What is a migraine? Soton Brain Hub is going
to tell what is, what makes it different from regular headaches and how it could be treated. So a migraine is an intense, pulsing or throbbing
headache that is mainly felt on one side of the head and may involve additional symptoms
such as nausea, vomiting and increased sensitivity to light or sound. They can be really painful
lasting for usually 24 hours, but they’re almost always harmless. On the other hand
the most common type of headache is the tension-type headache which is usually a bilateral, dull,
persistent and featureless headache felt throughout the forehead and scalp, and is not associated
with other symptoms in itself. Migraines have a female predominance affecting
around one in five women, as oppose to around one in every 15 men and usually begins in
early adulthood, rarely after the age of 40. The frequency of migraines is highly variable
with some people experiencing migraines several times a week while others only occasionally. There are several types of migraine: Migraine
with aura – an aura is a warning sign before the migraine begins, for example this could
be flashing lights called photopsia or sensory changes such as numbness or paraesthesia in
the limbs or face and less commonly motor or speech changes. Migraine without aura – where
the migraine occurs without any warning signs. Silent migraine – where the warning signs
occur without the headache So what’s the cause? The underlying cause
of migraine is unknown but is believed to be related to a mix of genetic and environmental
factors. Around half of people who experience migraines also have an affected close relative
suggesting an important role for genes. Migraines may also be induced by huge range of triggers
such as alcohol, chocolate, cheese, hunger, lack of sleep, stress or a period of time
after stress such at the weekend, anxiety, depression, contraceptive pills, periods,
HRT, strong smells such as perfumes, flashing lights, physical exertion and head trauma. Next what can we do to treat migraines? Well
migraines can’t be cured, but they can be managed with medications and lifestyle changes
such as avoiding triggers and maintaining a generally healthy lifestyle such as regular
exercise and sleep, staying well hydrated and limiting intake of caffeine and alcohol. Medications for migraine fall into two broad
categories. Acute medications, which are taken during migraine attacks to stop symptoms and
preventive medications, which are taken regularly to reduce severity and frequency of migraines.
Acute medications include pain-relievers such as Paracetamol and Ibuprofen and Triptans,
which effectively treat pain and other symptoms associated with migraine. The issue with these
drugs is that frequent use can lead to medication overuse headache. In addition anti-emetics
can also be given to reduce nausea and vomiting. The main preventive medications include Topiramate,
an anticonvulsant, and Propranolol, a beta-blocker. Other treatments include acupuncture and relaxation
techniques. That’s the end of this video on migraines, thanks for watching.

2 thoughts on “Migraine rapid review”

  1. Welcome to Soton Brain Hub- the brain explained!

    In his latest video for Soton Brain Hub, Simon explains the common symptoms of migraine, how these differ to other common headache presentations, the pathophysiology and current management!

    The main preventive medications include Topiramate, an anticonvulsant, and Propranolol, a beta-blocker. Other treatments include acupuncture and relaxation techniques.

    Subscribe to the Soton Brain Hub YouTube channel for more videos!

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