Generally Adolescent or young adult.
Family history of similar attacks may or may not be there.
Complaints of recurrent paroxysm of unilateral, but rarely it may be bilateral also.
Spreading head pains, photophobia and biliousness may be preceded by transitory visual Aura.
Each attach lasts 4 to 48 hours or longer. The Aura lasts 15-20 minutes.
The common aura is visual & consist of glittering Zig Zag lines curved or straight figures often in movement.
Paraesthesia constitute a less frequent aura.
Transigent difficulty in finding words (Dysphasia)
Writing difficulty may be there (dysgraphia).
Much less commonly transient vertigo or double vision lasting 2-3 minutes are met as a migraineous Aura.
Head Ache succeeds or is contemporary with Aura.
Head Ache never precedes aura.
Head Ache typically starts in one frontal region spreading to the opposite side of the head.
Some times it remains to one half of the head (Hemicrania).
Accompanied by photophobia, flushing, pallor, vomiting or faint feeling.
The attack may leave the patient exhausted if the attack has been prolonged.
During an attack unequal pupils may be observed.
Attacks may be heralded by bouts of euphoria, anxiety or depression.
Attack may be precipitated by menstruation, eye strain or dietetic indiscretions.
Paroxysm may occur at varying intervals and may consists of re-correct head ache.
Re-current head ache with vomiting.
The Aura with a subsequent head ache.
