Migraine neuralgia - paroxysms of severe pain in the temporal-orbital region, repeated several times during the day.

In 80% of patients, headache attacks occur within 1-2 months, followed by remission, equal to 5-10 months.

Causes of migraine neuralgia Causes of the disease of modern medicine is unknown.

Symptoms of migraine neuralgia Prodromal symptoms are absent. Attack of unilateral pain with possible irradiation in the jaw, ear and neck occurs and ends suddenly. Pain is accompanied by intense lacrimation, rhinorrhea, hypersalivation, vascular injection, conjunctiva. The face pales or becomes hyperemic; patients experience a feeling of a rush of blood in the upper part of the trunk. Headache reaches extreme degrees - patients rush, scream. The duration of the attack from 5-10 minutes to 1-2 hours, they occur several times a day; duration of the series ("bundle") of pain - a few days or months. Such series of pains alternate with long periods of complete well-being. Men are sick more often than women. Unlike migraine headache occurs and ends suddenly and is repeated several times a day. With neuralgia of the trigeminal nerve, the duration of the pain crisis usually does not exceed 1-2 minutes, the attack provokes food intake, conversation, cooling.

Diagnosis of migraine neuralgia Differential diagnosis of migraine neuralgia should be conducted with migraine, trigeminal neuralgia, temporal arteritis, Raeder's syndrome.

Treatment of migraine neuralgia Attacks of severe migraine neuralgia are eliminated with the help of preparations of glucocorticoids (prednisolone 20-30 mg / day), lithium carbonate (600-700 mg / day). The most effective combination of a-adrenoblockers (anaprilin) ??with antidepressants (amitriptyline coaxil). Self-training and hypnotherapy courses are practiced. The most favorable effect is given by combined treatment courses.

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