Annals of Indian Academy of Neurology
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Atypical migraine in clinical practice: Are we missing it?


 Headache and Neuroophthalmology Services, Teresa Eye and Migraine Centre, Alleppey, Kerala, India

Correspondence Address:
MV Francis,
Headache and Neuroophthalmology Services, Teresa Eye and Migraine Centre, Cherthala, Alleppey - 688 524, Kerala
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.aian_997_21

In countries like India, many migraine patients presenting to primary care clinics fail to fulfill standard (ICHD 3) migraine diagnostic criteria. Since they do not present with typical ICHD 3 migraine diagnostic symptoms, it is necessary to define the criteria for atypical migraine. This would ensure that the patients receive the right treatment approach, both non-pharmacological and pharmacological. Looking for triggers, family history, activity affected and absolute normality in between attacks, past episodes of episodic syndromes, prodromal and oculonasal autonomic symptoms will help in identifying the migraine origin of these headaches.


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