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How to Diagnose Migraine? Migraine is a highly prevalent and disabling disease, yet so many people living with migraine are still undiagnosed and undertreated. The key to improving the treatment of migraine begins with the identification of migraine symptoms followed by a prompt and accurate diagnosis. Migraine is diagnosed based on clinical criteria provided by the International Classification of Headache Disorders, 3rd edition. Obtaining an adequate medical history is therefore key. Physical and neurologic examination is also important to exclude any abnormal findings or features suggestive of a secondary cause for headache. The diagnostic criteria for migraine includes recurrent headache attacks, that have at least 2 of the following 4 characteristics: unilateral location, pulsating quality, moderate to severe intensity, and aggravation by routine physical activity, AND at least 1 of the following 2 associated features: nausea and/or vomiting or sensitivity to light and sound. This is the diagnosis of m
