Mixed tension migraine
Mixed Tension Migraine is a medical condition that combines the symptoms of both tension headache and migraine. This type of headache is characterized by a combination of the dull, aching sensation of a tension headache and the one-sided, pulsating pain of a migraine headache.
Symptoms
The symptoms of a mixed tension migraine can vary greatly from person to person, but they typically include:
- Headache: This is usually a constant, dull ache that can be felt on both sides of the head.
- Migraine: This is often a severe, throbbing pain that is usually felt on one side of the head.
- Sensitivity to light and sound: Many people with mixed tension migraines find that they are particularly sensitive to light and sound during a migraine attack.
- Nausea and vomiting: These are common symptoms of a migraine, but they can also occur with a tension headache.
- Aura: Some people with mixed tension migraines experience an "aura" before the headache begins. This can include visual disturbances, such as seeing flashing lights or zigzag lines.
Causes
The exact cause of mixed tension migraines is not known, but it is thought to be related to a combination of genetic and environmental factors. Some potential triggers for mixed tension migraines include:
- Stress: High levels of stress can trigger both tension headaches and migraines.
- Sleep deprivation: Lack of sleep can also trigger these types of headaches.
- Diet: Certain foods and drinks, such as chocolate, cheese, and alcohol, can trigger migraines in some people.
- Hormonal changes: Women may be more likely to experience mixed tension migraines around the time of their menstrual period.
Treatment
Treatment for mixed tension migraines typically involves a combination of lifestyle changes and medication. Lifestyle changes may include stress management techniques, regular exercise, and a healthy diet. Medications used to treat mixed tension migraines can include over-the-counter pain relievers, prescription medications, and preventive medications.
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Contributors: Prab R. Tumpati, MD