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Migrain

Diagnostic criteria by IHS

A: At least 5 attacks fulfilling criteria B-D

B: Kopfschmerzattacken, die (unbehandelt oder erfolglos behandelt) 4-72 Stunden anhalten

C: Headache has at least two of the following characteristics:

- unilateral location
- pulsating quality
- moderate or severe pain intensity
- aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs)

D: During headache at least one of the following:
- nausea and/or vomiting
- photophobia and phonophobia8 ährend des Kopfschmerzes besteht

E: Not attributed to another disorder

Diagnostic

  • Anamnesis (duration, used drugs, social anamnesis)

  • Examination (clinical report of the cranial nerves, cervical spine, teeth- condition, blood pressure)

  • Characterization of headache (throbbing, electrical, sharp)

  • Lokalisation (occipital, halbseitig, Stirn, beidseits)

  • occurance (duration, how often )

  • Trigger (menstruation, wine, cheese, sleep, sport, sex)

  • Headache questionary by Essen

  • Calender for headache

  • Excluding of other diagnosis (blood pressure, MRT of the head, blood sample)

typical triggers:

-Changes in the daily lifes rhythm
-Stress
-No coffee (eg. on weekends)
-Weather change
-Sex
-Red wine (drinks)
-Cheese (food)

The Headache is the icepeak of Migraine, nowadays it is considered as a more general state of hypersensibility against stimuli.