The migraine is a chronic neurological disease that affects 10 to 12% of the population, with a clear preponderance females and this from puberty. The women report a longer attack duration. Presence and severity of associated symptoms, such as photophobia, phonophobia, nausea, vomiting, and cutaneous allodynia are more prevalent in women. Some clinical forms are well described as catamenial migraine. Several comorbidities have been described in migraine women. Among these diseases associated with migraine: vascular diseases, asthma, allergies, epilepsy, restless legs syndrome, and various chronic pain syndromes and psychiatric disorders. Treatment of migraine in women raises the difficulty of managing seizures and during pregnancy and the period of menstruation. The therapeutic difference mainly concerns menstrual migraine. In women with migraine, it is therefore recommended to be particularly attentive to comorbidities, the presence of which significantly increases the risk of arterial vascular events. Migraine is very common with a particular impact on the quality of life of women. These various specificities and their evolution over time must lead to continuous training of general practitioners, other specialists in women's health including gynecologists in order to reduce the morbidity of the disease by better prevention of crises through the harmonization of research by scientific societies from different continents.

Urinary disorders are frequent in spinal cord injury and complications make prognosis restricted and alter the quality of life. Early and adaptative managment improve quality of life. But in developping contry, so many diffcults make this managment late, and ofen limited. The aim of our study was to evaluate our management in urinary disorders associated of spinal cord injury. Patients and methods: A prospective study was done at the departments of Physical medicine and Neurology in the teaching hospital, Fann, Dakar Senegal. Were included, all patients with urinary disorders concomittent of a spinal cord injury. Patients with others diseases which can explain the urinary symptoms ,were excluded. After determine the Urinay symptoms (Urinary symptoms profile scale) and quality of life (qualiveen short form), patients meet the specialist of rehabilitation who establish type of management of urinary disorders. Secondly patients were received in a variable time, for apreciation evolution. Results: 39 patients were included. Mean of age was 42,7 years and sex ratio (H/F) 1.6. Dysuria associated of overactive badders (38,46%) and overactive bladers (28,20%) dominate the symptoms. Urinary infections (15.4%) were the common complications. Risk factors of alteration of quality of life were overactive blader and leaks during physical effort. The overage decline was 2.7 years. Quality of life was improved by Alfuzozine in all patients with score dysuria under 0,63 and by Oxybutinine in 64.3%. 5 patients benificed of perineal rehabilitation. Permanent catheterization noted in 17.9% of cases. Discussion and conclusion: Our results are similar of the littérature according for symptoms and risk factor of alteration of quality life. Drugs treatment can improve the quality of life. Intermittent catheterization is difficult in our practice.

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