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Saturday, 23 November 2013

Migraine Headaches - The Diagnosis

Migraine headache is one most common headaches defined as condition of chronic neurological disorder of moderate to severe headaches, and nausea that usually develop gradually over 5–20 minutes and last for less than 60 minutes and affected over 15% of the population in US alone, as a result of the change in the brain and its surrounding blood vessels.
D. Diagnosis
Depending to the differentiate of symptoms of which are similar but difference than others with a complete medical history and physical exam.
1. Attacks last from 4 to 72 hours
2. Patients are usually symptom-free between attacks
3. Headache is at least two of the following
a. Unilateral (on one side)
b. Pulsating
c. Moderate to severe
d. Aggravated by routine activities
4. Accompanying symptoms may include
a. Photophobia (more sensitive to light)
b. Phonophobia (more sensitive to noise)
c. Nausea and Vomiting
5. Etc.

Types of diagnosis
The aim of the diagnosis is to rule other causes of the diseases
1. CT scan
CT scan can dive your doctor a three-dimensional view of your blood vessels of the brain to look for masses and other abnormalities  that cause migraine headache

2. Magnetic resonance imaging (MRI)
By using radio waves and magnetic fields to take pictures, MRI scan provides very high quality of a cross-sectional slice and lengthwise slices of the brain and thus providing the better and detail image of location of tumor and the surrounding structures. It is one of most likely early test ordered by a doctor to diagnose tumors, strokes, aneurysms, neurological diseases and other brain abnormalities and the blood vessels around the brain.

3. Spinal tap (lumbar puncture)
A spinal tap is a procedure performed when a doctor needs to look at the cerebrospinal fluid (also known as spinal fluid), by inserting a thin needle between two vertebrae in your lower back to extract a sample. If your doctor suspects the onset of migraine headache is caused by inflammation of the membranes and cerebrospinal fluid surrounding your brain and spinal cord

4. Etc.

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Sources
(E.A.1) http://www.ncbi.nlm.nih.gov/pubmed/21835022
(E.A.2) http://www.ncbi.nlm.nih.gov/pubmed/20647174
(E.A.3) http://www.ncbi.nlm.nih.gov/pubmed/8681169
(E.A.4) http://www.ncbi.nlm.nih.gov/pubmed/21336550
(E.A.5) http://www.ncbi.nlm.nih.gov/pubmed/21390550
(E.A.6) http://www.ncbi.nlm.nih.gov/pubmed/20847084
(E.A.7) http://www.ncbi.nlm.nih.gov/pubmed/12971707
(E.A.8) http://www.ncbi.nlm.nih.gov/pubmed/20464586
(E.A.9) http://www.ncbi.nlm.nih.gov/pubmed/20464586