Migraine is the most common type of primary headache in clinical practice, and its prevalence is very high. According to relevant statistics, there are more than 30 million migraine sufferers in China, suffering from the disease. In particular, some patients with intractable migraine suffer from long-term headache, which leads to insomnia and loss of appetite and seriously affects normal work and life. As for the treatment of migraine, there is no particularly ideal treatment in most places. As a result, many patients have been suffering from migraine for many years and have to suffer from the pain. There are several misconceptions about migraine treatment: 1. Migraine is just pain Many people think that migraine is just a painful sensation, but this is actually a wrong view. Ordinary people may not understand, but those who have experienced intractable migraine know that migraine has other accompanying symptoms or aura symptoms besides pain. For example, a small percentage of migraineurs (about 10%) have a migraine with aura, and these patients may have obvious prodromal symptoms such as fatigue and tiredness, lack of concentration and sleepiness, yawning, etc. for hours or even days before the headache strikes. The most common aura is visual aura, such as blurred vision, dark spots, flashes of light, bright spots and lines, or distorted vision. Even migraine without aura, which accounts for the majority (about 80%), is often accompanied by nausea, vomiting, photophobia, vocalophobia, sweating, general discomfort, scalp tenderness and other accompanying symptoms during pain attacks. Therefore, migraine is much more than just pain, it is a complex and diverse set of symptoms that can cause great physical and psychological harm and suffering to patients. 2. Migraine attacks are irregular Many migraine patients feel as if migraine attacks can occur anytime and anywhere, without any regularity. However, this is not the case. Migraine attacks do not occur for no reason, but have their own background and reasons. First of all, there are some patients who have migraine attacks at regular times. Some patients start to have attacks every winter and get better after the winter has passed, year after year; some patients start to have pain attacks at a certain point of time every week or every few days; some patients may start to have attacks after doing a certain characteristic thing, such as after taking a long journey in a car, etc. Many women have pain attacks during their monthly menstrual periods; many patients have attacks after consuming specific foods and beverages, such as soy-based foods, pickled foods, coffee, red wine, cheese, MSG, chocolate, and other foods; some patients have attacks during mood swings, such as anger, rage, tension, fatigue, irritability, excitement, anxiety, etc.; and many patients have attacks in characteristic environments, such as loud and noisy environments. There are also many patients who are prone to attacks in characteristic environments, such as loud and noisy environment, strong light environment, hot and humid environment and so on. Therefore, migraine attacks are not irregular, but many patients may not be aware of the underlying patterns. Therefore, migraine patients should record and discover these potential patterns in their lives, and pay attention to avoiding migraine triggers to reduce attacks. 3. Migraine is not important and does not need to be treated Many migraine patients think that migraine is not a big deal and that the pain will pass after a while, so many people do not pay much attention to treatment. In fact, this view is not true. Although migraine is a common disease, there are great dangers associated with intractable migraine. First of all, it affects work and life, the pain attacks are so severe that you can’t work at all, even sleep can’t be carried out normally, and the normal rhythm of life is disrupted; secondly, it may induce cerebral infarction, migraine itself is a kind of vascular headache, which may involve some vascular lesions in the skull, such as cerebral infarction, according to the survey, the probability of cerebral infarction in migraine patients is two times higher than that of ordinary people; in addition, Migraine headache may also be combined with cerebral hemorrhage, which is very scary, once the intracranial hemorrhage consequences are very serious and may even be fatal; migraine headache may also cause depression, migraine patients due to long-term severe pain, seriously affect the mood, emotional irritability, fidgeting, over time to cause physical and mental trauma, is likely to cause depression; migraine patients suicide rate is even higher, some migraine patients, the condition is serious, severe pain, frequent onset, and some migraine patients, the patient’s suicide rate is even higher. Some migraine patients, with severe pain and frequent attacks, are so tormented physically and mentally that some of them may have the idea of light-heartedness, and according to the survey, the suicide rate of migraine patients is about 4-6 times higher than that of normal people. Therefore, migraine patients should not take the disease seriously and should seek medical treatment in time once they are sick. 4.Migraine cannot be cured, but can only be relieved by medicine Many migraine patients and even primary care workers in many local hospitals believe that migraine is incurable. Therefore, when many people go to the doctor for treatment of migraine, the doctor only prescribes some pain relief drugs to temporarily relieve the pain, but the migraine will still come again afterwards. Common pain medications may provide some temporary relief at the beginning of the migraine, but may become ineffective as the disease progresses. It may be necessary to apply higher level of specific drugs such as opioids, traptans, ergotamines, etc. These drugs are only effective for a short period of time. For many patients with intractable migraines, these specific drugs may not be effective either, and the patient is left to suffer a great deal of pain and suffering. Many doctors even directly assert that migraine is incurable. But in fact, this view is not correct. With the continuous progress of modern medical technology, there are already very good ways to treat migraine. Microvascular decompression for migraines A large proportion of migraine patients are due to vascular nerve compression, which can be treated by minimally invasive neurosurgery. In this group of patients, the headache is mostly found in the area where the supraorbital nerve, auriculotemporal nerve and greater occipital nerve are distributed. The above-mentioned nerves are mostly compressed by local blood vessels and surrounding tissues, and the blood vessels can release pain-causing substances to stimulate the nerves under certain triggers, causing headache attacks. The application of apparent microvascular decompression surgery can release the compression and treat migraine. Preoperative localization is performed by trigger point and nerve block test to clarify the surgical site. The surgery is performed on the scalp outside the skull under local anesthesia, and the incision is only about 2-5 cm and mostly inside the hairline, so there is no need to worry about the aesthetics after the surgery as there is hair to cover it. The operation usually takes about 45 minutes to 1 hour, and the patient suffers less pain during the operation and fewer postoperative complications. This microsurgery under local anesthesia is currently an effective method for the treatment of intractable migraine