PEDİATRİC MİGRAİNE PATİENTS İN FİNDİNGS

A migraine attack consists of four main stages. These stages are premonitory, aura, headache and postdrome periods. The prodromal or premonitory phase of migraine is generally defined as the period 2-48 hours before the aura or migraine headache. 30-90% of migraine patients report such a phase . In the prodromal period, hours or days before the headache, some painless symptoms such as yawning, mood swings, difficulty concentrating, neck pain, fatigue, thirst, and increased frequency of urination may occur. . The prodromal period can last from hours to days. Aura may occur before the onset of a migraine headache. Often, the aura affects the patient's vision. Some patients with migraine may experience confusion, disorientation, tinnitus, dizziness and difficulty speaking, as well as seeing spots, flashes, and zigzags in their field of vision. These symptoms may occur 30 to 60 minutes before or during a migraine attack. Migraine pain can last for hours. During this time, the patient may want to rest in a quiet, dark environment and may have difficulty carrying out daily activities. Pain usually begins in the supraorbital region, particularly around the eyebrows, and then spreads to the unilateral temple region. Migraine has three phases. The prodrome phase is the period that includes the precursor symptoms that occur before the headache, accompanied by changes in the person's mood or cognitive functions, and sometimes accompanied by autonomic and systemic symptoms. If present, auras are monitored during this period. The pain phase includes the time when the headache occurs and ends after the prodromal period. Migraine postdrome phase is the period after the migraine attack until the headache symptoms disappear and return to normal. In the postdrome phase, patients usually report activity-limiting neuropsychiatric, sensory, and gastrointestinal symptoms and general malaise. During this period, the most common symptoms are neck stiffness, difficulty in concentration, and fatigue, while sensitivity to light, irritability, pallor, and nausea are also observed. Studies have shown that 68-81% of migraine patients have postdrome symptoms.