What are the treatments for migraine

  Migraine is a common disease with an incidence of 10%, and most medications are ineffective and painful for patients. There is no special treatment in the medical field, and symptomatic treatment is the main treatment. Happily, in recent years, neurosurgery has not only discovered the cause of migraine through clinical research, but also achieved encouraging results through surgery.  Most patients with typical migraine have periodic attacks, and they are more common in women. Most patients have blurred vision, flashes of light, hallucinations, blind spots, eye swelling, emotional instability, and almost all patients are photophobic. The headache may be confined to a certain area or may extend to the whole half of the side. When the headache is severe, there may be a feeling of pulsating blood vessels or a feeling of jumping out of the eyes. The pain usually peaks in 1~2 hours and lasts for 4~6 hours or more than 10 hours, and in severe cases, it can last for several days.  The common type of migraine accounts for 80% of the cases and is more common. There may be no obvious aura symptoms before the onset of migraine, but some patients have mental disorder, fatigue, yawning, loss of appetite and general discomfort before the onset of migraine, and pain can be triggered by menstrual flow, alcohol consumption and hunger on an empty stomach. The headache is slowly aggravated, and the pain can be on one or both sides, or the whole head, and the pain is less severe than typical migraine.  Cluster migraine is characterized by the absence of aura symptoms and the timing of each attack is approximately the same. The headache often starts suddenly, lasts 30-120 minutes, and can occur several times in a day. Clinical manifestations may include swelling of the eyes, tearing, conjunctival congestion, nasal congestion, sweating, burning sensation on the painful side of the face, etc. In typical cases, thickening and bending of blood vessels in the scalp are seen.  Migraine also includes: 1. familial hemiplegic migraine; 2. abdominal pain migraine; 3. neuropsychiatric migraine; 4. basilar artery migraine; 5. retinal migraine; 6. menstrual migraine.  Treatment of migraine For a long time, the most commonly used drugs for the treatment of migraine are: aspirin, anti-inflammatory pain, matrasug, nimodipine, cipro, and in severe cases, ergotamine or closed therapy. The above treatments are often ineffective, and even for patients with severe and intense migraine it is difficult to even relieve the symptoms.  Experts have found that the distribution of scalp, fascia, nerves and blood vessels in the pain area of patients with intractable migraine is disturbed, resulting in the increase and expansion of local blood vessels, so that the nerve distribution of the head is compressed by the reticular blood vessels, especially the nerve endings are especially sensitive to the compression, and this kind of pain-causing source with reticular distribution is called “pain network”. This kind of reticulated source of pain is called “pain network”. Based on the above causes, the neurosurgery department adopts the surgical microscope to loosen or remove the dilated and proliferated scalp vascular network and some nerves, thus fundamentally removing the causes of migraine. After more than 60 cases of surgery, we found that 72%~80% of migraine patients were cured or significantly improved. Although microsurgery has achieved good results in the treatment of migraine, not all migraine patients are suitable for surgery.  The specific indications for surgery are: 1. Migraine headache with fixed location, severe pain, frequent attacks, long-term drug treatment is ineffective and lasts for more than 3 years; 2. General type or cluster migraine with fixed pain location lasts for more than 3 years.  3.The pain site is fixed in frontal, temporal or occipital area or fixed in double frontal, double temporal or double occipital area; 4.The pain is relieved or disappeared by applying local closure of nufcaine around the headache attack or blood vessels. All migraine patients who meet one of the above conditions can be considered for surgical treatment.