Headache is a symptom that accounts for over 18 million visits to phys
icians each year. In an effort to resolve inconsistencies and problems
with the differentiation of specific types of headache, the internati
onal Headache Society (IHS) has established a classification system. F
or each major type of headache, the IHS classification specifies diagn
ostic criteria and recognized subtypes where appropriate. Migraine hea
daches are commonly encountered in clinical practice. Recognition and
accurate diagnosis of migraine headache depend on a thorough history,
appropriate physical examination and diagnostic testing.