TY - JOUR T1 - Review: history and physical examination can accurately identify migraine and the need for neuroimaging in patients with headache JF - Evidence Based Medicine JO - Evid Based Med SP - 25 LP - 25 DO - 10.1136/ebm.12.1.25 VL - 12 IS - 1 A2 - , Y1 - 2007/02/01 UR - http://ebm.bmj.com/content/12/1/25.abstract N2 - Detsky ME, McDonald DR, Baerlocher MO, et al. Does this patient with headache have a migraine or need neuroimaging? JAMA 2006;296:1274–83.OpenUrlCrossRefPubMedWeb of Science 
 
 Q In patients with headache, do features of the history and physical examination accurately identify those with migraine and those who should undergo neuroimaging? Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ IM/Ambulatory care ★★★★★★☆ Neurology ★★★★★★☆ Emergency medicine ★★★★★☆☆ Data sources: Medline (to November 2005) and reference lists of primary studies, review articles, and textbooks. Study selection and assessment: studies that assessed the usefulness of history and physical examination in predicting the diagnosis of a migraine type headache using International Headache Society criteria applied by a neurologist as the gold standard, and the presence of significant intracranial pathology in adults with non-traumatic headache using neuroimaging as the gold standard. Studies assessing patients with a specific underlying chronic disease were excluded. 4 studies of migraine (n = 1210, mean age range 39–40 y, prevalence 50–89%) and 11 studies of neuroimaging (n = 3725, … ER -