Migraine is a disease that is frequently seen between the ages of 20-50 when productivity is high and therefore causes significant loss of workforce and deterioration in the quality of life and recurrent headache attacks … However, the number of patients who have been diagnosed correctly and given appropriate treatment in recent years Despite the increase, a significant proportion of migraine sufferers still cannot be diagnosed by a doctor and stay away from effective drug therapy. For this reason, it is of great importance to increase social awareness about headaches and to consult a specialist.
Pain can last 72 hours
Migraine attacks are generally divided into four periods; prodrome, aura, headache, and postdrome. The headache usually lasts between 4 and 72 hours and is usually unilateral, severe, throbbing. Nausea, vomiting, feeling uncomfortable with sound and/or light may accompany the headache. The stages that are confused with other pathologies in the diagnosis of migraine are aura, prodrome, and postdrome periods.
The aura seen in 20-30 percent of all migraine cases occurs before the headache and can last from five to 60 minutes. In addition to visual symptoms such as simple flashes of light, zigzag lines, less often there may be symptoms such as unilateral numbness or loss of strength, difficulty speaking. If a good history cannot be taken due to this troublesome situation of the patient; Unnecessary brain imaging tests can be performed by mixing with serious diseases such as stroke and brain tumor.
Medicine-first, then rest
Migraine is a disease that must be diagnosed and treated correctly. Because migraine causes a significant loss of workforce and a decrease in the quality of daily life. The aim of treatment should be to rapidly eliminate acute attacks and to prevent the recurrence of these attacks (prophylactic).
Treatment for attacks
When migraine headaches begin, appropriate painkillers should be taken immediately as an attack treatment and then rest in a quiet, darkroom. Simple analgesics are tried first as medication and if these are useless, triptan group drugs are switched to in the following attacks. In a migraine attack, if the headache persists after 72 hours despite treatment, a diagnosis of ‘status mirenosus’ is made and these cases may need to be hospitalized and treated with intravenous dihydroergotamine, valproate, or corticosteroids.
Prophylactic treatment is considered for those who have more than two headache attacks in a month. Here, drug selection is made taking into account factors such as the patient’s age, gender, and body weight. Regular aerobic exercises help reduce attacks. In the last three months, more than 15 days of an average month passes with headache in the migraine patient, and if at least eight days of these meet the migraine headache criteria, it is thought that a chronic migraine picture develops. In this situation, which affects two percent of the general population, antiepileptic drug use, botox application in selected cases or neurostimulation (nerve stimulation with electrical responses) method can be used in selected cases.