Everything about Status Migrainosus: Symptoms, Diagnosis, and Treatments

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A status migrainosus is a type of migraine attack that continues over 72 hours. It is also called as an intractable migraine. Maximum people with status migrainosus headaches find that their common migraine treatments don’t work, or they see only short relief from the common migraine treatments. The migraine attacks can be devastating and hinder in daily life.

In this article, we will cover the status migrainosus causes, symptoms, types, and the intractable migraine treatment options that are available.

Status Migrainosus

What is Status Migrainosus?

Status migrainosus is also called as an intractable migraine. It is a more harsh and long-term migraine headache. Intractable migraine symptoms may be the same to common migraine form, or they may be harsher.
The main characteristic of this migraine is that the headache is long-term. A person’s common strategies don’t frequently work for preventing the headache, including have a rest and medicine.
Maximum migraines follow a different pattern, and it may include a noticing period, during which a person feels symptoms in the past linked with a migraine.
Migraines may also include behavior changes, the form of an aura or a headache, or visual trouble.
This pattern sets migraines in spite of other headaches, including long-term or extremely painful headaches.

Status Migrainosus Symptoms:

A status migrainosus is not different from a usual migraine, apart from its duration and harshness. Actually, a person with intractable migraine may feel as usual migraine, but the headache continues much longer.
For some people, the pain and nausea turn into a critical condition that they need to be hospitalized.
The symptoms of status migrainosus are different from person to person but frequently include:

Changes in Awareness:
Somebody with migraine may have concentrating trouble, may feel confusion, or fight to communicate.

An Aura:
This occurs while a person sees lights, unusual forms, or other changes in their eyesight.

The pain may be severe and frequently on the side of the head. It may reach to the other side of the head.

Severe Throbbing In the Head:
Unlike a tension headache, a migraine can feel intense and sharp and does not recover with a massage.

This is generally a feeling of desiring to be sick accompanied by little craving for any food.
Weakness in the hands, arms, or legs.

The pain may recover by 12 hours taking medicine or rest but then comes back.


Migraine is a silent condition that there is no single test to ensure it.
Status migrainosus happens only a person with migraines, and diagnosing status depends on through medical test.
A doctor may find out the symptoms if a person suffered migraines earlier. A doctor may see other tests, also, or take a full medical history to eliminate other causes, for example, a brain injury. The medical history may help to make a decision if the headaches are constant with migraines.
A diagnostic process needs as a minimum five earlier 4- to 72-hour migraine attacks without an aura or two previous attacks of migraines with an aura.
Lastly, other tests, for example, neurological tests or magnetic resonance imaging (MRI) scans, to eliminate other causes, may be made.

Status Migrainosus Treatment:

Seeking support groups or psychotherapy can be helpful to stop pain and anxiety. Treating intractable migraine can be tough since and the common remedies of migraines do not work.
Treatment can not cure migraines totally, and research worker does not yet know the specific technique to decrease status migrainosus. As an alternative, doctors concentrate on reducing symptoms with pain medications.
Steroid medicines, for example, prednisone, can be useful. A few people also can get relief from anti-inflammatory medication.
Anti-nausea medicines can decrease the feeling of nausea, dizziness, and confusion for some people. Other medication, for example, magnesium sulfate, lidocaine and Benadryl, and may help, but the proof is limited.
It is essential to stop too much vomiting, mostly if a person is not hydrated. Dehydration can be activated for migraines. If vomiting is severe, a person may require an anti-nausea treatment in medicine form.

How to Deal With Status Migrainosus?

Living with status migrainosus headaches can be tough.
Treatment should focus on instant migraine pain and lasting mental effects as well.  The horrible thing about status magrainosus is that irritation can hinder to achieve plans; another challenge is it can make life trouble.
People with intractable migraine with aura can find support groups to control the pain.
Psychotherapy can also aid people to manage the psychological effects of pain because anxiety may frequently come with a chronic medical condition.


It is impossible to stop migraines or status migrainosus. But, a person who notices the specific triggers, such as perfumes, substances, stress, or fatigue causes their headaches.
A person with intractable migraine should keep a log of events surrounding every migraine to find out triggers, and then stop those triggers, as soon as possible.
The most regular triggers for status migrainosus include:
  • Hormonal imbalances
  • Tension
  • Medicine changes, for example, antidepressant drug or birth control medication
  • Neck or head Injuries
  • Sleeping or eating patterns Changes
  • Weather changes
  • Infections, for example, a cold or flu
  • Surgery of head or face
Getting enough rest and Remaining hydrated can decrease the risk of migraines. A Person with status migrainosus should drink as a minimum of 60–80 ounces of water every day.


Migraines are a neurological disease, and it is essential to be diagnosed for core neurological causes of Status migrainosus.
A particular treatment plan may help stop or decrease the possibility of the next attack and provide insight into possible triggers that can be stopped.