What are the symptoms of the headache
phase?
Symptoms of migraine...
The
typical migraine headache is
unilateral, throbbing, moderate to
severe and can be aggravated by
physical activity . Not all of these
features are necessary. The pain may be
bilateral at the onset or start on one
side and become generalized, usually
alternates sides from one attack to the
next. The onset is usually gradual. The
pain peaks and then subsides, and
usually lasts between 4 and 72 hours in
adults and 1 to 48 hours in
children.
The frequency of attacks is extremely
variable, from a few in a lifetime to
several times a week, and the average
migraineur experiences from one to
three headaches a month. The head pain
varies greatly in intensity. The pain
of migraine is invariably accompanied
by other features. Anorexia is common,
and nausea occurs in almost 90 percent
of patients, while vomiting occurs in
about one third of patients.
Many patients experience sensory
hyperexcitability manifested by
photophobia, phonophobia, osmophobia
and seek a dark and quiet room. Blurred
vision, nasal stuffiness, diarrhea,
polyuria, pallor or sweating may be
noted during the headache phase. There
may be localized edema of the scalp or
face, scalp tenderness, prominence of a
vein or artery in the temple, or
stiffness and tenderness of the neck.
Impairment of concentration and mood
are common. Lightheadedness, rather
than true vertigo and a feeling of
faintness may occur. The extremities
tend to be cold and moist.