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Jump to: navigation, search Migraine [[Image:{{{Image}}}|190px|center|]] ICD-10 G43 ICD-O: {{{ICDO}}} ICD-9 346 OMIM {{{OMIM}}} MedlinePlus {{{MedlinePlus}}} eMedicine {{{eMedicineSubj}}}/{{{eMedicineTopic}}} DiseasesDB {{{DiseasesDB}}} Migraine is a neurologic disease, of which the most common symptom is an intense and disabling headache. Impact of sumatriptan on clinic utilization and costs of care in migraineurs. Once familiar with this technique, people can use it, without the monitoring equipment, to stop an attack or reduce its effects. Some people will have tingling in their arm or face or difficulty speaking. Healthful lifestyles including regular exercise and avoidance of nicotine may also enhance migraine management. Because chronic tension headaches are sometimes caused by the same triggers as migraine and can often be remedied using the same treatments used for migraine, and because migraine itself presents with different symptoms for different people, there are some who believe that chronic tension headaches are just another symptom of migraine. . Because their symptoms vary, an intense headache may be misdiagnosed as a migraine by a layperson. 2 Treatment + 9.

Improvement in migrainespecific quality of life in a clinical trial of rizatriptan. The authors say dehydration deserves more attention, and that some patients are sensitive to red wine. Cost-effectiveness and cost-benefit of sumatriptan in patients with migraine. [5] Turville's and Wilmut's conclusions have largely been ignored since 1956 and it is widely believe that vision problems are not migraine triggers. * Litaker DG, Solomon GD, Genzen JR. By definition, the physical examination of a patient with migraine headache in between the attacks of migraine does not reveal any organic causes for the headaches. There is currently no test to confirm the diagnosis of migraine Treatment Many factors may contribute to the occurrence of migraine attacks. These agents may have gastrointestinal side effects, which limit their use since larger than normal doses may be required to treat the migraine attack. Due to the severity of the headaches, some patients may require a narcotic analgesic, but if the patient is experiencing frequent migraine attacks habituating analgesics should be avoided.

* Osterhaus JT, Gutterman DL, Plachetka JR. Arch Intern Med 1998;158: 1013-1018. B. . . * Lipton RB, Stewart WF, Celentano DD, Reed ML. People who get migraine headaches appear to have blood vessels that overreact to various triggers. Undiagnosed migraine headaches: a comparison of symptom-based and reported physician diagnosis. They are known as trigger factors and may include diet, sleep, activity, psychological issues as well as many other factors.

5 grams) was associated with adverse symptoms including headache more often than was placebo. Journal of Neurology Neurosurgery and Psychiatry. Migraine Elimination Diet Retrieved Aug. However, because of the absence of 'headache,' diagnosis of acephalgic migraine is apt to be significantly delayed and the risk of misdiagnosis significantly increased. Sumatriptan and related selective serotonin receptor agonists are now the therapy of choice for severe migraine attacks that cannot be controlled by other means. The mechanism of any association is unclear, but chronic abnormalities of cerebral blood vessel tone may be involved. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc. Fewer than 1% reported any side effects. Some members of this family of drugs are: * Sumatriptan (Imitrex®, Imigran®) * Zolmitriptan (Zomig®) * Naratriptan (Amerge®, Naramig®) * Rizatriptan (Maxalt®) * Eletriptan (Relpax®) * Frovatriptan (Frova®) * Almotriptan (Almogran®) Evidence is accumulating that these drugs are effective because they act on serotonin receptors in nerve endings as well as the blood vessels.

atypical migraine

Please read Wikipedia founder Jimmy Wales's personal appeal. Advil® Migraine and Motrin® Migraine Pain, both ibuprofen medications, are approved to treat migraine headache and its pain. Sumatriptan (Imitrex®), a 5-HT agonist, is available in self-injectable, nasal spray and rapidly-dissolving tablet forms. Patients with prolonged migraine attacks lasting more than 24 hours are experiencing status migraine and corticosteroids may be used in these cases due to their anti-inflammatory effects. The most effective prescription medications include several classes of medications including beta blockers such as propranolol and atenolol, antidepressants such as amitriptyline, and anticonvulsants such as valproic acid and topiramate. [7] Some migraine sufferers find relief through acupuncture which is usually used to help prevent headaches from developing. Titration of the doses may be needed to reduce adverse effects to medicines. Further studies are being conducted. Such headaches are commonly misdiagnosed as sinusitis or chronic sinus infections.

These swollen blood vessels send pain signals to the brainstem, an area of the brain that processes pain information. Healthful lifestyles including regular exercise and avoidance of nicotine may also enhance migraine management. [edit] History The human side of migraine has been expertly captured in Oliver Sacks's book Migraine, although the book was last revised in 1992 and the science in the book is no longer current. * All text is available under the terms of the GNU Free Documentation License (see Copyrights for details). * All text is available under the terms of the GNU Free Documentation License (see Copyrights for details). Selection of a suitable medication for any particular patient is a matter of trial and error, since the effectiveness of individual medications varies widely from one patient to the next. Am J Health Syst Pharm 1996;53:633-638. The earlier these drugs are taken in the attack, the better their effect. These, as with most elements of migraine, need to be individualized to the patient.

Non-pharmacological techniques for control of migraine are helpful to some patients. The effects of migraine may persist for some days after the main headache has ended. An update on the epidemiology of migraine. [edit] Trigger avoidance Patients can attempt to identify and avoid factors that promote or precipitate migraine episodes. Aura usually lasts less than 60 minutes, and in those who suffer migraine with aura there is generally little time between the onset of aura and the onset of the attack. . 2004 Nov;24(11):947-54) reveals that acetylsalicylic acid, sumatriptan and ibuprofen are equally effective. Verify here WHA Please Take a Moment to Sign Our Guestbook, or Send Us E-mail e-mail webfirst Site Hosting darby Site Updating & Maintenance proxicom Initial Site Design & Programming About MAGNUM • What's New • Migraines: Myth & Reality • Disability & Impairment Treatment & Management • Where To Turn for Help • Communications & FAQs MAGNUM In the Media • Discussion Forums • Bookstore • Gift Shop • Search • Sponsors • Home Educational Resources Home About the NHF Subscriber Resources Educational Resources Events & Programs NHF Online Store Clinical Trials Press Room Links Join the NHF Make a Donation Healthcare professionals click here for resources for providers Consumer Topics | Medications | Spanish Topics MIGRAINE More than 29. Alternative medical treatments with medications belonging to the group known as the Phenothiazines have proven useful as non-analgesic options for treating severe migraine headaches.

The most-often reported triggers include stress, alcohol, foods, too much or too little sleep, and weather. Journal of Neurology Neurosurgery and Psychiatry. M. wikipedia. 2. [edit] Trigger avoidance Patients can attempt to identify and avoid factors that promote or precipitate migraine episodes. Some experience tingling sensations called paresthesias or disturbances of other regions of the brain (such as language ability or smell) instead of a visual aura, either as an occasional alternate or as their normal aura. It is advisable to start sessions as short in duration and then work up to longer treatments. The prevention and treatment of acephalgic migraine is broadly the same as for classical migraine.

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