Migraine
If you are experiencing migraines, please Schedule an appointment with one of our specialists as soon as possible.
What Is a Migraine?
A migraine is a recurring headache characterized by moderate-to-severe throbbing or pulsing pain, often localized to one side of the head. They are typically accompanied by symptoms such as nausea, vomiting, and sensitivity to light, sound, or smell. Some individuals also experience visual or sensory disturbances known as an aura.
Migraines can present in distinct phases:
Prodrome: Subtle symptoms such as fatigue, mood changes, or food cravings that occur up to 24 hours before an attack.
Aura: Temporary neurological symptoms, including visual flashes or tingling sensations.
Attack: The main phase of headache pain and associated symptoms.
Postdrome: The recovery period, often marked by exhaustion or mental fog.
Understanding the progression and pattern of migraines is essential in determining the most effective treatment options.
When to Consider Neurosurgical Evaluation
Most migraines can be managed by primary care providers or neurologists. However, neurosurgical consultation may be appropriate in certain cases, especially when:
Headaches are chronic and occur 15 or more days per month
Migraine symptoms are resistant to medication or escalate in frequency or intensity
Neurological symptoms such as vision loss, speech difficulty, or weakness are present
There is concern about underlying structural or vascular abnormalities in the brain
Sudden and severe headaches or changes in typical migraine patterns emerge
Advanced imaging and neurological assessment can help rule out more serious causes of head pain and determine if surgical intervention may be beneficial.
Diagnosis and Treatment
A thorough diagnostic process includes a review of medical history, neurological examination, and, when needed, imaging studies like MRI or CT scans. The goal is to identify possible anatomical or neurological factors contributing to migraine activity.
Treatment plans are tailored to each patient and may include:
Pharmacologic therapy, both acute (to stop attacks) and preventive (to reduce frequency)
Neuromodulation techniques, such as occipital nerve stimulation for drug-resistant migraines
Botulinum toxin injections, commonly used for chronic migraine management
Surgical interventions: in select cases, decompression of peripheral nerves implicated in triggering migraines
Each of these options is considered carefully based on the individual’s symptoms, migraine history, and overall health.
A Multidisciplinary Approach to Migraine Relief
Effective migraine care often requires collaboration between multiple specialties. Neurosurgeons work closely with neurologists, pain specialists, and rehabilitation experts to deliver comprehensive and patient-centered care. This integrated approach helps identify the most appropriate and effective path forward for each individual.
If you would like to speak to a Neurosurgeon, give us a call at 817-697-4038 or contact us online. Telemedicine appointments are also available.
