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Migraine Headache Migraine, the second most common cause of headache, afflicts approximately 15% of women and 6% of men. It is usually an episodic headache that is associated with certain features such as sensitivity to light, sound, or movement; nausea and vomiting often accompany the headache. A useful description of migraine is a benign and recurring syndrome of headache associated with other symptoms of neurologic dysfunction in varying admixtures (Table 15-3). Migraine can often be recognized by its activators, referred to as triggers. Table 15-3 Symptoms Accompanying Severe Migraine Attacks in 500 Patients Symptom Patients Affected, % Nausea 87 Photophobia 82 Lightheadedness 72 Scalp tenderness 65 Vomiting 56 Visual disturbances 36 Photopsia 26 Fortification spectra 10 Paresthesias 33 Vertigo 33 Alteration of consciousness 18 Syncope 10 Seizure 4 Confusional state 4 Diarrhea . | Chapter 015. Headache Part 4 Migraine Headache Migraine the second most common cause of headache afflicts approximately 15 of women and 6 of men. It is usually an episodic headache that is associated with certain features such as sensitivity to light sound or movement nausea and vomiting often accompany the headache. A useful description of migraine is a benign and recurring syndrome of headache associated with other symptoms of neurologic dysfunction in varying admixtures Table 15-3 . Migraine can often be recognized by its activators referred to as triggers. Table 15-3 Symptoms Accompanying Severe Migraine Attacks in 500 Patients Symptom Patients Affected Nausea 87 Photophobia 82 Lightheadedness 72 Scalp tenderness 65 Vomiting 56 Visual disturbances 36 Photopsia 26 Fortification spectra 10 Paresthesias 33 Vertigo 33 Alteration of consciousness 18 Syncope 10 Seizure 4 Confusional state 4 Diarrhea 16 Source From NH Raskin Headache 2d ed. New York Churchill Livingston 1988 with permission. The brain of the migraineur is particularly sensitive to environmental and sensory stimuli migraine-prone patients do not habituate easily to sensory stimuli. This sensitivity is amplified in females during the menstrual cycle. Headache .
