Medicus, Vol. 30 No. 1 Migrena, 2021.
Review article
Clinical Features of Migraine
Maristela Stojić
Abstract
Migraine is defined as a primary, functional, recurrent, medium or high-intensity, pulsating headache, lasting 4 to 72 hours. Mainly localized unilaterally with coexisting nausea, vomiting and sensory symptoms like light and sound sensitivity with worsening of the symptoms during physical activity. Epidemiological data suggest high prevalence of migraine in the general population (up to 15%), being the third most common neurological disorder and sixth specific cause of disability. Despite that, migraine is underdiagnosed and undertreated in the general population because of which patients with migraine suffer significant pain, lowering their quality of life. Migraine diagnosis is based on detailed patient history, clinical data and headache diary which follows headache frequency and helps to plan and adjust acute and prophylactic therapy. Two types of migraine can be differentiated by clinical picture: migraine with an aura or migraine without an aura, and by frequency of the attacks we can differentiate between episodic or chronic migraine. Apart from the phase of a typical headache, there are clinical manifestations which precede a headache in the premonitory phase and those following a headache in the postdrome phase. Migraine represents a significant problem for individuals and society, lowering quality of life and productivity in the workplace, thus making it a global health interest.
Keywords
migraine; aura; premonitory phase; chronic migraine; postdrome symptoms
Hrčak ID:
257522
URI
Publication date:
17.5.2021.
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