Blurred vision is not sufficient to diagnose aura. The visual aura is typically an expanding blinding spot or visual scintillations (shimmering objects in the visual field). Migraine with visual aura involves visual effects that usually preceded the headache and last at least 5 min. Migraine can be subdivided depending on whether there is an aura or not and based on the frequency of the headaches. This phase is colloquially known among patients as the “migraine hangover”. 7 The greater the intensity of the pain, the more intense and prolonged these symptoms will be. It is usually associated with nausea and vomiting with an aversion to touch (allodynia), light (photophobia), sound (phonophobia), and smell (osmophobia).Ĥ) Postdrome: The most frequent symptoms in this phase are tiredness, drowsiness, difficulty in concentrating and hypersensitivity to noise. Headache typically gets worse with head movement. 4 The intensity of the headache increases progressively or is explosive at the onset and disrupts daily activities. 6 Motor, brainstem and retinal aura are atypical and therefore far less often.Ĭ) Headache: This phase is caused by the activation of the trigeminal sensory pathways which generates the throbbing pain of migraine. Visual aura is the most common type (90%) followed by sensory (30–54%) and language aura (31%). 5ī) Aura: About one third of the patients with migraine, especially women, suffer this transient focal neurological symptom before or during some of their headaches which is called aura. These symptoms can include yawning, mood changes, difficulty concentrating, neck stiffness, fatigue, thirst and elevated frequency of micturition. 4Ī) Premonitory phase: Non-painful symptoms appearing hours or days before the onset of the headache. The migraine attack can last 4–72 h and it consists of 4 overlapping phases. Your GP will discuss this with you.Migraine is a familial, episodic and complex sensory processing disturbance 3 which associates a constellation of symptoms, being headache the hallmark. Triptans can be taken at the same as painkillers and/or anti-sickness tablets to improve their effectiveness. Everyone reacts differently to each type of triptan. If treatment is not effective or causes unpleasant side effects, your GP may try prescribing a different type of triptan. This is so you can discuss their effectiveness and whether you had any side effects. Your GP will usually recommend having a follow-up appointment once you've finished your first course of treatment. You should not take them more than 10 days per month. Taking too many triptans can lead to medication overuse headache. These side effects are usually mild and improve on their own. Some people also experience nausea, dry mouth and drowsiness.
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