Migraine: Much More Than Just a Headache
A debilitating and underdiagnosed neurological disease.
Dr. Marc Dufresne
Neurologist

In simple terms
Migraine affects 12% of the adult population and remains the leading cause of disability among 15-49 year olds.
What you need to remember
- Recognizing migraine — Unilateral, pulsating headache, moderate to severe intensity
- Acute treatment — NSAIDs**: ibuprofen 400 mg, ketoprofen.
- Daily prevention — Identify and avoid personal triggers (food, stress, lack of sleep, alcohol)
Migraine is not just a headache: it is a chronic neurological disease characterized by recurrent attacks of intense headaches, often accompanied by nausea and sensory hypersensitivity.
Recognizing migraine
Diagnostic criteria
- Unilateral, pulsating headache, moderate to severe intensity
- Duration: 4 to 72 hours
- Worsened by physical activity
- Associated with at least one of the following symptoms: nausea/vomiting, photophobia, phonophobia
Migraine with aura (30% of cases)
Transient neurological symptoms preceding the headache:
- Visual disturbances (scintillating scotomas, zigzag lines)
- Tingling on one side of the body
- Speech disorders
Acute treatment
- NSAIDs: ibuprofen 400 mg, ketoprofen. First-line treatment.
- Triptans: sumatriptan, rizatriptan. Specific migraine treatment, to be taken at the onset of the headache.
- Antiemetics: metoclopramide for significant nausea.
Preventive treatment (if > 4 attacks/month)
- Beta-blockers (propranolol)
- Antiepileptics (topiramate)
- Antidepressants (amitriptyline)
- Anti-CGRP antibodies: revolutionary new therapeutic class (erenumab, galcanezumab)
Daily prevention
- Identify and avoid personal triggers (food, stress, lack of sleep, alcohol)
- Regular sleep and meal schedules
- Sufficient hydration
- Regular physical activity (proven preventive effect)
The words explained
Medical terms used above, in everyday language.
- Chronic
- A problem that lasts a long time, usually more than three months, and often comes back.
- Acute
- Something that starts suddenly and lasts a short time.
- Symptom
- A sign you can feel or see that something is wrong, like pain, tiredness or a rash.
- Diagnosis
- The moment a doctor identifies which illness is causing your symptoms.
- Prevention
- Steps taken before a problem starts, to make it less likely.
- Antibody
- A protein your body makes to recognise and neutralise a specific germ.
When should you see a doctor?
- Your symptoms last more than a few weeks or keep coming back.
- They get worse quickly, or stop you doing everyday things.
- You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
- You already take medication and want to change anything about it.
This article explains general health information. It does not replace advice from your own doctor.
Frequently asked questions
- What is Migraine: Much More Than Just a Headache?
- Migraine affects 12% of the adult population and remains the leading cause of disability among 15-49 year olds.
- What are the main symptoms or signs of Migraine: Much More Than Just a Headache?
- Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
- When should you see a doctor for Migraine: Much More Than Just a Headache?
- See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.
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