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Migraine Headaches
Published in Alexander R. Toftness, Incredible Consequences of Brain Injury, 2023
Finally is the recovery phase—which is also sometimes called the postdrome. This phase occurs when the pain finally ends, but don't get too excited, because the brain is still in recovery and therefore still has symptoms. In the postdrome, the person is likely to experience changes in mood, tiredness, difficulties in concentrating, and neck stiffness, similar to the premonitory phase. Think of it like a migraine hangover in which your brain is just trying to pull itself back together. Complete resolution of the postdrome symptoms takes about a day (Bahra, 2011). At least the pain is over.
Headache
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
A typical presentation for a migraine headache is a progression that begins with a prodrome (symptoms of euphoria, depression, irritability, food craving, or constipation most commonly reported), then an aura (visual, auditory, somatosensory, or motor symptoms including photophobia, phonophobia, tinnitus, paresthesias, or jerking movements), then the headache that tends to be throbbing or pulsatile in nature and may be associated with nausea and vomiting, and last the postdrome once the headache resolves and symptoms of exhaustion can occur (Cutrer et al., 2014).
Migraine
Published in Gary W. Jay, Clinician’s Guide to Chronic Headache and Facial Pain, 2016
Roger K. Cady, Kathleen Farmer
After the headache pain has resolved, many patients experience a postdrome. Although headache free, patients may experience hangover-type symptoms, such as cognitive difficulty, dizziness, fatigue, and a concern that the headache may recur. Patients feel that they must be very careful not to aggravate their system and bring back the attack. Postdrome may last 24 to 48 hours (32).
Lasmiditan: an additional therapeutic option for the acute treatment of migraine
Published in Expert Review of Neurotherapeutics, 2021
Daniele Martinelli, Vito Bitetto, Cristina Tassorelli
Migraine attacks last from several hours to days and progress through subsequent phases – the premonitory phase, the possible aura experience, the full-blown headache phase and the postdrome condition – before receding and allowing the patient to resume in full the activities of a normal life [3]. However, in-between the painful attacks the ‘normal life’ often eludes the patients, because of a vast set of symptoms that can be experienced in the postdromal phase and of those that herald the prodromal phase of the next attack. Neuroimaging studies have unveiled altered brain network intricately, to suggest that migraine is a continuum in which the intermittence and difference of clinical manifestation is probably more apparent than real, also given its well-known tendency to progress into a chronic (and even daily) form [4,5].
Shedding light on migraine with aura: the clarifying role of advanced neuroimaging investigations
Published in Expert Review of Neurotherapeutics, 2019
Antonio Russo, Marcello Silvestro, Alessandro Tessitore, Gioacchino Tedeschi
Migraine is a complex clinical syndrome subtended by dysfunction of the brain excitability consisting of recurrent ictal episodes featuring attacks of throbbing or pulsating headaches, most often with a moderate or severe intensity and unilateral location [1,2]. Migraine manifests itself not only with pain occurrence but also with a plethora of associated non-pain symptoms encompassing sensory hypersensitivity (e.g. photophobia, phonophobia, osmophobia, cutaneous allodynia) and neurovegetative symptoms (e.g. nausea, vomiting) as well as a temporary but significant disability. Sometimes, a cortege of symptoms related to homeostatic alterations such as excessive yawning, frequent micturition, change in bowel habit, thirst and cravings as well as mood changes, fatigue, and sore neck may precede or follow the migraine attacks (in the well-known prodromal and postdromal phases) shaping the so-called migraine cycle [3].
Effect of an Online Hypnosis Intervention in Reducing Migraine Symptoms: A Randomized Controlled Trial
Published in International Journal of Clinical and Experimental Hypnosis, 2019
Four stages of a migraine episode have been identified by the IHS including the prodrome stage, which has been defined as “symptoms with insidious onset, which last several hours and affect mood, behaviour, wakefulness, gut motility or fluid balance” (Blau, 1980, p. 659). Prodromes can cause changes in mood, and the patient may experience very high or very low energy levels. Food cravings can be quite intense. Aura, which is stage two, can take the form of auditory, sensory, tactile, or visual phenomena. It is common to see flashing lights or zigzag lines if visual hallucinations are present. In migraine stage three, there is a throbbing pain and most people will seek a quiet and darkroom away from sunlight while experiencing the migraine. Stage four is the postdrome stage that occurs when the migraine has gone. Fatigue, difficulty concentrating, and gastrointestinal symptoms are typical of this stage.