What is the likely cause of a 4-day migraine in a 30-year-old female with a normal computed tomography (CT) scan and no red flag symptoms?

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Causes of 4-Day Migraine in a 30-Year-Old Female with Normal CT

This is most likely a primary migraine attack (migraine without aura) that has progressed to status migrainosus, defined as a migraine attack lasting more than 72 hours, rather than a secondary cause requiring further imaging. 1

Why the Normal CT is Reassuring

The probability of finding a clinically significant intracranial abnormality in a migraine patient with a normal neurological examination is only 0.2%, which is no higher than the rate of incidental findings in completely asymptomatic individuals (0.4%). 2, 1 Neuroimaging is not usually warranted for patients with migraine and normal neurological examination. 2, 1

Primary Causes to Consider

Status Migrainosus

  • A migraine attack persisting beyond 72 hours (4 days in this case) represents status migrainosus, a recognized complication of episodic migraine. 3
  • This occurs when the typical migraine mechanisms (cortical spreading depression, trigeminovascular activation, and meningeal inflammation) fail to resolve spontaneously. 4, 5

Hormonal Triggers

  • In women of reproductive age, hormonal fluctuations are among the most important migraine triggers. 6
  • Menstruation-related estrogen withdrawal commonly precipitates prolonged migraine attacks. 7, 6
  • Elevated prolactin levels have been associated with migraine attacks in young women (mean 152.7 mIU/L in migraineurs vs 76.1 mIU/L in controls, p<0.001). 7

Stress and Psychological Factors

  • Anxiety and depression-related stress are significantly higher in migraine patients, with an odds ratio of 12 for stress in migraineurs compared to non-migraineurs. 7
  • Women are particularly vulnerable to stress-triggered migraine, especially in the premenstrual period. 7

When Further Imaging Would Be Indicated

You should reconsider the diagnosis and obtain MRI if any of these red flags are present: 1

  • Abnormal findings on neurological examination 2, 1
  • Headache that awakens from sleep 1
  • Progressive worsening over weeks (this patient has 4 days, which doesn't meet this threshold) 1
  • Headache worsened by Valsalva maneuver 2, 1
  • New-onset headache in a patient over 50 years (not applicable here) 1
  • Rapid increase in headache frequency 1

Important caveat: While CT is adequate for excluding hemorrhage and large masses, MRI is more sensitive for detecting ischemia, venous thrombosis, and smaller lesions. 8 However, given the normal neurological examination and typical migraine features, the yield would remain extremely low (0.2%). 1

Management Implications

The 4-day duration indicates this patient needs acute rescue therapy for status migrainosus, not further diagnostic workup. 2

  • First-line acute treatment includes NSAIDs (aspirin, ibuprofen, naproxen sodium) or the acetaminophen-aspirin-caffeine combination. 2
  • For moderate-to-severe attacks not responding to NSAIDs, triptans or dihydroergotamine (DHE) should be used. 2
  • Intravenous metoclopramide may be appropriate, particularly given the likely presence of nausea after 4 days. 2
  • Limit acute treatment to no more than twice weekly to prevent medication-overuse headache. 2

This patient should also be evaluated for preventive therapy given the severity and duration of this attack, as chronic migraine is defined as headaches on ≥15 days per month for ≥3 months. 3 Preventing progression from episodic to chronic migraine is a key treatment goal. 3

References

Guideline

Diagnostic Imaging for Migraine Headaches

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Migraine.

Nature reviews. Disease primers, 2022

Research

Migraine: multiple processes, complex pathophysiology.

The Journal of neuroscience : the official journal of the Society for Neuroscience, 2015

Research

Migraine, hormones and the menopausal transition.

Climacteric : the journal of the International Menopause Society, 2018

Research

Migraine: is it related to hormonal disturbances or stress?

International journal of women's health, 2014

Guideline

Diagnostic Approach to Acute Neurological Deficits

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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