Aura, migraine headache

Migraine headaches without aura in women >35 years old should discontinue CHC... 

Dihydroergotamine For the acute treatment of migraine headaches with or without aura and the acute treatment of cluster headache episodes (injection only). Dihydroergotamine nasal spray is not intended for the prophylactic therapy of migraine or for the management of hemiplegic or basilar migraine. 

We found stroke MRI (FLAIR, MRA, DWI, and PI) helpful in patients with complicated migraine that presented with an aura of aphasia and hemiparesis. A negative DWI in the presence of normal MRA and PI made stroke an unlikely diagnosis and the further course of the disorder with typical migraine headache and complete resolution of the focal neurological signs within a few hours were supportive. 

Q9 Yes. The aura, severe headache, nausea and vomiting are consistent with the classic type of migraine. 

Sometimes arterial occlusion is demonstrated by angiography in migrainous stroke and the cause is hypothesized to be in-situ thrombosis complicating vasospasm. No provoking factors are known. Other possible causes of stroke in the context of headache must be considered carotid dissection, mitochondrial cytopathy, ruptured vascular malformation, antiphospholipid antibody syndrome and CADASIL (cerebral autosomal dominant arterio-pathy with subcortical infarcts and leukoencephalopathy). Migraine auras without headache may be confused with TIA (Ch. 8). 

Dennis M, Warlow CP (1992). Migraine aura without headache transient ischaemic attack or not Journal of Neurology, Neurosurgery and Psychiatry 55 437-440 Dennis MS, Bamford JM, Sandercock PA et al. (1989). Incidence of transient ischemic... 

Migraine headache without aura in women 5 years old... 

Hirth et al. studied the clinical application of NIR in migraine patients [47]. They assessed the transient changes of brain tissue oxygenation during the aura and headache phases of a migraine attack. 

Typical aura with migraine headache (aura lasting less than 1 hour)... 

Premonitory symptoms and aura are absent with tension-type headache. The pain usually is mild to moderate in intensity and often is described as a duU, nonpulsatile tightness or pressure. Bilateral pain is most common, but the location can vary (frontal and temporal pain are most common occipital and parietal regions also may be affected). The pain is classically described as having a hatband pattern. Associated symptoms generally are absent, but mild photophobia or phonophobia may be reported. The disability associated with tension-type headache typically is minor in comparison with migraine headache, and routine physical activity does not affect headache severity. Palpation of the pericranial or cervical muscles may reveal tender spots or localized nodules in some patients. Tension-type headache is classified as either episodic (infrequent or frequent) or chronic based on the frequency and dmation of the attacks. ... 

Severe headaches that definitely start after initiation of OCs migraine headaches without focal neurologic symptoms (without aura)... 

Naratriptan is a serotonin S-HTj-receptor agonist that binds to serotonin (5-HT) Ig and Id receptors in intracranial arteries leading to vasoconstriction and subsequent relief of migraine headache. It is indicated in the treatment of acute migraine attacks with or without aura. 

The therapy of migraine headaches is complicated by the variable responses among and within individual patients and by the lack of a firm understanding of the pathophysiology of the syndrome. The efficacy of antimigraine drugs varies with the absence or presence of aura, duration of the... 

There is evidence of the usefulness of low doses of lidocaine, such as obtained by using the Lidoderm patch, in the termination and early relief of migraine headache that is preceded by an aura. This application is based on lidocaine s effectiveness in the suppression of clinical and electrographic manifestations of seizures at low blood concentrations (below 5 pg/mL). 

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