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Chronic Migraine with Aura

Lifestyle Disorders
Nikhil PrasadGender: MaleAge: 27 years (Adult) Chronicity: 6 years

Presenting Complaints & History

  • One-sided throbbing headache (mainly right side)
  • Visual disturbances (zig-zag lines, blurring) preceding headache
  • Extreme sensitivity to light and sound (photophobia/phonophobia)
  • Nausea and vomiting during severe attacks

Clinical Assessment

A 27-year-old bank clerk from Thrissur presenting with severe chronic migraine. Suffered from 2-3 attacks per week, triggered by skipping meals, sun exposure, and screen glare. Used triptans frequently, causing rebound drug-induced headaches.

Diagnostic Investigations: Brain MRI normal; ophthalmic check normal.

Homeopathic Therapeutics & Management

Sanguinaria Canadensis was chosen for right-sided migraines starting in the occiput, spreading to the eye, with relief from vomiting. Natrum Mur resolved sun-induced headaches.

Selected Constitutional Remedies: Sanguinaria Canadensis and Natrum Muriaticum

Lifestyle & Nutritional Support

Maintain strict meal timings; wear polarized sunglasses outdoors; take blue-light filters on computer screens.

Clinical Outcome

Follow-up Period: 1 year
  • Migraine attack frequency reduced to once in 2 weeks within 1 month
  • Discontinued all triptans and painkillers by Month 3; no rebound headaches
  • Attacks reduced to rare, mild, non-throbbing episodes by Month 6
  • Complete freedom from migraines at 1-year follow-up
Medically reviewed by Dr. Navaneeth K. Unni
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