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Migraine is a neurological disease and attacks can last four to 72 hours with sometimes severe pain that can be accompanied by other uncomfortable symptoms, including nausea, vomiting and light and noise sensitivity. It's long and it's really debilitating and so it's different than a tension-type headache, Buse says.
The National Headache Foundation says most migraines last 4 to 72 hours. âBut some people have migraines for a shorter time and some people have them for longer â itâs very individual,â Dr. Mauskop says. Migraine duration also depends on the type of migraine you have: 1  An optical migraine causes visual disturbances such as zigzags or blind spots or blurred vision often in one eye, but no headache pain; it typically lasts an hour or two.