Migraine Attack : Types and Symptoms

There are several different patterns of migraine :

• Migraine with aura (also known as classic migraine). Before the illness began a few people will get a sign that a migraine is coming (aura). They suddenly can not see clearly or see flashing dots, sometimes in a semicircle that is slowly growing. Aura also can present as weakness or numbness on one side of the body, or difficulty speaking. Aura usually lasts less than 40 minutes, then disappear when the headache begins. Pain and other effects such as nausea and vomiting, together with another migraine, but may last much shorter (usually less than 24 hours). 
• Migraine without aura. This is the most common type (about 80% of cases). In this type preceded the attack without aura.
• Menstrual migraines. About 60% of female migraine sufferers have this type, which occurred between 2 days before menstruation until the end of menstruation. Studies show estrogen withdrawal as a trigger factor. After a brief peak at the time of ovulation, estrogen levels decline rapidly. Pregnancy is generally a positive impact on migraine attacks.
• Migraine in children. Children until the beginning of many teenagers who have symptoms of migraine (such as nausea and vomiting) without headaches. 'Abdominal pain' They just complain. Therefore, often called 'stomach migraine'. migraine attacks lasted shorter than in adults, between 30 minutes and 48 hours (without medication). 

The Symptom

1. Phase One: prodromal. This phase is the early warning phase, in which some people may have a feeling it is not clear, but hinted that they would get a migraine attack. Not all people get this feeling or being aware of its meaning. Sometimes other people are more aware of the signs compared with those who will experience it. These feelings may include mood changes such as irritability, depression, or loss of appetite increased, fatigue, hypersensitivity to light, touch the sound, and smell. 
2. The second stage: the aura. Disturbance due to changes in blood flow in the brain's vision. Aura usually lasts for about 20-40 minutes. Aura also can affect all the senses, not just the eyes, like a sense of touch (numbness, often in the face), smell (odor or sting is not real), taste (appetite changes), auditory (sound ringing in the ears). Another form of aura include lack of concentration, vague and slurred speech, mental confusion, forgetting, drowsiness, impaired coordination and balance, dizziness, hallucinations (seeing or hearing things that do not exist), sweating, muscle spasms. 
3. The third stage: headache. Headaches often begin on one side (unilateral), and feel inside or behind the eyes which can then be spread so that involves the entire head. Head throbbing, worsening with movement. Many people also nausea and vomiting. A small number of people suffer from diarrhea or frequent urination. During this phase the patients become hypersensitive to light or sound and want to lie down in a quiet dark room. Headaches can last an hour or two, but also to all day or up to 3 days (or sometimes longer). Frequent headaches stopped after sleep. 
4. Fourth phase: drunk. This phase may last several hours, one day or more and can be regarded as the recovery phase. Patients often feel weak, tired, unhealthy and may experience a mild headache.