Migraine is one of the more common types of primary headache, with recurrent attacks. The ratio of men to women is 1:4, and the peak incidence is between the ages of 25 and 29. There are genetic factors.
I. Clinical manifestations.
(I) Prodromal symptoms and aura
The prodromal symptoms are infrequent and may include irritability, excitement, hyperfunctionality, depression, and aura.
Aura symptoms are common with visual aura, such as flashing light, abnormal sensation, vertigo, unstable gait, etc.
(ii) Headache phase
The headache is located on one side in 60% of patients. It can also be bilateral, and the nature of the headache is mostly throbbing headache, or distending pain. Most of the headaches are moderate or severe. Increasing intracranial pressure such as coughing, sneezing, bending over, and going upstairs can aggravate the headache.
The headache is often accompanied by nausea and/or vomiting. Others include increased sensory perception, photophobia, and fear of sound. Sometimes it manifests as hypotension and dizziness. The seizure period may include irritability, difficulty in verbal expression, memory loss, and mental inattention, which may be relieved after sleep and vomiting.
(iii) Recovery period
Fatigue after the headache disappears, women may have fewer attacks after pregnancy
(iv) Triggering factors
1, hormonal effects: before menstruation, ovulation, use of birth control pills, the
2, diet: alcohol, nitrites, chocolate, cheese, the
3, psychological factors: tension, stress release, anxiety, anger, depression
4, environmental factors: bright light, fluorescence, smell, weather changes, high altitude
5, lack of sleep and too much
6, drug effects: nitroglycerin, histamine, reserpine, hydrazidiazide, estrogen
7. Other: trauma, exertion, fatigue
Second, the treatment plan and principles
1, the treatment of seizures: commonly used aspirin 300 ~ 600mg, 4 times a day; acetaminophen maximum 1000mg, 4 times a day; if the effect is not good, the application of specific drugs ergotamine caffeine and dihydroergotamine can also be used to inject traprotan
2.Recommended stellate ganglion block
3.Preventive treatment: Metoprolol Flunarizine Valproic acid