People frequently ask what “complex Migraines” or “complicated Migraines are.” That’s a tough concern to address due to the fact that it differs depending upon who’s making use of those terms.
What is a complicated migraine?
In a lot of areas of medication, terminology and diagnostic classifications are standardized so that medical diagnoses are consistent when one is mentioned, logical discussion or search for details can follow. That applies in the field of what’s typically called “headache medicine,” the medical diagnosis and treatment of Migraine and other headache conditions, also. The International Headache Society’s International Classification of Headache Disorders, 2nd Edition, (ICHD-II) is the gold standard for identifying and categorizing headache conditions.
Under ICHD-II, there is no category of “intricate” on “complicated” Migraine. In some cases, “complex” or “complicated” are utilized as detailed terms, as opposed to medical diagnoses, to describe a Migraine attack that is more complex or complicated than they consider to be “normal” or “typical.” If you hear or see someone making use of those terms implying them to be medical diagnoses of a particular type of Migraine, it’s quite difficult to understand what they really imply. Given that there’s no defined requirements or recommendation for either of them as kinds of Migraine, what a single person suggests might be very various from what another you suggests.
It’s useful to know the kinds of Migraine that are recognized in the ICHD-II. They are:
1.1 Migraine without aura
1.2 Migraine with aura
1.2.1 Typical aura with migraine headache
1.2.2 Typical aura with non-migraine headache
1.2.3 Typical aura without headache
1.2.4 Familial hemiplegic migraine (FHM).
1.2.5 Sporadic hemiplegic migraine headache.
1.2.6 Basilar-type migraine.
1.3 Childhood routine syndromes that are commonly precursors of migraine.
1.3.1 Cyclical vomiting.
1.3.2 Abdominal migraine.
1.3.3 Benign paroxysmal vertigo of childhood.
1.4 Retinal migraine.
1.5 Complications of migraine.
1.5.1 Chronic migraine headache.
1.5.2 Status migrainosus.
1.5.3 Persistent aura without infarction.
1.5.4 Migrainous infarction.
1.5.5 Migraine-triggered seizures.
1.6 Probable migraine headache.
1.6.1 Probable migraine headache without aura.
1.6.2 Probable migraine headache with aura.
1.6.5 Probable chronic migraine headache.
If you’ve been detected with “intricate Migraine, “complicated Migraine,” or any kind of Migraine not listed above, please ask your doctor for an accurate and complete medical diagnosis. It may not appear that it needs to matter, but it does. Here’s just one reason why: Triptans (Imitrex, Maxalt, Zomig, and the others) and ergotamines (D.H.E. 45, Cafergot, and Migranal Nasal Spray) are generally not recommended for people with basilar-type or hemiplegic Migraines since there’s concern about their vasoconstrictive (constricting capillary) buildings.
If your doctor cannot or will not offer you a precise and full diagnosis or give you an excellent reason why not, you have to find a new doctor.
Last modified: August 28, 2016