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 CLASSIFICATION OF THE MIGRAINES
Primary headaches: they are appellants and benign it is 90 % of headaches. Secondary headaches as symptom of underlying illnesses
Primary migraines. The types of primary headache are:
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Migraine without and with the aura
Generally unilateral pain Moderate - intense pulsatile pain It lasts from 2 until 24 hours Attacks 2 to 5 per month More in women Familiar precedents I begin before 20 years Agents precipitantes diverse
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Tension migraines
- Bilateral pain
- Moderate pulsatile pressure pain
- It lasts from 30 minutes until 7 days
- Attacks 10 - 15 per month
- More in women
- There are usually familiar precedents
- I begin in the adult
- The stress is much fecuente like precipitante
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Migraines in bunch
Unilateral alone pain Intense pain in blows 60 lasts to 90 minutes Attack every day per weeks More in men There are no familiar precedents I begin in the adult The alcohol usually precipitates it
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1.1 Primary migraines - tension Migraines.
DEFINITION
Headaches of unknown origin, which usually recur, with clinical characteristics partially different from those of the migraine. The psychic mechanisms are important in the origin of the pain.
SYMPTOMS
The headache attacks usually affect to the nape or hoods, on both sides of the head, with sensation of tension or pressure, can last from 30 minutes until 7 days and usually accompany themselves neither of morning sickness nor vomiting, although these, if they present before themselves, are light.
There can differ two types migraine tensional episodic, that is a pain that lasts 30 minutes to 7 days, and can be confused with the migraine without the aura. The migraine tensional chronic, it refers to migraines that are present at least 15 days per month, for a minimum of 6 months.
It is frequent that appear to the awakening or that are appearing throughout the day, coinciding with the tension of the work.
Probably, in some situation of special tension we all have felt one day this type of pain. There are attacks of pain that last from minutes until days. The intensity is minor than in the migraine. It does not worsen with the physical exercise. The relation with the nervous tension or with the depression is usually clear, but it is not obligatory.
TREATMENT
As in the migraine the first step of the treatment is it explains to the patient what it has. The possibility that the mechanism of the pain stems from the supported muscular contraction, and the possibility of relaxing in some situations that unleash the pain can provide an important benefit.
Treatment of the attack of the pain
They usually answer to the minor analgesics: aspirin, paracetamol, dipironas or naproxeno. Care with the associations that they contain caffeine: they have risk of creating addiction.
TO SEE ALSO
WHAT DOCTOR CAN TREAT ME?
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CLASSIFICATION 
