CAN RECURRENT SEVERE HEADACHES BE MIGRAINE??

Answer is yes.
Migraine is one of the most common recurrent headaches that people suffer in the society.

Pathophysiologically, migraine is caused by abnormal neuronal discharge of the brain.This neuronal discharge activates the noradrenargic and 5HT neurons.

Activation of 5HT neurons lead to peri-vascular inflammation which causes vasodilation and release of prostaglandin and Kinins.These three activate the norciceptors(pain receptors) in the wall of blood vessels. It leads to the migraine headache.

Activation of Noradrenargic neurons constrict the cerebral blood vessels because of that we get aura(patient felt he is going to have a migraine attack) prior to the migraine headache.

Usually young females more tend to get migraine. As early symptoms Yawning,Hunger,Craving for food, Lethargy and Euphoria can be described.

Aura can be felt 30 minute before the attack. Patient can get visually zig zag lines,blurring of vision and flashing lights as aura. Sometimes patient get tingling or numbness on the body and/or weakness in part of the body as an aura.

Headache persists usually 24-48 hours. Headache can be very severe. It can be unilateral or bilateral, throbbing or pulsatile. It also associates with nausea,vomiting,diarrhoea, faintishness and dizziness. Sometimes photophobia and phonobhobia can occur.

Usually after resolving the headache, Patient is going to a deep sleep.

Hunger,Fatigue,Stress,Alcohol, Menstruation, noise, food(Chocolate, Cheese,Ice cream etc) and OCP (Oral Contraceptive Pills) are the main precipitating factors of migraine. If you can avoid those precipitating factors you can prevent migraine in most of the time.

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