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Is headache really a migraine? Know what signs and symptoms indicate a more serious problem.(Comanagement Q & A)

Review of Optometry

| August 15, 2004 | Ajamian, Paul C. | This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Q Many patients present complaining of "migraine" headaches, but often have not been diagnosed. How can I determine the etiology of the headache?

[ILLUSTRATION OMITTED]

A According to the International Headache Society (IHS), close to 90% of the population has experienced some form of headache. "Since an abundant number of headache symptoms may have visual disturbances, or are located within surrounding ocular tissue, optometrists will frequently be confronted by patients complaining of this," says optometrist Michelle Caputo of Bascom Palmer Eye Institute in Miami.

Migraine headaches are characterized by a specific group of signs and symptoms.…

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