Menopause & Migraine

About thirty percent of women experience an upsurge in their migraines with the arrival and first few years of menopause, but ultimately the post-menopausal woman is likely to have fewer and less serious migraines than in her earlier life. With respect to headaches, the menopausal period is of course complicated by the possible use of […]

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Period Headaches & Treatment

Treatment options for menstrual migraines begin with over-the counter (OTC) medications, and in particular non-steroidal anti-inflammatory drugs (NSAIDs). These will bring relief to some percentage of women, especially for associated non-headache symptoms. As with migraines not associated with the menstrual cycle, including those in men, OTC medications do not always bring relief for the migraine […]

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Headaches in Women

On an overall life-time basis, women are more apt than men to suffer from headaches. However this varies with type of headache as well as with age. More women than men suffer from migraine and tension-type headaches (TTH), while men predominate in cluster headache pain, the least common type. It is not clear why more […]

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Medication Overuse Headaches (MOH)

A large percentage, perhaps a majority, of daily headaches may be due to medication overuse – so-called “rebound headaches.” This phenomenon was first described in 1982 by Dr. Lee Kudrow, father of popular actress Lisa Kudrow, who has suffered from cluster headaches herself. We note that medication overuse headaches and chronic headaches often have a […]

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Migraine Prophylaxis

This begins with the identification and avoidance of triggers, as discussed above, but by no means ends there. Growing clinical evidence and experience suggests that migraine headaches can often be prevented by prophylactic medications. These are sometimes in the anti-convulsant class of medications, such as channel-blockers often used for epilepsy treatments. They can also be […]

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Diagnosis and Treatment of Chronic Headaches

In evaluating patients with chronic headache, the first consideration is distinguishing between tension and migraine types. The following three symptoms, all with the letter S, distinguish the typical tension-type and migraine headaches from each other. Sidedness: on either but just one side in migraine, global in tension type. Steadiness: not steady but throbbing in migraine, […]

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Migrain Associated Vertigo

For migraine associated vertigo, identification and elimination of triggers combined with prophylactic medicines is the most common approach.  Patients must be instructed to abstain from common trigger foods, such as chocolate, cheese, smoked meats or fish, alcohol, and foods containing high levels of monosodium glutamate (MSG). If such abstinence leads to a drop in the […]

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Migraine & Vestibular Syndromes

In addition to causing balance problems in some individuals, migraines can co-occur with many inner-ear problems associated with vertigo. For example, about half of all people with Menieres disease, found in 0.2% or less of the population, also have migraine headaches. Similarly, about half of people with BPPV also have frequent migraines. It is also […]

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Diagnosis of Migraine Associated Vertigo

What is a Vestibular Migraine? Various forms of dizziness may or may not be accompanied by syncope, which is fainting and actual loss of consciousness. Syncope can also be brought on by other conditions, such as epilepsy. To determine if epilepsy is present, electroencephalography (EEG) should be performed. EEG involves the attachment of a couple […]

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