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Diagnostic Guide

Headache Diagnosis: Tests & Costs in Illinois

Most headaches are primary (migraine, tension, cluster) and diagnosed clinically without imaging. Brain imaging is needed when headaches have concerning features (worst headache ever, neurological symptoms, sudden onset) or fail to respond to treatment.

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Seek Emergency Care If You Have:

  • Worst headache of your life (thunderclap)
  • Sudden severe headache reaching maximum intensity in seconds
  • Headache with fever and stiff neck
  • Headache with confusion, weakness, or vision changes
  • Headache after head trauma
  • New headache in someone with cancer or HIV

Call 911 or go to the nearest emergency room immediately.

Common Causes

Headache can have many causes, ranging from minor to serious:

Tension headache (most common)
Migraine
Cluster headache
Medication overuse headache
Sinus headache
Caffeine withdrawal
Rarely: brain tumor, aneurysm, or other structural cause

Diagnostic Tests for Headache

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When to See a Doctor

See a doctor if headaches are new or changed pattern, occur more than 15 days per month, or dont respond to OTC medications. Seek emergency care for thunderclap headache (worst ever), headache with fever and stiff neck, or headache with confusion or weakness.

What to Expect

Primary headaches (migraine, tension) are diagnosed based on symptoms and dont need imaging. Imaging (CT or MRI) is ordered for concerning features, new headaches after age 50, or symptoms suggesting structural problems. MRI is preferred for non-emergency evaluation.

Frequently Asked Questions

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