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Saturday, 7 December 2013

Menstrual Migraines - The Types and Diagnosis

Menstrual Migraines is a hormone related headaches happened in the before, during or immediately after the period, or during ovulation as a result of the levels of estrogen and progesterone fluctuations in the menstrual cycle.
Types of menstrual migraine 
1. Pure menstrual migraine
Migraine attacks occur only around periods within the 2 days before a menstrual cycle or the first 3 days of menstrual bleeding, and not at other times, effecting approximate 1 in 7 women as the result of estrogen levels drop around the time of menstruation, of which causing pain to some women.

2. Menstrual-associated migraine
Migraine attacks not only occur around periods, but also at other times too, 6 in 10 women who have migraine have this type of pattern.

V. Diagnosis
A. Menstrual migraine shares symptoms of other types of migraine, but difference only in hyper in some symptoms but lessen in others.
Diagnosis of pure MM or menstrual related migraine according to the last International Headache Society classification, depending to the headache attack for migraine occurs exclusively on day 1 ± 2 of menstruation in at least two out of three menstrual cycles and at no other times of the cycle for Menstrual Migraine. Menstrually related migraine as headache occurs on day 1 ± 2 of menstruation in at least two out of three menstrual cycles and additionally at other times of the cycle.

B. 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 bladder and the rest of your urinary tract 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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