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The headache pain, which tends to be less intense than a classic migraine, is associated with ipsilateral ophthalmoplegia including extraocular paralysis usually involving CN III, ptosis, ocular muscle weakness, and occasionally pupillary changes.
As with hemiplegic migraine, this is a diagnosis of exclusion, as the differential diagnosis includes carotid artery aneurysm. These symptoms should precede the headache and persist only for the duration of the headache, usually from six to eight hours.
Basilar artery migraine is most common among females in their teens and 20 s.
Migraine equivalent refers to a condition in which a migraine sufferer experiences autonomic nervous system effects resulting in tachycardia, edema, vertigo, chest pain, thoracic, and abdominal pain, or pelvic pain with little or no headache.
Cluster headaches are characterized by unilateral, excruciating facial pain that rarely lasts for more than two hours.
Attacks occur several times a day for weeks to months with pain-free intervals. This migraine variant predominates in the male population, usually beginning in mid-adult life.
An exception would be when, on observing the rash, one is not sure whether it is or is not urticarial. Among the possibilities for the etiology of CSU is that it is an autoimmune skin disease, or at least a subpopulation of patients could be considered as such.
Nevertheless, treatment is not dependent on the result. Saini and associates 23, 24, 25 have made novel observations regarding abnormal basophil numbers and function in CSU.
In general, patients have basopenia which might represent migration of basophils to the skin during urticarial episodes.
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