Migraine Check-up in Dnipro: Diagnosing the Causes of Headaches | Genesis Dnepr
Ukraine, Dnepr, st. 25 Sicheslavskaya Brigade (Rybinskaya St.), 119 ‑ 120
Ukraine, Dnepr, st. 25 Sicheslavskaya Brigade (Rybinskaya St.), 119 ‑ 120

Comprehensive examination: Migraine checkup

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Migraine checkup

The "Migraine" check-up is designed for the comprehensive evaluation of patients with recurrent headache attacks. The program helps assess vascular, metabolic, hormonal, and other factors that may be related to the headache, and to determine further diagnostic and treatment strategies.

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Migraine checkup | Comprehensive examination
Our checkup includes:

Laboratory tests

General clinical and inflammatory markers:
- Complete blood count (extended)
- C-reactive protein, high-sensitivity (C‑Reactive Protein, High Sensitivity)
- Antinuclear antibodies (ANA, IFT method)

Liver panel:
- Total protein, albumin, total bilirubin, direct bilirubin, ALT (alanine aminotransferase), AST (aspartate aminotransferase), alkaline phosphatase, GGT (gamma‑glutamyl transferase)

Kidney panel:
- Urea, creatinine

Blood electrolytes:
- Potassium, sodium, chloride, calcium
- Serum iron
- Ferritin
- Vitamin D (25‑hydroxyvitamin D, 25(OH)D)
- Homocysteine

Carbohydrate metabolism:
- Glycated hemoglobin (HbA1c)
- Glucose (serum)

Hemostasis (coagulation) system:
- Coagulogram — PT, Quick’s percentage (prothrombin activity), INR, APTT, TT, fibrinogen
- D‑dimer

Thyroid:
- TSH
- Free T4
- Free T3
- Antibodies to thyroglobulin (anti‑Tg)
- Antibodies to thyroid peroxidase (anti‑TPO)

Imaging

- Doppler ultrasound of the vessels of the head and neck
- Abdominal ultrasound: liver, gallbladder, pancreas, spleen
- Ultrasound of the urinary system: kidneys, adrenal glands, bladder
- Thyroid ultrasound

Specialist consultations

- Neurologist (migraine specialist)
- Cardiologist
- ENT physician
- Endocrinologist

Medical support

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Tests/consultations performed off‑site if indicated (paid separately):

- Consultation with a dentist‑gnathologist
- Ophthalmologist consultation

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How to prepare for the examination:

BLOOD DRAW

- Blood must be drawn strictly fasting. The interval between the last meal and the blood draw should be 8–12 hours.
- Only plain still water is allowed. Coffee, tea, juices and sugary drinks are not allowed.
- 24 hours before the blood draw avoid alcohol, fatty and fried foods.
- Do not smoke for 1 hour before the test.

PHYSICAL AND EMOTIONAL EXERTION

- 24 hours before the test avoid intensive sports training and visiting a bath or sauna.
- Immediately before the blood draw it is recommended to rest for 10–15 minutes in the waiting room.

MEDICATIONS

- Have blood drawn before taking medications or not earlier than 10–14 days after discontinuation, as agreed with your physician.
- If a medication cannot be stopped, inform the laboratory staff.
- It is not recommended to have blood drawn immediately after physiotherapy procedures, massage, ultrasound, CT, MRI or radiography.

SPECIFIC PARAMETERS

- Hormones (TSH and others): draw strictly before 10:00 AM due to diurnal fluctuations.
- Iron metabolism tests (ferritin, serum iron): draw before starting iron supplements or 7–10 days after discontinuation.
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