Thursday, July 22, 2010

Migraine need to do inspections

  Migraine is the most important and common as vascular headache, showing the same pulse with the pulse of pain, or pain. Bow, heat, force, increased cough, headache can Dengjun. Examination showed elevated temporal artery, pulse increase, reduce headache after compression. Onset usually in adolescence, some patients have family history, and more because of fatigue, emotional factors, such as induce menstruation, migraine headaches, including a general inspection of the following:
  1. EEG:
  Is generally believed that migraine patients both in exacerbation or intermittent period, the incidence of EEG abnormalities were higher than the normal control group, but the EEG changes in migraine patients do not have specific, because it can have normal waveform . General of slow wave, spike wave discharges, focal spikes, class waves and the hyperventilation, abnormal response to flash stimulation and other waveforms. EEG abnormalities in children with migraine higher rate of 9% to 70%, and there may be spikes, paroxysmal slow wave, fast wave activity and diffuse slow waves.
  2. MRI of cerebral blood flow:
  Patients and intermittent episodes of cerebral blood flow map of the major changes on both sides of asymmetric volatility, high side or low side.
  3. Cerebral angiography:
  In principle, patients with migraine cerebral angiography was not necessary, only in severe headache, a high degree of suspicion for subarachnoid hemorrhage patients who were cerebral angiography with a view to excluding intracranial aneurysms, arteriovenous malformations and other diseases. No doubt, cerebral angiography in patients with migraine mostly normal.
  4. Cerebrospinal fluid:
  Migraine patients in a routine examination of cerebrospinal fluid is usually normal, and generally can be increased in cerebrospinal fluid lymphocytes.
  5. Platelet function tests:
  Migraine patients may increase platelet aggregation.
  6. Immunology:
  Generally believed that migraine patients immunoglobulin IgG, IgA, C3 and E rosette formation may be higher than normal.

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