Fast Five Quiz: Overview of Chronic Migraine

Jasvinder Chawla, MD, MBA

Disclosures

February 22, 2022

Associated symptoms of nausea, vomiting, photophobia, and phonophobia may be less frequent in patients with chronic migraine than in patients with episodic migraine.

Patients with migraine with brainstem aura can present without headaches but with basilar-type symptoms, such as vertigo, dizziness, confusion, dysarthria, tingling of the extremities, and incoordination.

Hemiplegic migraine is a very rare episodic migraine variant in which headaches are associated with temporary, unilateral hemiparesis or hemiplegia, at times accompanied by ipsilateral numbness or tingling, with or without a speech disturbance. The focal neurologic deficit may precede or accompany the headache, which is usually less dramatic than the motor deficit. Other migraine symptoms may variably be present. Patients may also experience disturbance of consciousness, and (rarely) coma.

Status migrainosus occurs when the migraine attack persists for more than 72 hours. It may result in complications such as dehydration.

Learn more about the clinical presentation of chronic migraine.

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