT Southwestern Medical Center, Dallas, TX. Rosemary Phillips is a triage nurse in the Department of Neurology and Deborah Friedman is a professor in the Departments of Neurology and Ophthalmology at UT Southwestern Medical Center. Contact author: Deborah Friedman, deborah.friedman@utsouthwestern.edu . The authors acknowledge Karen Lee-Roig for her artwork depicting her personal experience with migraine. Deborah Friedman serves on advisory boards for Allergan/AbbVie, Biohaven Pharmaceuticals, Lundbeck, Impel NeuroPharma, and Eli Lilly, and receives research support from Allergan/AbbVie and Eli Lilly. Lippincott Professional Development has identified and resolved all conflicts of interest concerning this educational activity. The remaining authors have disclosed no potential conflicts of interest, financial or otherwise.
Migraine is a common and disabling primary headache disorder. Effective management strategies, including acute and prophylactic treatments, can significantly reduce migraine-related disability.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Headache disorders are highly prevalent, causing significant disability.
- Migraine is the most disabling primary headache disorder, affecting a large portion of the U.S. population.
- Differentiating primary and secondary headaches is crucial for appropriate patient care.
Purpose of the Study:
- To highlight the importance of distinguishing between primary and secondary headache disorders.
- To review the pathophysiology, clinical assessment, and outpatient management of migraine.
- To summarize acute and prophylactic treatment options for migraine.
Main Methods:
- Literature review and synthesis of current knowledge on migraine.
- Discussion of diagnostic criteria and clinical evaluation for headaches.
- Overview of evidence-based treatment strategies for migraine management.
Main Results:
- Migraine is a leading cause of neurological disability.
- Accurate diagnosis is essential for effective migraine treatment.
- Various acute and prophylactic treatments can reduce migraine burden.
Conclusions:
- Understanding migraine pathophysiology and clinical presentation is key.
- Comprehensive management, including pharmacologic and non-pharmacologic approaches, improves patient outcomes.
- Timely and appropriate treatment of migraine significantly lessens associated disability.
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