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Migraine

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A migraine is a neurological disorder that causes moderate to severe headaches.

Pain distribution primary headache types
Pain distribution primary headache types

These attacks are often felt as a throbbing or pulsating pain on one side of the head. Many people also feel sick to their stomach or experience vomiting. Light and sound can become very bothersome during an attack. Some people even feel dizzy or have a hard time thinking clearly. It is a very common condition that affects many people's daily lives.

Cruikshank - The Head Ache
Cruikshank - The Head Ache

A migraine attack can happen in several different stages. The first stage is called the prodrome phase. This can start up to 48 hours before the actual headache begins. During this time, a person might feel tired or have mood changes. Some people also experience cravings for certain foods or neck stiffness. Next, some people experience an aura, which is a sensory disturbance.

Fortifikation (Migräne)
Fortifikation (Migräne)

An aura can involve seeing zigzag lines or losing part of their vision.

Negatives Skotom (Brandenburger Tor Blaue Stunde) 1
Negatives Skotom (Brandenburger Tor Blaue Stunde) 1

After the pain ends, the postdrome phase begins. This stage can last for two days and often feels like a "migraine hangover."

Gesichtsfeldausfall (Brandenburger Tor Blaue Stunde) 1
Gesichtsfeldausfall (Brandenburger Tor Blaue Stunde) 1

Scientists believe migraines happen because of how the brain works. It is thought to involve a mix of genetics and the environment. These factors affect how nerve cells and chemical signals move in the brain. An attack may happen when the brain reaches a certain sensitivity threshold. Changes in a daily routine can often act as triggers. For example, skipping meals or not getting enough sleep can start an attack.

Cortical spreading depression
Cortical spreading depression

Migraine is a huge global health issue. About 1.16 billion people, or 14% of the world, are affected. It is the third most disabling condition for the nervous system. Women are more likely to have migraines than men. In fact, between the ages of 30 and 50, women experience them four times as often.

Chalmer 2023
Chalmer 2023

Migraines often start after a girl's first period. They can peak during perimenopause and then decrease after menopause.

There are many ways to manage the pain and prevent future attacks. For mild attacks, people often use over-the-counter medicines like ibuprofen or paracetamol. For stronger attacks, doctors might recommend triptans. New medicines called gepants are also a major advance in treatment. Some people use beta blockers or antidepressants to help prevent them.

Trepanated skull of a woman-P4140363-black
Trepanated skull of a woman-P4140363-black

Lifestyle changes can also help a lot. Managing stress, exercising, and eating regular meals are good ways to cope. Staying consistent with sleep can also help reduce how often attacks happen.

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🖼️ Images & Media (9)
File:Fortifikation (Migräne).jpg
Fortifikation (Migräne).jpg
File:Negatives Skotom (Brandenburger Tor Blaue Stunde) 1.jpg
Negatives Skotom (Brandenburger Tor Blaue...
File:Positives Skotom (Brandenburger Tor Blaue Stunde) 1.jpg
Positives Skotom (Brandenburger Tor Blaue...
File:Gesichtsfeldausfall (Brandenburger Tor Blaue Stunde) 1.jpg
Gesichtsfeldausfall (Brandenburger Tor...
File:Cortical spreading depression.gif
Cortical spreading depression.gif
File:Pain_distribution_primary_headache_types.png
Pain_distribution_primary_headache_types.png
File:Chalmer 2023.jpg
Chalmer 2023.jpg
File:Cruikshank - The Head Ache.png
Cruikshank - The Head Ache.png
File:Trepanated skull of a woman-P4140363-black.jpg
Trepanated skull of a woman-P4140363-black.jpg
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