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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Medication Overuse as a Trigger

A large percentage, perhaps a majority, of daily headaches may be due to medication overuse – so-called “rebound headaches.” This common phenomenon is treated more extensively in a separate report, Pain Medication Overuse Headaches.It must be noted here that medication overuse headaches and chronic headaches often have a complex and uncertain cause-and-effect relationship with each […]

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Causes and Triggers

Both migraine and tension headaches are known to be more likely to occur to people who are not well rested are under a great deal of stress. Thus one major preventative behavior is to get sufficient amounts of sleep, with most people needing at least seven hours per night to healthy. Many aspects of our […]

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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, migraine 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

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 dozen electrodes to the scalp, […]

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