migraine is a neurological disease, with certain trigger and runs in families
Triggor like work stress, exams, underlying pain , hunger, bringht lights
poor quality of light, neck and shoulder pain, irregular sleep pattern, certain foods and smell
Headache can be onsided and spread to another side and can alternate
Headache is severe, increase on looking at light or hearing sounds
Nausea and vomiting can be associated
can see black spots or flashes
can be associated with other neurological findings
Treatment is bases on the number of episodes per month
If less than 2 take medicines at time of migraine
if more than 2 per months take medicines to prevent episode
If despite medicines more than 15 episodes per month Botox injection
behvioral modification to prevent trigger