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- Migraine is a primary type of headache
- It is an inherited CNS disorder
- It is the 2nd most common cause of headache
- It is being and recurring syndrome of headache associated with other symptoms of neurological dysfunction in varying admixtures
- Migraine can often be recognized by its activators, referred to as triggers
- The brain of the migraineur is particularly sensitive to environmental and sensory stimuli
- This sensitivity is amplified in females during mes menstrual cycle
- Triggers include; glare, bright lights, sound, or other afferent
- Stimulation like hunger, excess stress,physical exertion like stormy weather or barometric pressure changes,hormonal fluctuations during menses, lack of or excess sl and alcohol or chemical stimulation
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Sign and Symptoms:
- Nausea Alteration of Consciousness
- Photophobia Photopsia
- Scalp tenderness Fortification Spectra
- Vomiting Diarrhoea
- Visual disturbances Syncope (temporary loss of Consciousness)
- Paresthesia Seizure
- At least 2 of the following features
- Plus at least 1 of the following features
- Unilateral Pain Nausea / Vomiting
- Throbbing Pain Photophobia and Phonophobia
- Aggravated by Movement
- Moderate or Severe Intersity
- Grade 1 Minimal or Infrequent
- Disability :0-5
- Grade 2 Mild or Inferquent Disiability:6-10
- Grade 3 Moderate Disability: 11-12
- Grade 4 Severe Disability >20
- On how many days in 3 months did you miss work or school because your headaches?
- How many days in last 3 months was your days productivity at work or school reduced by half or more because of your headaches? ( Do not include days you counted in question 1 where you missed work or school.)
- On how many days in last 3 months you did not do household work because of your headaches?
- How many days in the last three months, your productivity in household work reduced by half of more because of your headaches? ( Do not include days you counted in question 3 where you did not do household work.)
- On how many days in last 3 months did you miss family , social or leisure activities because of you headaches?
- On how many days in the last 3 months did you have a headache? (If a headache lasted more than 1day ,count day.)
- On scale 0—10,on average how painful were these headaches ? ( Where 0 =no pain at all and 10= pain as bad as it can be.)