caa a22 4500 445356766 CHVBK 20180317142902.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10072-011-0520-9 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0520-9 The role of instrumental examinations in delayed migraine diagnosis [Elektronische Daten] [G. Viticchi, M. Silvestrini, L. Falsetti, C. Lanciotti, R. Cerqua, S. Luzzi, L. Provinciali, M. Bartolini] Patients affected by migraine without aura very often consult different specialists who, misunderstanding the correct diagnosis, submit them to different instrumental examinations. The objective of the study was to assess if each instrumental examination was really useful for a faster migraine definition, or on the contrary, it increased the time delay for a correct diagnosis. We enrolled 300 consecutive patients referring to our Headache Center with a first diagnosis of migraine without aura and submitted them to a face-to-face interview about time from disease's onset to a correct diagnosis. In each patient, the first instrumental examination performed to specifically investigate migraine-related symptoms was defined. Brain MRI, brain CT, sinus CT, sinus X-rays, cervical spine X-rays and EEG were the most often performed examinations. All the exams, with the exception of brain CT, determined a significant increase of time delay in migraine diagnosis (p<0.05). Brain CT was significantly associated with a higher probability to obtain a correct diagnosis in less than 1year. Migraine without aura patients are usually addressed to perform radiological and other instrumental examinations. This attitude may increase the risk of time delay to obtain a correct diagnosis. The performance of a careful clinical history evaluation and neurological examination, with the addition of a brain CT when appropriate, is the best approach for a rapid and correct diagnosis of migraine without aura. Springer-Verlag, 2011 Migraine without aura nationallicence Instrumental investigations nationallicence Diagnostic delay nationallicence Viticchi G. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Silvestrini M. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Falsetti L. Unità di Medicina Interna, Settore Subintensivo, Ospedali Riuniti Ancona, Ancona, Italy aut Lanciotti C. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Cerqua R. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Luzzi S. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Provinciali L. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Bartolini M. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut Neurological Sciences Springer Milan 32(2011-05-01), 143-144 1590-1874 32<143 2011 32 10072 https://doi.org/10.1007/s10072-011-0520-9 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0520-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Viticchi G. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Silvestrini M. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Falsetti L. Unità di Medicina Interna, Settore Subintensivo, Ospedali Riuniti Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Lanciotti C. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Cerqua R. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Luzzi S. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Provinciali L. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 700 1- Bartolini M. Clinica di Neurologia, Dipartimento di Neuroscienze, Università Politecnica delle Marche, Via Conca 1, 60020, Ancona, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-05-01), 143-144 1590-1874 32<143 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer