 Hello everybody, I am Dr. Sivanand Pai, Consultant Neurologist from KMC Mangalore. Today we will be discussing about a common topic or a common symptom in neurological practice that is headache. All persons would have experienced headache in once in their lifetime. Common symptoms of our patients attending a neurological clinic is headache. Headache can be because of several causes, but most common symptom, a common cause for a headache is migraine. Everybody has got a doubt in their mind, what is migraine? Migraine is a vascular headache. It is because of abnormalities in certain neurotransmitters or neurotransmitter levels in the blood, which produces the dilatation of the blood vessels and produces throbbing headache. The symptoms of migraine are usually they have a unilateral symptoms, throbbing headache, they have phonophobia and photophobia. Phonophobia means they are not able to hear a loud sound or they prefer to lie down in a closed room without any sound and photophobia is they are not able to tolerate the light or a bright light. So, most of the patients with the migraine will have these symptoms unilateral throbbing headache and phonophobia and photophobia. There are certain precipitating factors like lack of sleep or if they get up early in the morning or if they skip their lunch, if they skip their breakfast, these are the reasons why they get headache or if there is a change in the routine they do get headache. There are certain things which a migraine patient should do is to adopt a disciplined lifestyle that is timely sleep and not to skip their breakfast or lunch and take timely medicine. Somebody who has got symptoms of migraine say unilateral throbbing headache with phonophobia, phonophobia, photophobia and the headache which increases on activity and relieved by rest. They should meet a neurologist and take a proper treatment. Usually patients with the migraine will be treated for three to six months with the migraine prophylactic medicines and whenever they have the severe headache we usually give them the pain medicines or there are certain drugs which are specifically given for the migraine like triptans. This will enable the patients to overcome their problem and when they take the prophylactic medicines for three to six months they will be able to almost get rid of this devastating symptoms of migraine.