1 Overview
A migraine is a neurological condition that can cause multiple symptoms, most notably a throbbing, pulsing headache usually on one side of the head. It is often accompanied by extreme sensitivity to light, sound, nausea, and vomiting. Migraine attacks can last for hours to days, significantly impairing daily activities.
2 Symptoms & Signs
- Moderate to severe throbbing pain, usually on one side of the head
- Sensitivity to light (photophobia), sounds (phonophobia), and odors
- Nausea and vomiting
- Visual disturbances known as aura (flashing lights, zigzag patterns) before the headache
- Dizziness or lightheadedness
3 Causes
While the exact cause of migraines is not fully understood, genetics and environmental factors play a major role. Changes in brainstem pathways and fluctuations in neurotransmitters, especially serotonin, are closely involved.
Risk Factors
- Family history of migraine
- Gender: Women are three times more likely to have migraines than men
- Hormonal fluctuations during menstruation, pregnancy, or menopause
- High stress levels and irregular sleep schedule
Complications
Frequent untreated migraines can progress into chronic migraines (headaches on 15 or more days a month) and medication-overuse headaches from excessive painkiller consumption.
4 Prevention
- Maintain a consistent daily sleep and meal routine
- Identify and avoid personal dietary triggers (chocolate, aged cheese, processed meats)
- Practice stress management through meditation or yoga
- Stay well hydrated throughout the day
⚠️ When to See a Doctor
Seek emergency medical attention immediately if your headache comes on suddenly like a thunderclap, is accompanied by high fever and stiff neck, or causes confusion, seizures, numbness, or difficulty speaking.
5 Diagnosis & Treatment
Diagnosis is based on medical history, clinical evaluation, and neurological exam. In some cases, MRI or CT scans rule out other underlying causes. Treatment includes acute relief medications (triptans, NSAIDs) and preventive medications.
References & Academic Sources
- [1]
- [2]
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