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Somatic (serious physical work or a separate physical strain, tiresome games, long walking, a menses, a hyperthermia, rising or dropping of arterial pressure); Meteophysical (a cold, frosty air, a strong wind, stay in a cold or warm premise, hot or cold water, a bath, etc.); Climatic factors; Various infections; Intoxications of an organism and toksiko-allergic factors (a hypersensibility to gasoline, medicines, etc.); Action of the preparations activly influencing vessels (Nitroglycerinum, Histaminum, etc.). The basic clinical forms of a migraine: simple, ophthalmic, , vestibular and . The migraine with group attacks a little stands apart. The simple migraine is characterised by a paroxysmal pain in any site of a head, more often in the field of a temple, an eyeball. From here the pain extends on the half of head with the same name or on all head. Force of a pain gradually accrues, the face skin reddens or turns pale. The temporal artery on the party of localisation of a pain strains, becomes and painful to the touch. Sometimes there are unpleasant sensations in the field of heart, a yawning, the speeded up emiction. Before the termination an attack the nausea and vomiting after which intensity of headaches decreases are possible. The patient has a desire to fall asleep. After a dream the headache decreases or stops. However still some time remains feeling of gravity in a head, and at sharp movements, tussis and the headache can be felt. At the ophthalmic form of a visual disturbance are first signs a paroxysm. They happen various. One patients note sight misting, others - punctual scotomas, the third - abaissement of half of field of vision of type of a hemianopsia. The ophthalmic migraine - sensation flickering lines is especially characteristic. Extremely seldom there comes transient blindness. After some minutes, is more rare - some hours of a visual disturbance pass completely. Usually against visual disturbances there is a local headache in the field of a temple or an eyeball which gradually extends more often on one half of head. In process of development of a headache of a visual disturbance disappear. The Oftalmoplegichesky form is characterised by transient paresises or paralyses of oculomotor muscles (a diplopia, a converging or dispersing squint, restriction of mobility of eyeballs, a ptosis, etc.). The attacks of pains combined with a rotatory vertigo, nystagmus, unsteadiness of a gait are inherent in the vestibular form of a migraine. Attacks proceed as syndrome. the form is shown by transient symptoms of a focal lesion of a brain: alalias (motor, sensory or an aphasia), paresises of extremities, sensitivity disorders, a hemianopsia and other disturbances. Usually the attack begins with development of these disorders which some minutes last, is more rare than hours, and only then there is a headache. Vomiting quite often becomes perceptible. In process of intensifying of a headache symptoms of a focal lesion of a brain regress. In the period they are not present.


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At same sick implications an attack quite often , but one version prevails over others. All listed symptoms an attack are absent in the period. Proof symptoms of a focal lesion are not typical for a migraine. If they are found out, hence, headache attacks - only a symptom of any organic lesion of a brain. The migraine with group attacks is observed more often at men at the age of 20-30 years. It is characterised by the paroxysms of a pain usually arising at night and proceeding from several minutes about one hour, is more rare - some hours. Sometimes patients feel pain attacks each 24 hours within several weeks and even months. Then headache attacks stop on half a year or year. However attacks of a fascicular pain can appear throughout several years. Throbbing pains in an eyeball, an orbit, a cheek, a temple, in the jaws, occasionally irradiating in an ear, a nape, a shoulder are characteristic sudden unilateral excruciating, drilling, shooting, cutting, sometimes. The hyperemia of an eye or all half of person, a dacryagogue, the-raised diaphoresis, a rhinorrhea thus become perceptible, is more rare - salivation. Syndrome is often taped. Points of an exit of branches of a trigeminal nerve from a skull are painful at a palpation. The temporal artery is dilated, strained and strenuously pulses. Quite often be ill are provoked by alcoholic drinks, Nitroglycerinum and Histaminum. At a cervical migraine the headache usually begins in the field of a nape and extends on parietal, frontal and temporal areas, and is frequent on a neck, shoulder girdles and arms. The pain happens a constant to periodic exacerbations or paroxysmal. During an attack of a cervical migraine, besides a headache, there is a sonitus, a sight illegibility, a dermatalgia of a head during combing of hair and even a touch to them. Muscles and a skin in area necks-but-occipital are sometimes painful at a palpation. Paresthesia occurrence in arms and giddiness is possible. Mobility of cervical department of a backbone is quite often painful and limited. The cervical migraine is diagnosed for people is more senior fifty years. Its attacks arise at night or in the morning and, as a rule, appear one of syndromes of a lesion of cervical department of a backbone, more often an osteochondrosis. In this connection believe, that the reason of attacks of a cervical migraine - a prelum or a boring of nervous plexuses arteries degenerately changed intervertebral disks. Such disturbances become perceptible also at a deforming spondylosis, a spondylarthrosis, after traumas of cervical department of a backbone, as a result of a lesion arteries and changes of muscles of a neck, In connection with a variety of the reasons and mechanisms of development of a cervical migraine it is considered possible to allocate sympathetic headaches. They differ intensity, have burning or pulsing character, proceed paroxysmally. Attacks last hours. Patients sometimes lose appetite, they have nausea and even vomiting. Sometimes the headache attack is preceded by scotomas or paresthesias in arms. Rendering assistance. There are two basic approaches to migraine treatment: 1) preventive maintenance an attack; 2) elimination of its symptoms, first of all a headache.