Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Regional Medical Center
1155 Mill St

Children's Hospital
1155 Mill St

Rehabilitation Hospital
1495 Mill St

South Meadows Medical Center
10101 Double R Blvd

Skilled Nursing
1835 Oddie Blvd

Carson Valley Medical Center
1107 HWY 395
Center for Advanced Medicine B
1500 E 2nd St

Center for Advanced Medicine C
75 Pringle Way

Institute for Heart & Vascular Health
1155 Mill St

Institute for Cancer
1155 Mill St
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Regional Medical Center
1155 Mill St

Children's Hospital
1155 Mill St

Rehabilitation Hospital
1495 Mill St

South Meadows Medical Center
10101 Double R Blvd

Skilled Nursing
1835 Oddie Blvd

Carson Valley Medical Center
1107 HWY 395
Center for Advanced Medicine B
1500 E 2nd St

Center for Advanced Medicine C
75 Pringle Way

Institute for Heart & Vascular Health
1155 Mill St

Institute for Cancer
1155 Mill St
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Regional Medical Center

1155 Mill St Reno, NV 89502
775-982-4100


Renown Regional Medical Center
1155 Mill St, Reno, NV 89502
Renown Health serves a 17-county region with a total population in excess of 750,000. Our facilities include two medical centers, a rehabilitation hospital, a skilled nursing facility, numerous medical group and urgent care facilities, and the region's most trusted health insurance provider, Hometown Health. 775-982-5000

Renown Children's Hospital

1155 Mill St Reno, NV 89502
775-982-KIDS (5437)

Renown Children's Hospital
1155 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Rehabilitation Hospital

1495 Mill St Reno, NV 89502
775-982-3500


Renown Rebabilitation Hospital - 1495 Mill St
1495 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown South Meadows
Medical Center

10101 Double R Blvd Reno, NV 89521
775-982-7000


Renown South Meadows - 10101 Double R Blvd
10101 Double R Blvd, Reno, NV 89521
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Carson Valley Medical Center

1107 Hwy 395 Gardnerville, NV 89410
775-782-1550


Carson Valley Medical Center - 1107 Highway 395
1107 Highway 395, Gardnerville, NV 89410
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Skilled Nursing

1835 Oddie Blvd Sparks, NV 89431
775-982-3232


Renown Skilled Nursing - 1835 Oddie Blvd
1835 Oddie Boulevard, Sparks, NV 89431
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Health Urgent Care

775-982-5000

Renown Health Urgent Care
9 convenient locations
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Renown Lab Services offers convenient access to complete your lab work with 10 locations close to your home or work. For your convenience, many of the locations are located inside or next to Renown hospitals and medical groups. Extended and Saturday hours are available at some locations.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Center for Advanced Medicine B at Renown Regional

1500 E 2nd St Reno, NV 89502
775-982-4100


Center for Advanced Medicine B - 1500 E. 2nd St
1500 E. 2nd St., Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Center for Advanced Medicine C at Renown Regional

75 Pringle Way Reno, NV 89502
775-982-4100


Center for Advanced Medicine C - 75 Pringle Way
75 Pringle Way, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Institute Heart & Vascular Health

1155 Mill St Reno, NV 89502
775-982-7888


Institute for Heart & Vascular Health - 1155 Mill St
1155 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Institute for Cancer

1155 Mill St Reno, NV 89502
775-982-5638


Renown Institute for Cancer - 1155 Mill St
1155 Mill St, Reno, NV 89502
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Migraine

Definition

A migraine is a common type of headache that may occur with symptoms such as nausea, vomiting, or sensitivity to light. In many people, a throbbing pain is felt only on one side of the head.

Some people who get migraines have warning symptoms, called an aura, before the actual headache begins. An aura is a group of symptoms, including vision disturbances, that are a warning sign that a bad headache is coming.

Other types of headaches are:

Alternative Names

Headache - migraine

Causes, incidence, and risk factors

Migraine headaches tend to first appear between the ages of 10 and 45. Sometimes they may begin later in life.
  • Migraines occur more often in women than men
  • Migraines may run in families
  • Some women, but not all, may have fewer migraines when they are pregnant

A migraine is caused by abnormal brain activity, which can be triggered by a number of factors. However, the exact chain of events remains unclear. Today, most medical experts believe the attack begins in the brain, and involves nerve pathways and chemicals. The changes affect blood flow in the brain and surrounding tissues.

Alcohol, stress and anxiety, certain odors or perfumes, loud noises or bright lights, and smoking may trigger a migraine. Migraine attacks may also be triggered by:

  • Caffeine withdrawal
  • Changes in hormone levels during a woman's menstrual cycle or with the use of birth control pills
  • Changes in sleep patterns
  • Exercise or other physical stress
  • Missed meals
  • Smoking or exposure to smoke

Migraine headaches can be triggered by certain foods. The most common are:

  • Any processed, fermented, pickled, or marinated foods, as well as foods that contain monosodium glutamate (MSG)
  • Baked goods, chocolate, nuts, peanut butter, and dairy products
  • Foods containing tyramine, which includes red wine, aged cheese, smoked fish, chicken livers, figs, and certain beans
  • Fruits (avocado, banana, citrus fruit)
  • Meats containing nitrates (bacon, hot dogs, salami, cured meats)
  • Onions

This list may not include all triggers.

True migraine headaches are not a result of a brain tumor or other serious medical problem. However, only an experienced health care provider can determine whether your symptoms are due to a migraine or another condition.

Symptoms

Vision disturbances, or aura, are considered a "warning sign" that a migraine is coming. The aura occurs in both eyes and may involve any or all of the following:

  • A temporary blind spot
  • Blurred vision
  • Eye pain
  • Seeing stars or zigzag lines
  • Tunnel vision

Other warning signs include yawning, difficulty concentrating, nausea, and trouble finding the right words.

Not every person with migraines has an aura. Those who do usually develop one about 10 - 15 minutes before the headache. However, an aura may occur just a few minutes to 24 hours beforehand. A headache may not always follow an aura.

Migraine headaches can be dull or severe. The pain may be felt behind the eye or in the back of the head and neck. For many patients, the headaches start on the same side each time. The headaches usually:

  • Feel throbbing, pounding, or pulsating
  • Are worse on one side of the head
  • Start as a dull ache and get worse within minutes to hours
  • Last 6 - 48 hours

Other symptoms that may occur with the headache include:

  • Chills
  • Increased urination
  • Fatigue
  • Loss of appetite
  • Nausea and vomiting
  • Numbness, tingling, or weakness
  • Problems concentrating, trouble finding words
  • Sensitivity to light or sound
  • Sweating

Symptoms may linger even after the migraine has gone away. Patients with migraine sometimes call this a migraine "hangover." Symptoms can include:

  • Feeling mentally dull, like your thinking is not clear or sharp
  • Increased need for sleep
  • Neck pain

Signs and tests

Your doctor can diagnose this type of headache by asking questions about your symptoms and family history of migraines. A complete physical exam will be done to determine if your headaches are due to muscle tension, sinus problems, or a serious brain disorder.

There is no specific test to prove that your headache is actually a migraine. However, your doctor may order a brain MRI or CT scan if you have never had one before or if you have unusual symptoms with your migraine, including weakness, memory problems, or loss of alertness.

An EEG may be needed to rule out seizures. A lumbar puncture (spinal tap) might be done.

Treatment

There is no specific cure for migraine headaches. The goal is to treat your migraine symptoms right away, and to prevent symptoms by avoiding or changing your triggers.

A key step involves learning how to manage your migraines at home. A headache diary can help you identify your headache triggers. Then you and your doctor can plan how to avoid these triggers.

If you have frequent migraines, your doctor may prescribe medicine to reduce the number of attacks. You need to take the medicine every day for it to be effective. Medications may include:

  • Antidepressants such as amitriptyline or venlafaxine
  • Blood pressure medicines such as beta blockers (propanolol, metroprolol) or calcium channel blockers (verapamil)
  • Seizure medicines such as valproic acid, gabapentin, and topiramate

Botulinum toxin type A (Botox) injections may also help reduce migraine attacks if they occur more than 15 days per month.

TREATING AN ATTACK

Other medicines are taken at the first sign of a migraine attack. Over-the-counter pain medications such as acetaminophen, ibuprofen, or aspirin are often helpful when your migraine is mild. Be aware, however, that:

  • Taking medicines more than 3 days a week may lead to rebound headaches -- headaches that keep coming back.
  • Taking too much acetaminophen can damage your liver. Too much ibuprofen or aspirin can irritate your stomach.

If these treatments don't help, ask your doctor about prescription medicines. These include nasal sprays, suppositories, or injections. Your doctor can select from several different types of medications, including:

  • Triptans -- prescribed most often for stopping migraine attacks
  • Ergots -- contain different forms of ergotamine
  • Isometheptene (Midrin)

Some migraine medicines narrow your blood vessels. If you are at risk for heart attacks or have heart disease, talk with your health care provider before using these medicines. Do not take ergots if you are pregnant or planning to become pregnant.

Other medications are given to treat the symptoms of migraine. They may be used alone or along with other drugs. Medications in this group include:

Feverfew is a popular herb for migraines. Several studies, but not all, support using feverfew for treating migraines. If you are interested in trying feverfew, make sure your doctor approves. Also, know that herbal remedies sold in drugstores and health food stores are not regulated. Work with a trained herbalist when selecting herbs.

Support Groups

American Council for Headache Education - www.achenet.org

The National Migraine Association - www.migraines.org

National Headache Foundation - www.headaches.org

Expectations (prognosis)

Every person responds differently to treatment. Some people have rare headaches that need little to no treatment. Others need to take several medications or even go to the hospital sometimes.

Migraine headache is a risk factor for stroke in both men and women. The risk is higher in people who have migraines that occur with aura. People with migraines should avoid other risk factors for stroke, include smoking, taking birth control pills, and eating an unhealthy diet.

Calling your health care provider

Call 911 if:

  • You are experiencing "the worst headache of your life"
  • You have speech, vision, or movement problems or loss of balance, especially if you have not had these symptoms with a migraine before
  • Your headaches are more severe when lying down
  • The headache starts very suddenly

Also, call your doctor if:

  • Your headache patterns or pain change
  • Treatments that once worked are no longer helpful
  • You have side effects from medication, including irregular heartbeat, pale or blue skin, extreme sleepiness, persistent cough, depression, fatigue, nausea, vomiting, diarrhea, constipation, stomach pain, cramps, dry mouth, or extreme thirst
  • You are pregnant or could become pregnant -- some medications should not be taken during pregnancy

References

Loder E. Triptan therapy in migraine. N Engl J Med. 2010 Jul 1;363(1): 63-70.

Gilmore B, Michael M. Treatment of acute migraine headache. Am Fam Physician. 2011. 83:271-280.

Spector JT, Kahn SR, Jones MR, Jayakumar M, Dalal D, Nazarian S. Migraine headache and ischemic stroke risk: an updated meta-analysis. Am J Med. 2010;123:612-624.

Pringsheim T.  Systematic Review: Medications for Migraine Prophylaxis - Section II. Can J Neurol Sci. 2012; 39: Suppl. 2 - S8-S28.


Review Date: 11/2/2012
Reviewed By: Luc Jasmin, MD, PhD, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, and Department of Anatomy at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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