Factors contributing to inaccurate migraine diagnosis: a prospective study at a tertiary hospital in Southern Thailand

Misdiagnosis of migraine remains frequent in clinical practice, particularly among patients initially evaluated by non-neurologists. Atypical symptom profiles-such as bilateral pain, lack of activity-related exacerbation, or associated vertigo-contribute to diagnostic inaccuracy. Enhanced awareness and targeted education for primary physicians are essential to improve diagnostic precision and reduce treatment delay.