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Headaches that could spell trouble.(CR health)

Consumer Reports

| June 01, 2004 | COPYRIGHT 2004 Consumers Union of the United States, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

In the last three months, have you had a headache that limited your activities for a day or more? Do you experience nausea when you have a headache? Does light bother you when you have a headache?

If you have frequent headaches and answered yes to at least two of those questions, there's more than a 90 percent chance that you have migraine-headache disorder, according to an August 2003 study in Neurology, the journal of the American Academy of Neurology.

Most migraine headaches are undiagnosed or undertreated, and it may not be wise to simply endure the attacks. According to research reported in the January 28, 2004, issue of the Journal of the American Medical Association, migraine attacks may cause ministrokes, which could be a risk factor for progressive damage to the brain in old age.

"Those who screen positive for migraine should see their primary care doctor if their headaches are getting worse, or are associated with weakness or fever, to rule out a rare but serious underlying cause such as infection or tumor," says Richard Lipton, M.D., professor of neurology at the Albert Einstein College of Medicine in New York, who helped develop the study's screening questions.

He also advises seeing a doctor for prescription treatment if ...

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