As few as half of all patients reporting migraine-like symptoms have been formally diagnosed with migraine headaches. Underdiagnosis and treatment may be due to atypical presentation with lack of the best-known symptoms of migraine. Migraines can also mimic other neurological, ocular, or even gastrointestinal conditions. Many patients with migraines are misdiagnosed with sinusitis or tension-type headaches, or suspected of having glaucoma, meningitis, epilepsy, a stroke, brain aneurysm, or a malignancy in the brain.
In making your diagnosis, how do you differentiate between migraine and those neurological conditions that share similar symptoms? How do you think more migraine patients can receive a correct diagnosis?