Within the framework of micronutrient medicine, the following vital substances (micronutrients) are used to prevent migraine. Vitamin B2 Coenzyme Q10 Magnesium Within the framework of micronutrient medicine, the following vital substances (micronutrients) are used for supportive therapy of migraine. Vitamin B2 Coenzyme Q10 Magnesium
To prevent migraine, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Fat – A low fat intake has a positive effect on the number as well as the severity of migraine attacks compared to a diet with moderate fat content. Cheese, especially its component tyramine. Chocolate, especially its component phenylethylamine … Migraine: Prevention
Migraine without aura About 85% of patients with migraine suffer from this form of the disease.The following symptoms or complaints occur: Unilateral pain in 60% of patients Pain may change sides during an attack or from one attack to the next Pain character: pulsating, throbbing, probing pain. Attack duration: headache attacks, lasting four to 72 … Migraine: Symptoms, Complaints, Signs
Pathogenesis (disease development) Exactly what causes migraine is not yet known. However, there are both established clues and assumptions as to what causes a migraine.Two main factors are thought to be responsible for migraine attacks: genetic causes and the influence of environmental factors. A special form of migraine, which runs in families, is inherited via … Migraine: Causes
General measures Regular daily routine Initial measures to alleviate: Rest Ice pack or a cold washcloth on the forehead and temples Peppermint oil (put a drop on your fingertips and use it to massage your temples) Sleep Darkness in patients who govern photosensitivity. Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 … Migraine Treatment
Therapy goals Avoidance of migraine attacks Improvement of the symptomatology in existing migraine attack. Therapy of acute migraine Therapy recommendations General points for attention: Drug therapy should be started as early as possible. In migraine with aura, analgesics (painkillers) can be taken at the onset of aura. Sufficient dosage (starting dose) must be taken from … Migraine: Drug Therapy
Migraine is diagnosed on the basis of history and physical examination. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnosis in cases of atypical headache or other accompanying symptoms. Magnetic resonance imaging of the skull (cranial MRI, cranial MRI … Migraine: Diagnostic Tests
Medical history (history of illness) represents an important component in the diagnosis of migraine. Family history Is there a history of frequent headaches in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Do … Migraine: Medical History
Eyes and ocular appendages (H00-H59). Ocular migraine (synonyms: Ophthalmic migraine; Migraine ophtalmique) – variant of migraine in which there are transient, bilateral visual disturbances (flickering, flashes of light, scotomas (restrictions of the visual field); similar to “normal” migraine with aura); often without headache, but sometimes with headache, which sometimes occurs only after the visual disturbances; … Migraine: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by migraine: Respiratory system (J00-J99) Bronchial asthma Eyes and eye appendages (H00-H59) Glaucoma – heterogeneous group of eye diseases that, if untreated, result in a characteristic optic neuropathy (optic nerve disease). Cardiovascular system (I00-I99). Angina pectoris (“chest tightness”; sudden onset of … Migraine: Complications
Definition of migraine: International Headache Society (IHS) 2018 (after). Migraine without aura A At least 5 attacks that satisfy B-D B Headache attacks last (untreated or unsuccessfully treated) 4-72 h C At least 2 of the following characteristics: Unilateral localization Pulsating character Moderate to severe intensity Reinforcement by routine physical activity D At least 1 … Migraine: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Eyes [photophobia (photophobia) Oral cavity: Assessment of the mucous membranes Dental status Jaw occlusion (occlusion or contact between the teeth of the upper and lower … Migraine: Examination
