What is Migraine? 

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Migraines

Basilar type migraine

Basilar type migraine (BTM) previously basilar artery migraine [BAM] and basilar migraine [BM]) is an uncommon, complicated migraine with symptoms caused by brainstem dysfunction.

Serious episodes of BTM can lead to stroke, coma, and death. Using triptans and other vasoconstrictors as abortive treatments for BTM is contraindicated.

Abortive treatments for BTM address vasodilation and restoration of normal blood flow to the vertebrobasilar territory to restore normal brainstem function.

Familial hemiplegic migraine

Familial hemiplegic migraine (FHM) is migraine with a possible polygenetic cause. An FHM episode might last 4–72 hours and appear caused by ion channel mutations; FHM is in three types. The patient experiences typical migraine headache either preceded or accompanied with unilateral, reversible limb weakness and sensory and speech difficulties.

There also exists the "sporadic hemiplegic migraine" (SHM) a non-familial form. Effecting a differential diagnosis, between basilar migraine and hemiplegic migraine, is difficult; often, the decisive symptom is either motor weakness or unilateral paralysis, that occurs in FHM and SHM; basilar migraine can present tingling and numbness, true motor weakness and paralysis occur only in hemiplegic migraine.

Abdominal migraine

Abdominal migraine is a recurrent disorder of unknown origin, principally affecting children; episodes feature nausea, vomiting, and moderate-to-severe central, abdominal pain (ca. 1–72 hrs); the child is well between episodes. Formal diagnosis requires at least five (5) episodes (unattributable to another cause) and fulfilment of these criteria:

1. Episodes last 4–72 hours, untreated

2. Pain must feature ALL these characteristics:

• Location in the mid-abdomen, around the umbilicus; or poorly localised
  
• Dull pain; 'just sore' quality
  
• Moderate-to-severe intensity

3. An episode must feature at least two of these symptoms:

• Loss of appetite
  
• Nausea
  
• Vomiting
  
• Pallor
  
• Moody

Most children suffering abdominal migraine will develop propensity to migraine headache in adult life; the two propensities might co-exist during the child's adolescence.

Treating an abdominal migraine can often be difficult; medications used to treat other forms of migraines are usually employed. These include Elavil (75-150 mg), Wellbutrin SR (400 mg), and Topamax (200-400 mg).

In some cases, the abdominal migraine is a symptom linked to cyclic vomiting syndrome (CVS). There may be a history of migraines in the family of the.......end of sample.

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Editor in Chief

The content on this site is provided for information purposes and is in no way intended to replace the knowledge or diagnosis of your doctor. Our intention is to focus on overall health issues or strategies. For specific guidance regarding personal health questions, we advise consultation with a qualified health care professional familiar with your particular circumstances. We advise seeing a physician whenever a health problem arises requiring an expert's care.