What are Complex Migraines?
Complex migraines are a type of headache disorder characterized by severe headache pain and associated symptoms such as temporary paralysis or weakness, visual disturbances, and sensory changes. They are often referred to as "complicated migraines" or "vestibular migraines."
Types of Complex Migraines
There are several different types of complex migraines, including:
Vestibular Migraines
Vestibular migraines are characterized by symptoms such as dizziness, vertigo, and unsteadiness. These symptoms are caused by disturbances in the inner ear and can be accompanied by headache pain.
Chronic Migraines
Chronic migraines are defined as headaches that occur on 15 or more days per month, with at least 8 of those headaches being migraines. Chronic migraines can also be accompanied by symptoms such as aura, sensitivity to light, and nausea.
Hemiplegic Migraines
Hemiplegic migraines are a rare type of complex migraine that causes temporary paralysis or weakness on one side of the body. These migraines can also be accompanied by aura and confusion.
Migrainous Infarction
Migrainous infarction is a type of complex migraine that is characterized by a headache that is accompanied by a stroke-like syndrome. This can include symptoms such as weakness or numbness on one side of the body, difficulty speaking, and vision changes.
Basilar-Type Migraines
Basilar-type migraines are a type of complex migraine that affects the brainstem. They are characterized by symptoms such as double vision, difficulty speaking, and ringing in the ears.
Diagnosing Complex Migraines
Diagnosing complex migraines can be challenging, as many of the symptoms are similar to other conditions, such as stroke or transient ischemic attack (TIA). A thorough medical history, physical examination, and diagnostic tests such as imaging or electroencephalogram (EEG) may be used to help diagnose complex migraines.
Treating Complex Migraines
The treatment of complex migraines will depend on the type of migraine and the severity of the symptoms. Common treatments include medications such as triptans or anti-inflammatory drugs, lifestyle changes such as stress management or regular exercise, and alternative therapies such as acupuncture or chiropractic. In some cases, surgery or botulinum toxin injections may also be recommended.
It is important to work with a headache specialist to develop an individualized treatment plan that takes into account the specific type of complex migraine and the severity of symptoms.
In conclusion,
Complex migraines are a type of headache disorder characterized by severe headache pain and associated symptoms. There are several different types of complex migraines, including vestibular migraines, chronic migraines, hemiplegic migraines, migrainous infarctions, and basilar-type migraines. The diagnosis and treatment of complex migraines will depend on the specific type of migraine and the severity of the symptoms.
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