Migraine

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Migraines affect around 10% of the population in the UK with 1 in 5 women and 1 in 15 men suffering from the debilitating condition. It usually begins in early life, though diagnosis may be delayed or overlooked until it becomes a problem, often in working or middle age.

Symptoms

Migraine pain is usually one-sided and throbbing but can swap sides or affect both sides of the head. Migraine pain normally comes with nausea (feeling sick) or vomiting (being sick), over sensitivity to light, noise, movement, or smell. About a third of people have migraine with ‘aura’, or ‘classical migraine’. In this condition warning symptoms (the aura) occur before a migraine. These most commonly consist of flashing lights, often in the shape of zigzags. Migraines can last anything from a few hours to three days. Migraines can be triggered by stress, hunger, certain foods such as chocolate and red wine, tiredness and lack of body fluid (dehydration).

For women, menstrual periods and the use of oral contraceptives can also trigger migraines. The underlying problem that leads to migraines is still not clear but several theories exist. They are probably the result of a series of complex changes in the nerves, blood vessels and chemical signalling within the brain.

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Diagnosis

At Dementech Neuroscience Clinic, we offer a comprehensive approach to headaches including multiaxial assessments of symptoms and investigation of other neuropsychiatric issues associated with headaches, blood and imaging assessments. We will use blood tests and imaging scans to precisely make the diagnosis and differentiate from other disorders.

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Treatment

There are several medications that can be used for the acute attacks of a migraine. Some people with frequent migraines may take a daily tablet to act as a migraine preventer. At Dementech Neurosciences, we offer pharmacological intervention including injections for the treatment of this invalidating condition.

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Dr Lucio D’Anna
Consultant Neurologist

Dr Lucio D’Anna obtained his MD with Honours at the Medical School of the University of Udine, Italy and then he completed his Neurology training with Honours.

Dr Soumit Singhai
Geriatric & general internal medicine

Dr Singhai has been a Consultant Physician/Geriatrician since 2009, initially at the Homerton University Hospital Foundation Trust in London and then from 2016 he has been at the Lister Hospital in Hertfordshire.

Dr David Choluj
Lead Neurologist for MS

Dr David Choluj is a Consultant Neurologist with a further extensive experience in Stroke Medicine and Neurological Rehabilitation, based in London.

Prof. K. Ray Chaudhuri
Parkinson's Disease Expert

Professor K. Ray Chaudhuri is a world-renowned expert in Parkinson's disease. He is Professor of Neurology/Movement Disorders & Consultant Neurologist at King’s College Hospital & King’s College London and also Principal Investigator at the Maurice Wohl Clinical Neuroscience Institute.

Prof. Aarsland Dag
Geriatric Psychiatry

Dag Aarsland is Professor and Head of Department of Old Age Psychiatry at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London, and Consultant psychiatrist at the Mental Health for Older Adults, South London & Maudsley NHS Health Trust, where he leads the Parkinson Spectrum Memory Clinic.

Dr. Vinod Metta
Lead Interventional Neurologist

Dr Vinod Metta, consultant interventional neurologist & movement disorder specialist trained at Kings College Hospital London.

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