Migren Nasıl Teşhis Edilir?

HOW SHOULD MIGRAINE BE DIAGNOSED?

Posted on 31 October 2017

Before you read the information below, you should now know that today Migraine can be recognized objectively .

With a  TRANSCRANİAL DOPPLER   device and with a series of tests, you can diagnose whether you have migraines by visual and measurable values.

“There is no actual test to diagnose migraine. Diagnosis will depend on your doctor taking your medical history and ruling out other causes for the attacks.

A detailed history of the headaches and/or other symptoms is taken. This history includes analysing:

The features of the headaches (for example, how often they happen, how severe the pain is, what symptoms go with them);

The effect of the headaches have on your everyday activities;

The family history of headaches..

You may have heard of technique such as CAT or MRI scans, where a picture of your brain is taken. Although these tests will help rule out other causes of headache, they cannot be used to diagnose migraine. Similarly, an EEG (electroencephalograph) will not help the doctor to make a correct diagnosis of migraine; nor do routine blood tests help.”

The migraine Trust.org

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“Diagnosis

If you have migraines or a family history of migraines, a doctor trained in treating headaches (neurologist) will likely diagnose migraines based on your medical history, symptoms, and a physical and neurological examination.

Your doctor may also recommend more tests to rule out other possible causes for your pain if your condition is unusual, complex or suddenly becomes severe.

  • Blood tests.Your doctor may order these to test for blood vessel problems, infections in your spinal cord or brain, and toxins in your system.
  • Magnetic resonance imaging (MRI).An MRI uses a powerful magnetic field and radio waves to produce detailed images of the brain and blood vessels.

MRI scans help doctors diagnose tumors, strokes, bleeding in the brain, infections, and other brain and nervous system (neurological) conditions.

  • Computerized tomography (CT) scan.A CT scan uses a series of X-rays to create detailed cross-sectional images of the brain. This helps doctors diagnose tumors, infections, brain damage, bleeding in the brain and other possible medical problems that may be causing headaches.
  • Spinal tap (lumbar puncture).Your doctor may recommend a spinal tap (lumbar puncture) if he or she suspects infections, bleeding in the brain or another underlying condition.

In this procedure, a thin needle is inserted between two vertebrae in the lower back to remove a sample of cerebrospinal fluid for analysis in a lab.”

Mayo Clinic

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“ Diagnosing migraine

Migraine is considered a diagnosis of exclusion. That means in order to diagnose migraine, other possible causes of the symptoms must be ruled out or excluded. Therefore many people ask, can you diagnose migraines with certainty? Doctors have a range of criteria and tests for diagnosing migraine. Migraine diagnosis typically centers around a description of the different migraine symptoms, how long they occur and how long they last. That’s why it’s key to keep a record of your symptoms—their intensity and frequency—in your migraine symptoms journal. This will help your migraine specialist determine what tests to run to rule out other reasons for your discomfort.

Some tests than can be conducted to exclude other causes of the attacks:

  • MRI, Magnetic resonance imaging
  • CT/Cat SCAN for Migraine, Computed Tomography
  • Blood Chemistry and Urinalysis
  • Sinus X-Ray
  • EEG, Electroencephalogram
  • Eye Exam
  • Spinal Tap/ lumbar puncture

Commonly used guides for determining if a migraine is the culprit come from the International Headache Society.”

Migraine.com

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“The diagnosis of a migraine is based on signs and symptoms.[5] Neuroimaging tests are not necessary to diagnose migraine, but may be used to find other causes of headaches in those whose examination and history do not confirm a migraine diagnosis.[70] It is believed that a substantial number of people with the condition remain undiagnosed.[5]”

Wikipedia

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Definitions from the most frequently followed sites in this regard are mentioned above.

All medical books, articles and expert opinions intersect at the same point.

Migraine is a non-objective diagnostic criterions.

There is no imaging method to diagnose migraine.

There is no laboratory to diagnose migraine.

Are all of these informations really correct?

 

Or is it a mistake at copying and pasting as it is seen  in many diseases?

What kind of changes do you have in your body when you have migraine attacks?

See how the world’s most effective headache research resources and communities respond to this question:

Yes, when you have  migraine attack, there are some behavioral disorders at your face and brain vessels. Especially at these vessels “expansion” is very striking.

Well, can’t we simultaneously view  this change at the face and brain vessels?

Of course we can.

There are two examinations to show whether the brain vessels are enlarged or contracted.

Digital Cerebral Angiografi

Transcranial Doppler

Both examinations can display both deep and superficial vessels of the brain and face. They can give detailed information about the contraction and expansion at the vessels.

Datas obtained  include measurable, comparable values other than images.

In summary, it is possible to measure whether  extention  of brain and face vessels occurs during pain. It can be compared with the vascular behavior of the patient during the painless period.

This can be detected if the investigations are correct and if the enlargement of the face and brain vessels is a finding of migraine.

With the Transcranial Doppler examination in our clinic you will have an objective answer to the presence of migraine.

Assoc.Prof. Bilgehan Bilge

Neuro & Spine Surgeon

Tags: headache, migraine, migraine headache, migraine relief, migraine surgery, migraine symptoms, migraine treatment