1. Migraine with Aura:
This type of migraine is characterized by the presence of an “aura,” which includes blurred vision or other sensory symptoms that often precede the headache phase.
Aura Symptoms: Eye problems such as flashing lights, zigzag lines, blindness, numbness in the face or hands.
Differentiation: Differentiation of migraine with aura by the presence of this sensory disturbance before or during the headache. Not all migraines have auras
2. Migraine without Aura:
In this type of migraine, individuals experience the headache phase without preceding aura symptoms.
Aura Absence: The key feature here is the absence of aura symptoms. The headache typically occurs on one side of the head, is pulsating, and often accompanied by nausea and sensitivity to light and sound.
3. Chronic Migraine:
Chronic migraines are diagnosed when a person experiences migraine attacks on 15 or more days per month for at least three months, and at least eight of those headache days are migraines.
Differentiation: Chronic migraines are differentiated based on frequency. They involve more frequent and persistent headaches compared to episodic migraines.
4. Menstrual Migraine:
Menstrual migraines are closely linked to the menstrual cycle, typically occurring in the days before, during, or after menstruation.
Timing: These migraines are timed with the menstrual cycle and are often more severe during this time.
5. Vestibular Migraine:
Vestibular migraines are characterized by dizziness and problems with balance, in addition to the typical migraine symptoms.
Differentiation: The key differentiator is the presence of vestibular symptoms, which can include vertigo, spinning sensations, and difficulty maintaining balance.
6. Hemiplegic Migraine:
Hemiplegic migraines are rare and involve temporary paralysis or weakness on one side of the body before or during the headache phase.
Paralysis*: This paralysis is usually reversible and can be accompanied by other aura symptoms like visual disturbances.
7. Retinal Migraine:
These are characterized by temporary vision loss or blindness in one eye, often accompanied by a headache.
Vision Loss: The hallmark feature is the temporary loss of vision in one eye, which usually returns to normal after a short period.
8. Chronic Daily Headache (CDH) with Migraine Features:
This is a complex condition where individuals experience daily or near-daily headaches, and some of these headaches have migrainous features.
Differentiation: The distinction here is the chronic nature of the headaches, with some meeting the criteria for migraines.
9. Episodic Migraine:
Episodic migraines are the standard, intermittent migraine attacks that occur less frequently than chronic migraines.
Frequency: Individuals with episodic migraines have migraine attacks on fewer than 15 days per month.
It’s important to note that the differentiation between these migraine types is crucial for accurate diagnosis and effective treatment. Consulting with a healthcare provider, preferably a neurologist or headache specialist, can help determine the specific type of migraine one experiences and develop a tailored treatment plan accordingly.