What is Migraine?

Migraine is the second most common type of headache for which patients seek medical advice, affecting 20 to 30% of females between the ages of 20 and 50 years. This disabling condition is characterized by pulsating pain on one side of the head. Migraine episodes can last anywhere from 4 to 72 hours and often interfere with routine activities. Symptoms tend to worsen with exposure to light, sound, and strong smells, further complicating daily functioning.

Symptoms of migraine

Some individuals may experience aura symptoms before the migraine, such as flashes of light or tinnitus (ringing in the ears) around 1 hour before a migraine attack. These symptoms can serve as a warning sign for the upcoming episode.

The migraine attack itself can last anywhere from a few hours to up to three days and is commonly characterized by:

  • Unilateral or bilateral throbbing or pulsating disabling headache
  • Nausea and/or vomiting
  • Sensitivity to light (photophobia) and sound (phonophobia)

Common causes of migraine

The exact cause of migraines remains not fully understood, but they are believed to be linked to chemical imbalances in the brain. Several factors can trigger migraine attacks, including:

  • Stress
  • Alcohol consumption
  • Smoking
  • Food additives
  • Hormonal disturbances
  • Irregular eating patterns
  • Inadequate sleep
  • Intense physical exertion
  • Certain medications
  • Changes in weather or atmospheric pressure

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Stages of migraine

Migraines typically progress through four stages:

1. Prodrome: These warning signs appear a day or two before the headache:

  • Craving specific foods
  • Constipation
  • Neck stiffness
  • Mood changes

2. Aura : Some people experience visual disturbances or an aura before a migraine episode. These symptoms develop gradually and may last about an hour. Common instances of aura include:

  • Dark vision
  • Weakness or numbness in the face or on one side of the body
  • Pricking sensation in the extremities
  • Difficulty speaking
  • Visual disturbances such as flashes of light, bright spots, or seeing various shapes

3. Attack: A migraine attack can last from a few hours to up to three days. The intervals between episodes vary from person to person. Associated symptoms include:

  • Unilateral or bilateral headache
  • Throbbing or pulsating pain
  • High sensitivity to light, sound (and sometimes smell or touch)
  • Nausea and/or vomiting

4. Post-drome: After the migraine attack resolves, the person may feel confused or mentally foggy, with a lingering feeling of exhaustion or fatigue.

Migraine treatment options

Migraine is not curable, but significant relief can be achieved through lifestyle management, avoiding triggers, and proper treatment.

Medical Treatment:

It aims to relieve symptoms during an attack and may include:

    • NSAIDs (non-steroidal anti-inflammatory drugs)
    • Ergotamine
    • Triptans
    • Monoclonal antibodies

Non-Medical Treatment:

  • Neurostimulation and remote neural stimulation can help manage acute migraine attacks.
  • Nerve blocks may provide relief for 3 to 6 months.

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How to prevent migraine?

Lifestyle modifications, including diet control, can be effective in managing migraines. Avoiding known triggers such as caffeine, chocolate, cheese, or any other items that have previously precipitated an attack is crucial for prevention.

Both medical and non-medical treatments are used to prevent migraine attacks. For individuals with frequent and disabling migraines, preventive therapy is prescribed to:

  • Reduce the frequency of migraines.
  • Minimize the severity of headaches.

When to See a Specialist for Migraine Treatment?

If you experience a pulsatile headache on one side of the head, accompanied by high sensitivity to light and sound, it’s important to consult our neurologist for proper diagnosis and treatment.

If you have migraines that last for an extended period, recur frequently, and significantly impact your daily life and routine, it’s essential to consult our neurologist. This will allow for closer monitoring of your condition and help rule out any potential complications.

Why Choose Reem Hospital for Migraine Headache Treatment?

Our expert neurologists provide personalized care, using state-of-the-art technologies for the diagnosis and management of migraines. They stay up-to-date with the latest advancements and best practices to ensure optimal care and deliver the best results for our patients. Additionally, our neurologists are renowned for their compassionate support, offering a caring and supportive environment throughout the treatment process.

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Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

Medically Reviewed By
Dr. Amir Abdelghaffar

Consultant Neurology - Head of Department

Dr. Amir Abdelghaffar is a Consultant Neurology at Reem Hospital and has more than 20 years of experience in neurology in some of the most prominent healthcare institutions in the UAE, Egypt, and KSA. He holds a Bachelor’s degree in...

Meet Our Migraine Specialist in Abu Dhabi

Dr. Amir Abdelghaffar

Neurology
Consultant Neurology - Head of Department
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FREQUENTLY ASKED QUESTIONS

  • How long does a migraine last?

  • How is a migraine diagnosed?

  • Can migraines be cured?

  • Are migraines hereditary?

  • Can migraines cause long-term damage?

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