What are the symptoms of migraine? Four major symptoms of migraine

Migraine is a relatively common disease, which is mainly manifested by obvious pain on one side of the patient's head. Migraine has a great impact on people's physical health, and may even affect the patient's work, life and study. Therefore, migraine patients need to take active treatment measures to treat this disease. Migraine symptoms vary depending on the specific situation. Here are four major symptoms of migraine.

1. Migraine with aura (generalized migraine)

It is a moderate to severe throbbing headache accompanied by nausea, vomiting, or photophobia. Physical activity makes headaches worse. The attack begins with only mild to moderate dull pain or discomfort, which develops into severe throbbing or throbbing pain after a few minutes to hours. About 2/3 of the headaches are unilateral, but they can also be bilateral, and the pain sometimes radiates to the upper neck and shoulders. The headache lasts 4 to 72 hours and is often relieved by sleep. There are clear, normal intervals between attacks. If 90% of the attacks are closely related to the menstrual cycle, it is called menstrual migraine. The diagnosis can only be made after at least five of the above-mentioned attacks have occurred and various organic diseases inside and outside the brain have been excluded.

2. Migraine with aura (typical migraine) can be divided into two phases: aura and headache

The most common visual symptoms during the aura phase are photophobia, flashes of light, sparks, or complex visual hallucinations, followed by visual field defects, scotomas, hemianopsia, or temporary blindness. A small number of patients may experience hemiplegia, mild hemiplegia or speech disorders. The precursor usually lasts 5 to 20 minutes.

The headache phase often occurs when the aura begins to subside. The pain usually starts on one side of the supraorbital, postorbital or frontotemporal area, gradually worsens and extends to half of the head, or even the entire head and neck. The headache is throbbing, throbbing or drilling-like, and gradually worsens into persistent severe pain. It is often accompanied by nausea, vomiting, photophobia and phonophobia. Some patients have facial flushing, excessive sweating, and conjunctival congestion, while some patients are pale, listless, and have anorexia and other symptoms of migraine. An attack can last 1 to 3 days. The headache is usually relieved significantly after sleeping, but fatigue and weakness may occur for several days after the attack. Everything is normal during the intervals between attacks.

3. Ophthalmoplegia-type migraine is extremely rare

The onset age of ophthalmoplegic migraine is mostly under 30 years old. There is a history of headache attacks fixed on one side. After a more severe headache attack, paralysis of the eye muscles on the same side occurs, and drooping of the upper face is the most common. The paralysis lasts for days or weeks before recovery. The paralysis recovers completely after the first few attacks, but after multiple attacks, partial eye muscle paralysis may remain and not recover. Neurological imaging failed to rule out organic intracranial lesions.

4. Persistent migraine

A migraine attack that lasts for more than 72 hours is called status migraineus. Benign paroxysmal vertigo in childhood (migraine-like attacks) has a family history of migraine but the child himself has no headaches: the symptoms of migraine are multiple, short-term attacks of vertigo, and paroxysmal imbalance and anxiety may also occur, accompanied by migraine symptoms such as nystagmus or vomiting. Neurological and electroencephalographic examinations were normal. Everything is normal during the interval. Some children may develop migraines as they grow up.