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What is Migraine ?

Migraine is a form of vascular headache.Migraine headache is caused by vasodilatation (enlargement of blood vessels) that causes the release of chemicals from nerve fibers that coil around the large arteries of the brain. Enlargement of these blood vessels stretches the nerves that coil around them and causes the nerves to release chemicals. The chemicals cause inflammation, pain, and further enlargement of the artery. The increasing enlargement of the arteries magnifies the pain.Migraine attacks commonly activate the sympathetic nervous system in the body. The sympathetic nervous system is often thought of as the part of the nervous system that controls primitive responses to stress and pain, the so-called "fight or flight" response, and this activation causes many of the symptoms associated with migraine attacks; for example, the increased sympathetic nervous activity in the intestine causes nausea, vomiting, and diarrhea. The best neurologists in India for the treatment of migraine or headache are Dr Reena Thukral and Dr. Vikas Sharma at GNH Hospital Gurgaon

 

Symptoms of Migraine Headache

Migraine is a chronic condition with recurrent attacks. Most (but not all) migraine attacks are associated withheadaches.

- Migraine headaches usually are described as an intense, throbbing or pounding pain that involves one temple. (Sometimes the pain is located in the forehead, around the eye, or at the back of the head). 

- The pain usually is unilateral (on one side of the head), although about a third of the time the pain is bilateral (on both sides of the head). 

- The unilateral headaches typically change sides from one attack to the next. (In fact, unilateral headaches that always occur on the same side should alert the doctor to consider a secondary headache, for example, one caused by a brain tumor). 

 

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Diagnosis of Migraine Headache

Migraine headaches are usually diagnosed when the symptoms described previously are present. Migraine generally begins in childhood to early adulthood. While migraines can first occur in an individual beyond the age of fifty, advancing age makes other types of headaches more likely. A family history usually is present, suggesting a genetic predisposition in migraine sufferers. The examination of individuals with migraine attacks usually is normal.

Patients with the first headache ever, worst headache ever, a significant change in the characteristics of headache or an association of the headache with nervous system symptoms, like visual or hearing or sensory loss, may require additional tests to exclude diseases other than migraine. The tests may include blood testing, brain scanning (either CT or MRI), and a spinal tap.

 

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Treatments for Migraine Headache

Therapy that does not involve medications can provide symptomatic and preventative therapy.

- Using ice, biofeedback, and relaxation techniques may be helpful in stopping an attack once it has started. 

- Sleep may be the best medicine if it is possible.

Preventing migraine takes motivation for the patient to make some life changes. Patients are educated as to triggering factors that can be avoided. These triggers include:

-smoking

- avoiding certain foods especially those high in tyramine such as sharp cheeses or those containing sulphites (wines) or nitrates (nuts, pressed meats).

Generally, leading a healthy life-style with good nutrition, an adequate intake of fluids, sufficient sleep and exercise may be useful. Acupuncture has been suggested to be a useful therapy.

Stroke

The blood vessels in the brain sometimes get blocked due to blood clot or haemorrhage and the patient gets sudden paralysis   read more

Epilepsy

Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally. Neurons normally generate electrochemical impulses that act on other neurons, glands, and muscles to produce human thoughts, feelings, and actions...   read more

Migraine

Migraine is a form of vascular headache.Migraine headache is caused by vasodilatation (enlargement of blood vessels) that causes the release of chemicals from nerve fibers that coil around the large arteries of the brain.   read more

Dr Reena Thukral

Dr Reena Thukral is one of the most experienced Neurologist in India with experience in the management of Stroke, Dementia, Parkinson, Epilepsy, Headache, Migraine, Cervical Pain, Nerve Weakness, Multiple Sclerosis.   read more

Dr Sumit Singh

Dr. Sumit Singh is a very experienced neurologist specializing the treatment of headache, migraine and parkinson. He was Associate Professor of Neurology at AIIMS before joining Medanta Medicity in Gurgaon...  read more

Dr Namit Gupta

Dr Namit Gupta is one of the best neurologist in gurgaon for treatment of epilepsy, migraine and headache...  read more

GNH Hospital

GNH Hospital at Gurgaon is one of the best hospital for the treatment of neurological disorders such as stroke, migraine, epilepsy and neuro rehabilitation   read more

Artemis Hospital

Artemis Hospital at Gurgaon has a good team of neurologists led by Dr Sumit Singh...  read more

Paras Hospital

Paras Hospital at Gurgaon is a good facility under the leadership of Dr V.S.Mehta... read more

 

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