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Migraine

What Are the Symptoms?

The symptoms of migraines include:

  • A brief period of depression, irritability, anxiety, moodiness, and decreased appetite, as much as 24 hours before the onset of a headache.
  • Symptoms of an aura an hour or less before head pain starts.
  • A severe, throbbing headache, sometimes concentrated on only one side of the head, or around one eye, lasting between four and 72 hours.
  • A headache that worsens with exertion.
  • Nausea and vomiting.
  • Extreme sensitivity to light, such that light is very painful to the eyes and head, requiring retreat to a darkened room.
  • Extreme sensitivity to sound.
  • Weakness of an arm or leg, difficulty speaking, or confusion.
  • Severe exhaustion, confusion, or moodiness sometimes lasting several days after the headache resolves.
Call Your Doctor If:
  • You have severe headaches.
  • You notice changes in your vision, weakness or paralysis in a body part, or difficulty with balance and walking, especially if these problems do not resolve after the headache is over.
  • You develop a fever or stiff neck.
  • You have unintentional weight loss.


Medically reviewed by Michael Aronson, MD, August 2005.

SOURCES: Young, W.; et al; "Migraines and Other Headaches," Demos Medical publishing, June 2004. Blumenfeld, A,; Dodick, D.; Silberstein, S.; "Botulinum neurotoxin for the treatment of migraine and other primary headache disorders." Dermatology Clinic, April 2004, vol. 22; pp 167-75. Sheftell F.; Cady R.; Borchert L.; Spalding W.; Hart, J.; "Optimizing diagnosis and treatment of migraine," Journal of the American Academy of Nurse Practioners; August 2005, Vol 17; pp 309-317.

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