Its Migraine Awareness Month in the USA and www.FightingHeadacheDisorders.com. have set a challenge for all bloggers – one post each day on a given topic – and for today it is:
“Myths and misconceptions about Migraine”
And top of my list is, is the myth: “Migraine is just a headache!” grrrrrrr
If only it was – we could pop that pill and it would all go away – right!
Migraine is NOT just a headache – in fact you can have a migraine with no headache
****Migraine is debilitating neurological disease****
Everyone is different, and symptoms vary from person to person and even one attack to the next. These attacks statistically last between 4 and 72 hours – but in some they can last days, weeks and even years…… The common one sided head pain is often accompanied by one or more of the following: visual disturbances, nausea, vomiting, dizziness, extreme sensitivity to sound and/or light, touch and smell. Loss of words, depersonalisation, Alice In Wonderland Syndrome, giddiness, confusion, lack of balance, double vision, unsteadiness, fainting, tingling on both sides of the body and even loss of consciousness. It can include tingling or numbness…. even total paralysis…
There is more than one type of Migraine and the type is classified according to the grouping of its symptoms:
Abdominal migraine – also known as “periodic syndrome”. Occurring in around 4% of children, the predominant symptom of the attack is abdominal pain rather than a headache. Sometimes it can be misdiagnosed in an A&E as appendicitis. They usually have a family history of migraine and go on to develop typical migraine later in their life.
The attacks are characterised by periodic bouts of moderate to severe midline abdominal pain lasting for 1 to 72 hours. Along with the abdominal pain they may have other symptoms such as nausea and vomiting, flushing or pallor.
Acephalgic migraine – Also called silent migraine, migraine aura without headache, amigrainous migraine, isolated visual migraine and optical migraine. It is a rare variant of migraine in which the patient may experience aura, nausea, photophobia, hemiparesis and other migraine symptoms but does not experience headache.
Basilar artery migraine – Also known as Bickerstaff’s Migraine. This is a rare form of migraine with aura, it is where the basilar artery (a blood vessel at the base of the brain) goes into spasm causing a reduced blood supply to parts of the brain.
This type of migraine affects 1 in every 400 migraineurs. It comes on suddenly and can result in fleeting visual disturbances, giddiness, confusion, lack of balance, double vision, unsteadiness, fainting, tingling on both sides of the body and even loss of consciousness. The aura typically lasts less than one hour.
Often these patients are mistakenly thought to be intoxicated, under the influence of drugs, or suffering from other conditions. There is usually no weakness associated with these attacks. The headache that follows is typical of migraine headache.
The basilar artery migraine is strongly related to hormonal influences and primarily strikes young adult women and adolescent girls; as sufferers age, the migraine with aura may replace the basilar artery type.
Classical migraine – This is migraine with aura. This is when you get neurological disturbances lasting between 15 minutes and an hour, before you get an actual headache – A third of people have aura with their migraine.
Common aura symptoms include:
- visual disturbances – such as flashing or flickering lights, zigzag lines, blurred vision, temporary blindness
- numbness or a tingling sensation – common in the hands, arm or face, similar to ‘pins and needles’
- slurred speech
- poor concentration
- problems with your co-ordination
Common migraine – This is a migraine with no aura. It is typical a headache affecting one half of the head and pulsating in nature and lasting from 4 to 72 hours; symptoms include:
- Nausea and/or vomiting
- Increased sensitivity to light
- Increased sensitivity to sound
- Increased sensitivity to smell
Chronic Migraine – Migraine can evolve from episodic to a chronic syndrome. Chronic migraine is defined as a migraine headache occurring on 15 or more days per month for more than three months of which 8 are migrainous and in the absence of medication
Hemiplegic Migraine – This is a very rare form of migraine that is considered to be one of the more severe types of migraine. It has been linked to a genetic abnormality and it is being more readily diagnosed by the medical profession in the UK. Symptoms include temporary paralysis down one side of the body, which can last for several days.
It can be accompanied by other symptoms, such as ataxia, coma, epileptic seizures, vertigo or difficulty walking, double vision or blindness, hearing impairment, numbness around the mouth leading to trouble speaking or swallowing. These symptoms are often associated with a severe one-sided headache.
This form of migraine may be confused with a stroke, but the effects are usually fully reversible.
Hormonal migraine – Female migraineurs tend to be more susceptible to an attack around the time of their period and menstrual migraine is defined as occurring within two days either side of the first day of a period and at no other time.
Ice Pick Migraine – These migraines are characterised by quick stabs of piercing head pain. The pain occurs intermittently in several locations in the head area. They usually occur between one of the more common migraine attacks. They can last for seconds or a few minutes
Nocturnal Migraine – Many patients who have migraine will experience their attacks during the middle of the night or early morning hours. This headache often awakens the patient from sleep. Recent evidence suggests that these attacks are related to changes in neurotransmitters in the brain during sleep.
Ocular / opthalmoplegic migraine – This is another rare form of migraine with pain often experienced around the eye, causing droopiness, redness of the eye and excessive watering. It can last from a few days to a few months. It can be accompanied by nausea, vomiting and double vision.
There may be paralysis in the muscles surrounding the eye. If these symptoms occur, you should seek immediate medical attention because the symptoms can be caused by pressure on the nerves behind the eye.
Retinal Migraine – Another rare migraine, the retinal type starts with a temporary, partial, or complete loss of vision in one eye. It is followed by a dull ache behind that eye that may spread to the rest of the head.
During some episodes, the visual loss may occur with no headache and at other times throbbing headache on the same side of the head as the visual loss may occur, accompanied by severe light sensitivity and/or nausea. After each episode, normal vision returns.
Retinal migraine is a different disease than scintillating scotoma, which is a visual anomaly caused by spreading depression in the occipital cortex, at the back of the brain, not in the eyes nor any component thereof, such as the retinas. Such a scintillating aura affects both eyes, and sufferers may see flashes of light; zigzagging patterns; blind spots; and shimmering spots or stars. In contrast, retinal migraine involves repeated bouts of temporary diminished vision or blindness in one eye.
A ‘real migraine’ is NOT that headache you get after a night of partying………. it is REAL pulsating pain, its REAL sickness, its REAL vertigo, its REAL numbness, its REAL eye sight problems, its REAL loss of words – and when you go chronic its the loss of the REAL you……… so next time you have one drink to many be REAL and say your hungover NOT that you have a migraine……….. the stigma has to stop………….
#NMAM and #NMAMBC