Common diagnostic errors include the following: Not realizing that migraine often causes bilateral pain and is not always described as throbbing Misdiagnosing migraine as sinus headache or eye strain because autonomic and visual symptoms of migraine are absent Assuming that any headache in patients known to have migraine represents another migraine attack (a thunderclap headache or a change in the previous headache pattern may indicate a new, potentially serious disorder) Mistaking migraine with aura for a transient ischemic attack, especially when the aura occurs without headache, in older people Diagnosing a thunderclap headache as migraine because a triptan relieves it (a triptan can also relieve a headache due to subarachnoid hemorrhage) Several unusual disorders can mimic migraine with aura: Dissection of the carotid or vertebral artery Cerebral vasculitis Moyamoya disease CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) MELAS (mitochondrial encephalopathy, lactic acidosis, and strokelike episodes) syndrome Treatment of Migraine Elimination of obvious triggers Relaxation techniques, yoga, or behavioral interventions For mild headaches, acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) For acute attacks, triptans, lasmiditan, gepants, or dihydroergotamine plus a dopamine antagonist antiemetic Neuromodulatory devices for acute treatment and prevention A thorough explanation of the disorder helps patients understand that although migraine cannot be cured, it can be controlled, enabling them to better participate in treatment.