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7 - The Migraine Patient in the Emergency Department

Published online by Cambridge University Press:  09 October 2017

Serena L. Orr
Children’s Hospital of Eastern Ontario, Ottawa
Benjamin W. Friedman
Albert Einstein College of Medicine, New York
David W. Dodick
Mayo Clinic, Phoenix, AZ
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Migraine is the most common primary headache disorder seen in the emergency department (ED). Patients with migraine present to the ED for a variety of reasons, including intolerable pain severity, failure of at-home treatment strategies, and debilitating associated symptoms. The diagnosis and management of migraine in the ED can be challenging. In this chapter, the epidemiology of migraine in the ED will be reviewed. A detailed and practical approach to the diagnosis and management of migraine in the ED will be outlined, followed by a discussion of discharge planning issues in this population.

Emergency Headache
Diagnosis and Management
, pp. 65 - 79
Publisher: Cambridge University Press
Print publication year: 2017

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