Other conditions and syndromes discussed include cluster headache, trigeminal neuralgia, atypical facial pain, temporal arteritis, and the headaches produced by intracranial mass lesions, muscle contraction, trauma, vascular anomalies, and ocular lesions. These phenomena include psychologic, neurologic, constitutional, and autonomic features. Psychologic symptoms include depression, euphoria, irritability, restlessness, mental slowness, hyperactivity, fatigue, and drowsiness. Neurologic phenomena include photophobia, phonophobia, and hyperosmia. The generalized or constitutional symptoms include a stiff neck, a cold feeling, sluggishness, increased thirst, increased urination, anorexia, diarrhea, constipation, fluid retention, and food cravings.
Some patients just report a poorly characterized feeling that they know a migraine attack is coming.
An aura refers to the appearance of focal neurologic symptoms that proceed or even accompany an attack of migraine. Most aura symptoms develop over a course of five to twenty minutes and usually last less than sixty minutes. The aura can be characterized by visual, sensory, or motor phenomena, and may also involve language or brainstem disturbances. When a headache follows, it most often occurs within sixty minutes of the end of the aura. The most common aura is visual, previously termed classic migraine.