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Ask the Clinician: 11/24/03, Answer #8

by Teri Robert
for About.com

Updated: November 24, 2003

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Ask the Clinician
Question: Years ago I was attacked by a neighbor who hit my head unexpectedly. I can not do heavy lifting without headaches, dizziness and loss of mental accuracy. I am now told it is a migraine. But these symptoms are brought on by physical actions not mental ones. P. Halcombe.
Answer:

Dear P. Holcombe,

I think you're under some misconceptions where Migraine is concerned. Migraine is actually a neurological disease. The triggers for Migraine episodes ARE physical, not mental or psychological. Most commonly, Migraine triggers include foods, changes in barometric pressure, hormonal changes, poor sleep patterns, fragrance or chemical fumes, high heat and humidity, and others.

Is there any history of Migraine in your family? Although you may be experiencing Migraine, it's also possible that you're experiencing post-traumatic exertional headaches. I would suggest that you seek a qualified headache and Migraine specialist for a second opinion on your diagnosis and treatment that may help you with your symptoms.

good luck,
Teri Robert



Dear P Halcombe:

Traumatic brain injuries most often have headaches as primary symptoms, even years after the event. The headaches often respond to migraine-specific therapy (such as the triptans). Physical activity can change the fluid pressure in your brain and set off headache. Mental activity does not; you might want to consult a headache specialist in your area, if possible.
John Claude Krusz

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