Migraine: a complex neurological disorder

Migraine is a disabling condition affecting millions of people. It is characterized by intense pain and results from interactions between several mechanisms:

  • Trigeminovascular system: Hyperactivity and release of neuropeptides such as CGRP, triggering pain and inflammation.
  • Brain dysfunction: neural imbalances increase sensitivity to triggers (stress, light, fatigue).
  • Genetics: A key factor, especially in migraines with aura.
  • Inflammation and oxidative stress**: promote chronicity and aggravate symptoms.

“Understanding migraine means recognizing an invisible suffering that requires real listening and a personalized approach.”
– Dr. Dominique valade, headache specialist

A seizure takes place in several phases: premonitory, aura (for some), pain, and postdrome, each associated with specific neurobiological changes.

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Advances and management

Recent advances, such as treatments targeting CGRP, offer innovative solutions for reducing the frequency and intensity of attacks. A global approach, including adapted treatments and lifestyle modifications, can significantly improve patients’ quality of life.

Patients suffering from chronic migraines may also present with tension headaches, although these two types of headache are considered distinct clinical entities.

Tension headache: What you need to know

♦ Tension headache (CT)

Tension headache is the most common type of headache, characterized by mild to moderate, bilateral pain of a pressing or clenching nature, not aggravated by physical activity.

♦ Causes

  • Muscle tension** (myofascial nociception).
  • Nervous system hypersensitivity** (especially in chronic forms).
  • Stress: a major aggravating factor.

♦ Treatments / LES Solutions

  • Seizures: Simple analgesics (paracetamol, ibuprofen).
  • Prevention: Medication (amitriptyline) or relaxation.
  • Physical therapies and Botox: Target neck and jaw muscles.

In conclusion

Appropriate treatment can significantly reduce the frequency and intensity of pain. Consult a professional if necessary

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Dr Nabila

- Médecin anesthésiste - Spécialiste de la douleur

- Médecin anesthésiste - Spécialiste de la douleur

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