A 30-year-old woman presents with unilateral throbbing headaches associated with nausea and photophobia, occurring 2-3 times per month and relieved by...

Question

A 30-year-old woman presents with unilateral throbbing headaches associated with nausea and photophobia, occurring 2-3 times per month and relieved by sleep. Neurological examination is normal. According to Canadian Headache Society guidelines and Choosing Wisely Canada, what is the most appropriate investigation?

Accepted Answer

No neuroimaging; clinical diagnosis of migraine

Answer

MRI of the brain with contrast

Answer

CT scan of the head

Answer

Lumbar puncture

Answer

Carotid Doppler ultrasound

ca-mccqe1 MCQ (SBA): Migraine without red flags