Alarm Signs and Symptoms in Migraine Indicating the Need for Additional Testing

Age of patient

Is the patient being evaluated for migraine headaches?

Do the aura symptoms always occur on the same side of the body?

Do the aura symptoms have an acute onset and do not spread?

What is the usual duration of aura symptoms

Has there been a sudden change in migraine characteristics?

Has there been a sudden and substantial increase in attack frequency?

Did the onset of the migraine symptoms occur above age 50?

Does the patient have only aura without headache?

Are the migraine headaches associated with high fever?

Does tha patient have an abnormal neurologic examination?