Migrane Headach

  


What is Migraine

Objectives

·         To learn about definitiontriggers and phases of Migraine

·         To learn about pathophysiology, diagnosis, investigation, treatment of migranequality of life and management of Migraine.

Migraine

·         Migraine is a familial disorder.

Characterized by recurrent attacks of headache widely variable in intensity, frequency and duration. Attacks are commonly unilateral and are usually associated with. 


Migraine Triggers

·         Disturbed sleep pattern

·         Hormonal changes

·         Drugs

·         Weather changes

·         Hunger

·         Olfactory visual and auditory stimuli



 

 


Phase

1.   Prodrome

2.   Aura

3.   Headache

4.   Postdrome

1 -Prodrome

·         Vague premonitory symptoms that begin from 12 to 36 hours before the aura and headache

·         Symptoms: Excitation, depression, craving or distance for various foods.

·         Duration:15 to 20 min.

 

2-Aura

·         Aura is a warning or signal before onset of headache.

·         Symptoms: Flashing of light, zig-zag lines, difficulty in focusing

·         Duration: 15 to 30 min

3-Headache

·         Headache is generally unilateral and is associated with symptoms like:

·         Anorexia, nausea, vomiting, photophobia, phonophobia

·         Duration: 4- 72hrs

4-Postdrome

·         Following headache, patient complains of fatigue, depression, severe exhaustion, some patient feel unusually fresh

·         Duration: Few hours or up to 2 days

Pathophysiology

Vascular theory:

  Intracranial/extracranial blood vessel vasodilation --- headache.

  Intracerebral blood vessel vasoconstriction ----------- aura.

Serotonin theory:

 Decreased serotonin levels linked to migraine.

 Specific serotonin receptors found in blood vessels of brain.

Diagnosis

Medical history, headache diary, migraine triggers,

Investigations:

ECG, CT brain, MRI

Treatment Quality Of Life

Reducing the attack frequency and severity.

Avoiding escalation of headache medication.

Educating and enabling the patient to manage the disorder.

Improving the patient’s quality of life.

 

 

 

Management

Non-pharmacological treatment:

Identification of triggers

Medication,  relaxation training, psychotherapy

Pharmacotherapy:

Abortive therapy, preventive therapy

Aborative Therapy

Non specific treatment:

Aspirin

Paracetamol

Ibuprofen

Naproxen

Specific treatment:

Ergotamine

Dihydroergotamine

Sumatriptan

Rizatriptan

 

Preventive Treatment

Betablockers.  

  Propranolol

Calcium channel

  Flunarizine

  Verapamil

TCAS

   Amitriptyline

SSRI

    Fluoxetine   



LIFESTYLE CHANGES TO PREVENT MIGRANE

Exercise often

Quit smoking and alcohol

Take balanced diet

Manage a good sleeping schedule

Try to meditate once a day

Keep your mind positive

Avoid taking more stress



 

 

migrane effects on health and life style
PREVENT MIGRANE FOR HEALTHY LIFE


 


Post a Comment

0 Comments