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The Various Kinds of Migraines
Contrary to popular belief, there is so such thing as a migraine headache. There are, in fact, several kinds of
headaches that are symptoms of the disease known as migraine. What follows is the list of the various types of
migraines that have been diagnosed. Your choice of treatment will depend in great deal upon which kind of migraine
you suffer from.
Abdominal Migraine Occurs most typically in children with a family history of migraine. Usually these children grow
up to become typical migraine sufferers in adulthood. The attacks are characterized by periodic bouts of abdominal
pain lasting for about two hours. Along with the abdominal pain they may have other symptoms such as nausea and
vomiting, flushing or pallor.
Nocturnal Migraine Attacks usually occur during the early morning hours, most commonly around 4:00 A.M., often the
cause of the patient waking up. Studies indicate a possible link to changes in adrenaline levels. An alteration in
the sleeping pattern can also provoke an attacks.
Cyclic Migraine Syndrome Patients with cyclic migraine usually experience ten or more attacks per month. They
differ from the similar cluster headache because they last longer aren’t associated with the typical cluster
symptoms. Patients do have typical migraine symptoms during these headaches. Lithium carbonate has proven helpful
in some cases. Thyroid function and the level of medication should be closely monitored with this type of
headache.
Complicated Migraine
A migraine aura normally lasts from 20 minutes to an hour, however some sufferers have been known to experience
aura symptoms lasting for two days. The aura also typically ends before the headache itself begins. When migraine
aura symptoms are prolonged it is referred to as a complicated migraines. There are several forms of these
complicated migraine attacks. There is ophthalmoplegic migraine where patients develop a partial or complete
paralysis of the nerves that are needed for eye movement. There is retinal migraine where the patient's visual
symptoms occur from the retina itself versus the portion of the brain involved in vision, as is the case for the
typical migraine aura.
There is hemiplegic migraine, which can be inherited and has been linked to one of several chromosomes. Patients
develop stroke-like symptoms with sensory and/or loss of strength of muscles. There is basilar migraine. Here
patients start with a typical migraine aura then progress to developing neurological symptoms related to the bases
of the brain called the brainstem. Unlike typical migraine attacks where numbness can occur on one side of the body
in this form both sides are affected. The headaches in basilar migraine are often at the back of the head and may
result in very severe vomiting.
Basilar Migraine When migraine affects the circulation in back of the brain or neck, it can cause basilar migraine.
Occurs most frequently in young women. Symptoms include dizziness, double vision, vertigo, slurred speech,
fainting. Some patient have been known to lose consciousness. Status MigraineA migraine that last longer than 72
hours. Repeated doses of dihydroergotamine mesylate (DHE) administered intravenously is one of several medicines
that may help to resolve prolonged migraine attacks
Hemiplegic Migraine Very rare and very severe. The sufferer may experience temporary motor paralysis and sensory
disturbances on one side of the body preceding the actual headache, often accompanied by numbness or a
pins-and-needles sensation. The neurological symptoms subside along with the head pain. There is typically a family
history associated with this particular type of headache.
Ocular Migraine Also referred to as migraine aura without headache or retinal migraine. Symptoms include repeated
attacks of one-sided blind spots or blindness lasting less than an hour and associated with a headache. It is
important to rule out eye disease or a disorder of the blood vessels leading to the eye as possible causes.
Ophthalmoplegic Migraine Very rare and unusual. The pain usually surrounds the eyeball and lasts from a few days to
a few months, caused by weakness of the muscles surrounding the eye. It is important to confirm the diagnosis of
ophthalmoplegic migraine as similar symptoms can be caused by pressure on the nerves behind the eye.
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