Is the headache associated with nausea? | Yes No |
Is the headache associated with photophobia? | Yes No |
Has there been disability or work limitation of 1 or more days every 3 months due to headache? | Yes No |
This brief screening tool, based upon just 3 of the 9 diagnostic screening questions available, had a positive predictive value of 93%, sensitivity of 81% and specificity of 75% for identifying patients who on rigorous evaluation of their headaches are finally diagnosed as migraine.
The 3 questions asked are (scored if present):
Each positive response receives 1 point (Score range is 0-3 pts)
0-1 pts = Negative Screening for Migraine
2-3 pts = Positive Screening for Migraine
Reference:
Lipton RB, et al. A self-administered screener for migraine in primary care: The ID Migraine validation study. Neurology. 2003 Aug 12;61:375-82.