Migraine

Information

Each one of us has potential possibility to suffer from migraine attack at a certain period of his/her life. Many people have had one or two attacks and fortunately they do not repeat any more. In the others, however, these attacks become more frequent, very often arising each week and this reckons them to the not so small group of patients, suffering from “migraine”. Very little is known about the etiology of this lesion. It is accepted, however, that definite predisposition is transmitted to the suffering, which defines these patients as “susceptible” to external and internal factors, causing the arising of migraine attacks in them. Women suffer more often.  Patients in active creative age between 30 and 50 years prevail. The most frequent clinical picture covers attacks of headache with duration of 4 to 72 hours, unilateral localization, pulsation character, increasing at usual physical activity with nausea and/or vomiting, photo- and/or phonophobia. Like other neurological lesions, migraine diagnosis is placed after precise taken history and somatic and neurological exam. It is necessary to differentiate the migraine lesion from the other types of headache and to carry out some paraclinical examinations (CT of brain, Doppler’s sonography, EEG). The treatment covers the therapy of attacks themselves (interruption or reduction of headache and the co-symptoms, when the attack has started already) and prophylactics of attacks (reduction of frequency and intensity of attacks). Elimination of predisposing factors is of great importance – giving up smoking, permanent daily activity, exclusion of foods or spice from the diet for which we are convinced that provoke the attacks. Non-medication treatment is important too – including laser therapy.