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Чаще всего боль возникает с одной стороны головы (реже с обеих), пульсирует, усиливается при движении [3](https://mrtshka.ru/articles/migren/). \n\nДлительность приступа индивидуальна: от нескольких часов до нескольких суток [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren)[4](https://Megapteka.ru/specials/lechenie-migreni-5682). Частота приступов различна: от одного-двух раз в год до 2–8 раз в месяц, в отдельных случаях — более часто [5](https://www.fdoctor.ru/bolezn/migren/).\n\n\n\n## Причины\nТочные причины мигрени до конца не изучены, но выделяют несколько факторов, которые могут способствовать её развитию [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren): \n* **Генетическая предрасположенность** — мигрень часто встречается в семьях [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). Наследуется не сама болезнь, а особенности работы нервной системы и реакция сосудов на внешние раздражители [3](https://mrtshka.ru/articles/migren/). \n* **Гормональные изменения** — у женщин мигрень часто возникает в связи с изменениями гормонального фона, особенно во время менструации, беременности и менопаузы [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). \n* **Триггерные факторы** — определённые внешние и внутренние факторы, которые могут вызывать приступы мигрени, например стресс, изменения погоды, яркий свет или громкие звуки [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren).\n\n## Симптомы\nНекоторые симптомы мигрени: \n* **Острая, пульсирующая головная боль** — часто с одной стороны головы, усиливается при физической активности [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). \n* **Тошнота и рвота** — во время приступа могут наблюдаться расстройства пищеварения [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). \n* **Чувствительность к свету (фотофобия) и звукам (фонофобия)** — даже обычные шумы и яркий свет могут вызывать дискомфорт [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). \n* **Нарушения зрения** — иногда перед приступом мигрени могут возникать ауры, которые включают вспышки света или замутнённое зрение [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). \n* **Общее недомогание** — слабость, утомляемость, головокружение, иногда — спутанность сознания [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren).\n\n## Диагностика\nЕсли головные боли возникают регулярно, сопровождаются дополнительными симптомами и мешают нормальному образу жизни, рекомендуется обратиться к неврологу [13](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-migren--priznaki--diagnostika-i-sovety-po-profilaktike/). Некоторые этапы диагностики: \n* **Сбор анамнеза** — врач подробно расспрашивает о характере болей, их длительности, связи с другими факторами (стресс, сон, питание) [13](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-migren--priznaki--diagnostika-i-sovety-po-profilaktike/). \n* **Физикальное обследование** — проводится общий осмотр, неврологические тесты [13](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-migren--priznaki--diagnostika-i-sovety-po-profilaktike/). \n* **Инструментальные исследования** — в некоторых случаях могут назначаться МРТ или КТ головного мозга для исключения других патологий [13](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-migren--priznaki--diagnostika-i-sovety-po-profilaktike/). \n* **Дневник головной боли** — нередко пациентам советуют вести записи о частоте, интенсивности и длительности приступов, а также потенциальных триггерах [13](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-migren--priznaki--diagnostika-i-sovety-po-profilaktike/).\n\n## Лечение\nЛечение мигрени направлено на облегчение болевого синдрома и уменьшение частоты приступов [1](https://www.cnmt.ru/spravochnik-zabolevanij/migren). 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