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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.
Other types of headaches can also cause severe pain, and not all headaches are migraines. For example, some people describe the pain of cluster headaches as the worst pain they have experienced. The exact cause of migraines is not known. Changes in neurotransmitter levels within the brain are thought to play a role.