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A migraine headache is a neurological disorder and a specific primary headache classification. There are 4 stages to a migraine attack:

  1. Prodrome
  2. Aura
  3. Pain/headache
  4. Resolution/Postdrome

A migraine attack may contain any one or more of these stages.

Pain is usually one-sided and throbbing and can range from mild to incapacitating, lasting hours to days. A Migraine lasting over 3 days is called status migrainousus and is considered an emergency.

The pain of migraine is only part of an attack however, as migraines actually herald a whole host of changes to the entire body.

There are two main types of migraine acknowledged by the International Headache Society, but there are many sub-categories which may be used to help identify the patient's particular symptoms. The two main types are: migraine without aura (used to be called common migraine), and migraine with aura (used to be called classic migraine).

Other types of migraine diagnoses a patient may receive are:

  • Retinal migraine (migraine with aura in one eye)
  • Hemiplegic migraine (a type of migraine with aura)
  • Migraine with brainstem aura (used to be called basilar artery migraine)
  • Acephalgic migraine (migraine without pain)
  • Transformed migraine (migraine that had an episodic pattern, now with chronic pattern)
  • Chronic migraine (migraine and headache 15 days or more per month)
  • Vestibular migraine (migraine with vertigo)
  • Abdominal migraine
  • Complicated migraine (migraine with aura and stroke-like symptoms)

Migraines are usually triggered by environmental and other factors that change the homeostasis of the body/brain of the patient. Triggers often include:

  • red wine
  • MSG, Aspartame, nitrites and other food additives
  • weather
  • caffeine
  • menstruation
  • dehydration
  • changes in sleep pattern
  • changes in normal eating pattern
  • medications
  • physical exertion
  • bright lights
  • strong smells
  • loud noise
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10y ago

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