Migraine headache is a periodic, often unilateral headache that may begin in childhood but usually develops before the age of 30. Attacks occur with varying frequency. The frequency of attacks is an important issue that we consider in the treatment planning. Between 60% and 70% of patients suffering from migraine are women, and many report a family history of migraine headaches. Psychiatric comorbidities such as anxiety have been described in migraine patients. Migraine headaches can be triggered by changes in hunger, sleep patterns or diet, or by foods such as monosodium glutamate, nitrates, chocolate or citrus fruits cheese. In some female patients, headaches become more frequent, especially during the menstrual period.
prof. Dr. Serbulent Gökhan Beyaz continues his words as follows;
What are the symptoms?
Migraine headache is usually a unilateral headache. Migraine headaches are usually located around the eyes, but may spread to the nape or to the other half of the head. It is a throbbing and very severe pain. Migraine attacks can last for a minimum of 4 hours and a maximum of 72 hours without the use of painkillers. It may be accompanied by nausea and vomiting, being disturbed by light and sound. There may be pre-attack symptoms such as changes in appetite, mood, and libido.
How is it diagnosed?
The diagnosis of migraine headache is usually made on a clinical basis by obtaining a detailed headache history. Tension headaches are often confused with migraine headaches, and this misdiagnosis can lead to inappropriate treatment plans. Eye, ear, nose and sinus diseases can also mimic migraine headaches. In fact, many headaches attributed to sinusitis can be migraines. Glaucoma in the differential diagnosis; Conditions such as temporal arteritis, other types of primary headache, intracranial masses, benign intracranial hypertension should be excluded.
What is the treatment?
When deciding how best to treat a patient suffering from migraine, the specialist should consider the frequency and severity of headaches, their impact on the patient’s lifestyle, the presence of focal or long-term neurological disorders, the results of previous testing and treatment, any background. If the patient’s migraine headaches occur infrequently, attack treatment should be performed. However, if headaches occur more frequently or if the patient has severe and long-lasting attacks that will affect his work and social life, prophylactic treatment planning should also be done.
Are there any new treatments?
In the treatment of migraine, radiofrequency therapy can be applied to dull the nerves that carry the pain. It is an effective treatment method in controlling headaches. In recent years, pain pacing applications have started to take place abroad for the treatment of chronic migraine. In addition to these, it is beneficial to block the recurrent sphenopalatine ganglion (nerve bundle) in the treatment of migraine.