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Migraine

Introduction 

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"Identifying and avoiding the things that trigger a migraine is an important part of migraine management"

Stages of migraine

There are five distinct stages to migraine, although not everyone experiences all the stages:

1. 'Prodromal' (pre-headache) stage. Some people experience changes in mood, energy levels, behaviour and appetite, and sometimes aches and pains, several hours or even days before an attack.

2. Aura. In about one in six cases, a migraine is preceded by an aura. Symptoms include flashes of light or blind spots, difficulty focusing and seeing things as though through a broken mirror. This stage normally lasts around 15 minutes to an hour.

3. Headache stage. This is usually a pulsating or throbbing pain on one side of the head. There is often nausea or vomiting, extreme sensitivity to bright light and loud sounds, and a strong desire to lie down in a darkened room. This stage lasts for four to 72 hours.

4. Resolution stage. Most attacks gradually fade away. Some people find the headache stops suddenly after they have been sick. Sleep often relieves the symptoms.

5. 'Postdromal' or recovery phase. There may be a stage of exhaustion and weakness afterwards.

A migraine is a severe headache that often has a number of associated symptoms, such as nausea, increased sensitivity and visual problems.

Who is affected by migraines?

Migraines are common, affecting about one in four women and one in 12 men in the UK. It is thought that hormonal influences may be the reason why migraines affect more women than men. For example, some women find that migraine attacks are more frequent around the time of their period. However, this association has not been fully proven.

It is possible for migraines to begin later in life. However, it is more common for the condition to begin in childhood or as a young adult. About nine out of 10 people who experience migraines have their first one before they are 40 years old.

Types of migraine

There are two types of migraine, classical and common:

  • Classical migraine is when the headache includes symptoms of aura (see the "symptoms" section).
  • Common migraine is when a person does not experience aura symptoms.

Some people experience migraine attacks frequently, up to several times a week. Other people only experience a migraine occasionally. It is possible for years to pass between migraine attacks.

Last reviewed: 18/04/2008

Next review due: 18/04/2010

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