The Neurologist will ask you details about your headaches - frequency, site, precipitating and relieving factors, associated symptoms and previous treatment. He will also ask about your past medical history and your family history and will also need to know your social situation. He will then examine you thoroughly and finally discuss his diagnosis and plan of management with you. This could take about 3/4 hour.
I am going to be having a neurological assessment for migraine, what should I expect?
I suffer from regular migraine headaches. Is there a migraine specific medication available? To date I have been prescribed Voltaren and Vioxx which have limited effect.
The migraine-specific medications are the triptans: sumatriptan (Imigran) is available on prescription. It comes in 50 and 100mgm tablets and in self-injected syringes of 6mgm. Other preparations are available, but are reasonably expensive, which dissolve in the mouth e.g. rizatriptan (Maxalt).
Can stress cause migraine?
Attacks of migraine can be precipitated by stress. Sometimes this is in the category of anxiety/worry, but it can also result from feelings of frustration/anger/resentment.
What is the aura of migraine?
The aura refers to symptoms which precede the headache in an attack of migraine. They occur in around 30% of people who have migraine. The commonest is an impairment of vision - often a flickering shimmering distortion that spreads from the centre of vision outwards over a matter of minutes. Other symptoms can be a tingling creeping from one hand to the face, and less commonly there may be impairment of speech. These symptoms are due to alteration of function of parts of the brain.