Migraine

What is migraine?

The oldest disease. From the story I will say that the name was born because of a perverted translation from the Greek word hemkrania (“pain on one side of the head”) into Latin in the form of hemigranea and then into French migrane.

For people with migraine officially declare: at the moment migraine is not treated. This is a hereditary or acquired thing, which is characterized by dysfunction of the brain. No, this does not mean that there is a tumor or any other pathology. This means that, unlike other people, your brain reacts a bit to some headache-provoking factors.

From here a simple conclusion suggests itself: find provocative factors and avoid them, take control. This is one of those diseases (as in many chronic diseases) where the doctor has a very small effect. We, as doctors, give you the tools, and you have to work with the disease on your own, we will not do it for you.

What is the cause of migraine?

As with tension headache: unknown. It used to be thought that the problem is in the bloodstream and vasospasm or their expansion. Checked the blood flow in the attack – everything is fine. Now, the concept is not vascular, but neurogenic-vascular. Primarily for some unknown reason, neurogenic processes occur that lead to sterile inflammation in the brain with secondary changes in the cerebral blood flow.

I highlighted the word “change”, since it is not a violation, it is a variant of dysfunction. Everything works, but it works a little bit wrong. The light does not blink, it is on, but not as bright as before, and then it flares up again.

Genetics here works about 70%. A huge negative factor: if a person is neurotic, with excessive susceptibility and mental instability, cognitive-behavioral disorders, acute reactions to stress, panic attacks, etc., anxiously-doubtful people, so to speak.

Here is what the international community of headaches writes about the diagnosis of migraine

There should be at least 5 headaches lasting from 4 to 72 hours, and these headaches should have two of the following signs:

  • Unilateral (one-way) localization;
  • Pulsating nature of pain;
  • Pain from medium intensity to very severe (usually from 5 to 9–10 on a scale of pain).

During a headache there should also be at least one of these signs:

  • nausea or vomiting;
  • photophobia or phonophobia (hostility / fear of light or loud sounds);

And in the end, everything presented above should not interfere in any way with other diseases existing at the time of the examination of the patient.

Officially diagnosed variants of migraine:

  • migraine without aura (normal migraine);
  • possible migraine without aura;
  • migraine with aura (classical migraine);
  • possible migraine with aura;
  • chronic migraine;
  • chronic migraine associated with excessive use of painkillers;
  • children’s periodic syndromes that may be progenitors or associated with migraine;
  • migraine disorder that does not fulfill the conditions of the criteria.

A few words about migraine with aura and aura. Under the “aura” refers to sensory, motor and visual phenomena, temporary (from 20 to 60 minutes). There are separately, are in combination. The most frequent: a visual phenomenon, the type of scotoma – is the loss of a portion of vision with zigzag boundaries, which eventually shifts to the periphery.