While headaches and migraines can be seen as a symptom of an underlying brain abnormality such as a brain tumor, this is uncommon and often brain imaging is not needed. Oftentimes when we get imaging done for migraines, the results turn out to be normal without outlining a specific cause. One important contributor to why people get migraines is genetics. People with migraines often have other family members who also have them. The scenario of a patient with a family history of migraine and normal imaging is far more common than finding a structural cause such as a tumor. In cases where there are other symptoms (such as numbness, weakness, or vision changes) it would be more concerning and would likely prompt your doctor to get imaging of your brain. Even in this scenario, there is a good chance that things will be normal. Migraines are a complex neurological condition that can frequently have additional symptoms such as dizziness, visual symptoms, eye redness or swelling, or even numbness and weakness.