Migraine headache is a complex, recurrent headache disorder that is one of the most common complaints in medicine. At Castleknock Cosmetic Clinic Dublin we see approximately 80% of all persons who experience migraines to be women. The term migraine is derived from the Greek word hemikrania. This term was corrupted into low Latin as hemigranea, which eventually was accepted by the French translation as migraine.
Migraine was previously considered a vascular phenomenon that resulted from intracranial vasoconstriction followed by rebound vasodilation. Currently, however, the neurovascular theory describes migraine as primarily a neurogenic process with secondary changes in cerebral perfusion.
Approximately 70% of patients have a first-degree relative with a history of migraine. In addition, a variety of environmental and behavioural factors may precipitate migraine attacks in persons with a predisposition to migraine.
The classic migraine episode is is commonly described by patients attending Castleknock Cosmetic Clinic Dublin is characterized by unilateral head pain preceded by various visual, sensory, motor symptoms, collectively known as an aura. Most commonly, the aura consists of visual manifestations such as binocular vision, photophobia, or visual scintillations (eg, bright zigzag lines).
In day to day occurrence, migraine headaches may be unilateral or bilateral and may occur with or without an aura. The headache previously described as classic migraine is now known as migraine with aura, and that described as common migraine is now termed migraine without aura. Migraines without aura are the most common, accounting for more than 80% of all migraines.
Various precipitants of migraine events have been identified, as follows:
Stress, Excessive or insufficient sleep, Medications (like blood pressure medications and oral contraceptives), Smoking, Exposure to bright or fluorescent lighting, Strong odours (like perfumes, colognes, petroleum distillates)
Hormonal changes, such as menstruation (common), pregnancy, and ovulation
Head trauma, Weather changes, Metabolic or infectious diseases, Physical exertion or fatigue, Motion sickness, Cold stimulus (eg, ice cream headaches)
Certain foods and food additives can precipitate migraine. These include alcohol, caffeine, chocolates, artificial sweeteners (eg, aspartame, saccharin), monosodium glutamate (MSG), citrus fruits, and meats with nitrites.
Foods containing tyramine may provoke migraine. Such foods include the following:
Aged cheese, Yogurt, Sour cream, Chicken livers, Sausages. Bananas, Avocados, Canned figs, Raisins, Peanuts, Soy sauce, Pickled fish, Fresh-baked breads, Pork, Vinegars and Beans
Migraine treatment at Castleknock Cosmetic Clinic Dublin involves acute (abortive) and preventive (prophylactic) therapy. Patients with frequent attacks usually require both. Measures directed toward reducing migraine triggers are also generally advisable.
Acute treatment aims to stop or prevent the progression of a headache or reverse a headache that has started. Preventive treatment, which is given even in the absence of a headache, aims to reduce the frequency and severity of the migraine attack, make acute attacks more responsive to abortive therapy, and perhaps also improve the patient’s quality of life.
Botulinum toxin A available at Castleknock Cosmetic Clinic Dublin may be beneficial in patients with intractable migraine headaches that fail to respond to at least 3 conventional preventive medication. The injections are administered to the scalp and temple. They may reduce the frequency and severity of migraine attacks after 2-3 months of injections.
The injections are must be administered every 3-4 months to maintain their effectiveness. The most appropriate duration of prophylactic therapy has not been determined. In most patients who are receiving prophylaxis, therapy must be continued for at least 3-6 months.
Recently, approved study by Castleknock Cosmetic Clinic Dublin saw multicenter, placebo-controlled trials included in the Phase 3 Research Evaluating Migraine Prophylaxis Therapy (PREEMPT) clinical program found toxin treatment to be effective for headache prophylaxis in adults with chronic migraine. Nearly 1400 patients were included in the results. Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life.
The cost of toxin treatment in migraine pressure points around the scalp and the temple is fully reimbursable against medical expenses. For further details please contact the clinic.
Migraine Neurotoxin Treatment €650