Scans and Tests: Do You Really Need One?

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Key Questions
  • What kinds of tests are important for people with migraine to have?
  • Is there any danger in having repeated brain scans?
  • How important are patient history and physical examination in diagnosing migraine?
  • When would a person with migraine need a brain scan?
  • Do people with migraine need to worry about white-matter lesions?
  • If a person with migraine has aura symptoms, does that change the need for testing?
  • What types of tests should be administered for rare subtypes of migraine, like hemiplegic migraine or migraine with prolonged aura?
  • What does CFS (cerebral spinal fluid) pressure have to do with migraine?
  • How does an open PFO (patent foramen ovale) valve influence migraine?
  • Why would a person with migraine need an EEG?
  • What are persistent aura symptoms, and are there any tests needed when it is present?
Interview Notes

Find more about Dimos-Dimitrios Mitsikostas, MD, PhD and his work here:

Tests mentioned in the interview:

Dimos-Dimitrios Mitsikostas, MD, PhD

Headache Clinic
Athens, Greece

Professor Mitsikostas is a specialist in headache, a neurologist, council member of the European Headache Federation, and president of the Greek Headache Society. He received an MD from Aristotle’s University of Thessaloniki, and a PhD from the National and Kapodistrian University of Athens. He completed postdoctorate studies in molecular pharmacology of cephalic pain at Harvard Medical School and the University College of London. He is a member of the American Academy of Neurology, the Hellenic Neurology Society and the Hellenic Headache Society.

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