The evaluation of a migraine headache begins with a history and physical exam.

The physical exam is usually normal in someone with a migraine headache.

Physical findings in someone with migraine headache may include:

• Photosensitivity:
• Severe sensitivity to bright light
• Numbness and tingling
• Weakness or fatigue

Testing may be required to exclude other conditions that can cause symptoms similar to migraine headache.

Tests that may be used to evaluate migraine headache include:

• Complete blood count
• Spinal tap
• CT scanning of the brain
• MRI scan of the brain
• Sinus x-rays