The two most
important categories are Migraine without aura
(common Migraine) and Migraine with aura
(classic Migraine).
Auras represent several forms of visual disturbances
that are described as dark or black point(s) that may
or may not expand and obscure the patient's vision.
The black spot may be surrounded by lights with zigzag
lines.
Patients with classic Migraine symptoms
may exhibit stroke-like symptoms including symptoms
affecting one hand, arm, or side of the face.
A diagnosis of Migraines without aura is made if the
patient fulfills specific criteria. The patient must
have a history of five previous similar episodes, with
pain lasting between 4 and 72 hours. Additionally, they
must meet two of the following four characteristic symptoms:
Unilateral head pain
Pain must be throbbing or pulsing
An experience of moderate to severe pain which Inhibit
or restricts the ability to function
Pain is made worse by routine physical activity.
Furthermore, they must have one of the following two
symptoms present:
Nausea and/or vomiting
Adverse reactions to light or sound.
In contrast, Migraine with aura employs the same diagnostic
criteria as common Migraine with the following exceptions
Patients only need a history of two prior Migraine attacks
and must fulfill three of the following four criteria:
One or more aura symptoms
Aura symptoms that develop over more than 4 Minutes
Aura lasts less than 60 seconds
Headache follows within 60 minutes of the aura ending.
It’s interesting to note that Migraine sufferers
are more likely to experience specific types of Headache
pain including intense throbbing head pain, brought
on by exertion; ice-pick-like pains or electrical jabs
or “stabbing Headaches”; and unilateral,
intense eye pain.
So, what really causes Migraines? Does anyone really
know the answer?
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