This throbbing type of headache is distinguished by the fact that
symptoms other than pain occur with the headache. Nausea and vomiting,
lightheadedness, sensitivity to light (photophobia), and other visual
disturbances are common migraine symptoms.
Migraines are also unique in that they have distinct phases. Not
all individuals experience each phase, however. The phases of a migraine
headache may include:
Premonition phase. A change in mood or behavior that may occur hours or days before the headache.
Aura phase. A group of visual, sensory, or motor
symptoms that immediately precede the headache. Examples include
hallucinations, numbness, changes in speech, and muscle weakness.
Headache phase. Period during the actual headache.
Throbbing pain occurs on one or both sides of the head. Sensitivity to
light and motion is common, as are depression, fatigue, and anxiety.
Headache resolution phase. Pain lessens during this
phase, but may be replaced with fatigue, irritability, and difficulty
concentrating. Some individuals feel refreshed after an attack, while
others do not.
What are the most common types of migranes?
Migraine classification helps to guide treatment. The categories below help to narrow down the classification process.
Migraine without aura. This more common type of migraine does not include an aura phase (symptoms that come just before the headache).
Migraine with aura. Fewer migraine sufferers have this
type of migraine, which is preceded by aura symptoms, such as a flashing
light or zigzag lines. These symptoms usually appear within 30 minutes
before an attack.
How are migranes diagnosed?
Migraine headaches are diagnosed primarily based on reported
symptoms, but a thorough medical exam, which may include other tests or
procedures, may be used to rule out underlying diseases or conditions.
Tracking and sharing information about your headache with
your doctor helps with the process of making an accurate diagnosis.
Consider writing down the following information to take to your medical
Time of day when your headaches occur
Specific location of your headaches
How your headaches feel
How long your headaches last
Any changes in behavior or personality
Effect of changes in position or activities on the headache
Effect of headaches on sleep patterns
Information about stress in your life
Information about any head trauma
Diagnostic tests that may be used to confirm a migraine diagnosis
include computerized tomography (CT) scans, magnetic resonance imagining
(MRI), and spinal tap (lumbar puncture). These tests help to rule out
other problems, such as tumors, infection, or blood vessel
irregularities that may cause migraine-like symptoms.
What is the treatment for migranes?
Specific treatment for headaches will be determined by your doctor based on:
Your age, overall health, and medical history
Type of migraine
Severity and frequency of the migraine
Your tolerance for specific medications, procedures, or therapies
Your opinion or preference
The ultimate goal of treatment is to stop migraines from occurring.
Adequate management depends on the accurate identification of the type
of headache and may include:
Avoiding known triggers, such as certain foods and beverages, lack of sleep, and fasting
Changing eating habits
Resting in a quiet, dark environment
Medications, as recommended by your doctor
Some headaches may require immediate medical attention, including
hospitalization for observation, diagnostic testing, or even surgery.
Treatment is individualized, depending on the underlying condition
causing the headache. Full recovery depends on the type of headache and
other medical problems that may be present.