The first time it happened, I was in a high school physics class. Suddenly, I couldn't read half of the board. A crack zig-zagged through my vision, obscuring my teacher's notes. 'Huh,' I thought. 'This can't be good.'
For nearly a billion people worldwide, migraine attacks disrupt work, vacation and school. They can be triggered by stress, weather changes, hormone shifts, missed meals or sleep changes—in other words, just about anything. These reoccurring headaches often spur pain on one side of the head. They can last a few hours or a few days, and they can cause nausea along with sensitivity to noises and light.
"With visual changes, your mind goes to the worst places," she said."You always wonder: Is there something wrong with my brain? Do I have a tumor?" Her pediatrician assuaged her fears. Now, as a headache fellow, she treats her own patients with migraine. Pillai has learned what helps, and what doesn't.Many people think migraine attacks are just a bad headache. But it's more involved than that.
Doctors theorize that migraine events begin when a hormone-releasing brain region spurs a wave of neuron activity across the brain. The wave leads to a dilation of blood vessels that causes blood to rush through the organ. In tandem, there's often an increase in inflammatory molecules during migraine, which contributes to the onset of an episode, and sometimes an aura.
Clinicians also administer injections of Botox, a neurotoxin, to specific spots on the head and neck, which can help regulate pain in the brain. Medications for headache pain, such as acetaminophen or ibuprofen, and doctor-prescribed drugs, called triptans, which boost serotonin to constrict cranialWhile chemical-based migraine therapies help many, some patients need more treatments, Pillai said.
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