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Migraine

Migraine

  • Disabling but not a life threatening disease.
  • Easy to diagnose but needs specialist’s help in treatment.
  • Migraine is episodic disease with combination of Headache, neurological, gastro intestinal or autonomic features.
  • Headache is one of the features which need not always be present – So patient may consult eye specialist or gastroenterologist.
  • Classical Patient: One or both sided headache in temple and forehead, throbbing or pulsating, associated with nausea or vomiting,aversion to light & sound, which increases with bending / physical activity. It is relieved with vomiting & sleep.
  • Heterogeneous Disease – Patient wise & symptom wise. So treatment is individual oriented.
  • Is seen in children also.
Treatment:
  • It is a myth that there is no treatment.
  • Analgesics in emergency are not the only treatment during headache.
  • Avoid triggering factors.
  • Medication for immediate relief.
  • Medication for prevention of further attacks.
Consequences of untreated Migraine:
  • Increased irritability
  • Poor work efficiency
  • Relationship issues at home
  • Anxiety & /Depression
WHEN TO CONSULT A NEUROLOGIST

If attacks are frequent & / or are disabling affecting personal / professional life.