Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: A case series

Novack, Victor; Fuchs, Lior; Lantsberg, Leonid; Kama, Shigeyuki; Lahoud, U; Horev, Anat; Loewenthal, Neta; Ifergane, Gal

doi:10.1177/0333102411413162

Cited by 62 publications

(54 citation statements)

References 23 publications

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“…Four studies described a surgical approach: two were procedures for deactivation of trigger sites [9,10], one approach was the occipital nerve stimulation [11], and one approach was bariatric surgery for obese patients patients comorbid migraine [12]. Two studies reported short-term longitudinal observations of patients currently under treatment for migraine who were prescribed tailored medications including both acute and prophylactic ones [13,14].…”

Section: Resultsmentioning

confidence: 99%

Disability and quality of life in headache: where we are now and where we are heading

D’Amico¹,

Grazzi²,

Usai³

et al. 2013

Neurol Sci

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Headache disorders determine relevant personal and societal burden, and thus the use of patient-reported outcome measures (PROMs) investigating the level of disability and health-related quality of life (HRQoL) have been increasingly used in headache research. The aim of this review was to address the status of research on disability and HRQoL, by addressing results from recently published clinical trials as well as in longitudinal observational studies on headache patients. PubMed has been searched for papers in which measures of HRQoL and/or disability were used as primary or secondary outcome on adult subjects with primary headache, and published in 2010-2012. Among the 70 records retrieved, 12 papers were selected for narrative synthesis. They included data on 2,621 patients with episodic migraine with and without aura, chronic daily headache, and/or chronic migraine with and without medication overuse. The selected trials investigated the efficacy of different pharmacological prophylaxis, of some surgical approaches, of education programmes and osteopathic manipulative treatment; two studies reported longitudinal observations of patients currently under treatment. Overall, the results of our review showed that headache frequency as well as HRQoL and disability were positively impacted by treatment interventions; positive outcomes were less evident in two studies, and similar results were found in the two observational studies. Our findings confirmed that the most commonly used PROMs, including disease-specific tools to assess disability and HRQoL and SF-36, are sensitive to the beneficial effects occurring over time in functioning and quality of life domains in headache patients. They also suggest that the personal and societal costs of headache disorders are likely to be reduced when headache patients receive appropriate treatments and when continuity of care is offered. In terms of future directions, we note that the systematic use of appropriate PROMs should be encouraged both in the clinical practice and in the research field, as they offer a valid option to assess the global effect of treatments on patient-perceived sense of well-being and quality of performance.

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Section: Resultsmentioning

confidence: 99%

Disability and quality of life in headache: where we are now and where we are heading

D’Amico¹,

Grazzi²,

Usai³

et al. 2013

Neurol Sci

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show abstract

“…Sixteen from 60 phase 2 studies scored over 65% and were included for further analysis (Table 1) [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Pain had been measured and recorded in over 2000 subjects in randomized controlled trials (RCT, n=7) or observational studies (n=9).…”

Section: Resultsmentioning

confidence: 99%

Peri-operative pain in patients experiencing bariatric surgery

Kumar¹,

Soekarman²,

Singh³

et al. 2017

Med Clin Arch

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A review of the literature was performed to identify follow-up studies on pain and bariatric surgery (gastric band, gastric sleeve or R-en-Y gastric bypass) as intervention. The main objective of this study was to find information on the prevalence of chronic pain in patients undergoing any of the mentioned surgical techniques and the incidence of chronic postsurgical pain after bariatric surgery.16 studies were included for further analysis with over 2000 subjects. 2/3 of the information was on bypass surgery. "Short term" studies with data on pain within 3 months after surgery were randomized controlled trials (RCTs) comparing surgical techniques or analgesia. Pre-operative pain status had not been documented. However, peri-operative pain management was reported in detail. In 8 observational studies, pain data were available exceeding 3 months after surgery ("long term" studies). While pre-operative pain data were reported in the latter studies, in over half the anatomic location of the pain had not been specified. An accurate estimation of the incidence of chronic postsurgical pain after bariatric surgery was not possible based on the available data. The number of comparable studies was low and the anatomic location of the pain had not been specified. Data on pain between 1 week and 6 months after surgery are lacking. This period is important, since it contains the time point after which the measured pain can be defined as chronic.

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“…Peterline et al survey, also showed higher prevalence of migraine (OR = 1.39) among women with obesity in comparison with normal-weight and healthy women (36). Vo M et al showed that morbid obese women had an almost 1.48-fold elevated risk of migraine headache in comparison with normal weight women, and also women with morbid obesity (OR¼2.07; 95% CI 1.27 -3.39) had the greatest chance of migraines (20).…”

Section: The Association Between Morbid Obesity and Migraine Headachementioning

confidence: 99%

“…Particularly in patients suffer from morbid obesity that has higher frequency of migraine headache. Recently, it has been showed that surgical weight loss with bariatric surgery can improve migraine headache in morbidly obese patients (19,20).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Bariatric Surgery on Migraine Headache in Morbid Obese Patients

Hatami

Mohammadi-Farsani

2017

J Minim Invasive Surg Sci

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Background: Migraine is a common and chronic neuro-inflammatory disease with progressive and episodic headache manifestation that leads to considerable disability. Many studies recognized that obesity is a risk factor for progression of migraine. Furthermore, both migraine and obesity is highly prevalent and important risk factors of chronic cardiovascular disease, stroke, and other inflammatory disease. Thus, it is very important if weight loss could alleviate the migraine headache and its related comorbidities. Aim: The present review article was conducted to assess the potential effect of Bariatric surgery on improvement of migraine headaches in morbid obese patients. Search Strategy: Scopus, PubMed and web of science electronic database were systematically searched with key words of "Bariatric surgery", "gastric Bypass"; "Morbid Obesity" and "Migraine headache" for interventional studies investigated the impact of Bariatric surgery on migraine headache. Results: The findings suggest significant improvement in headache frequency, duration, migraine-induced discomfort and migraine derived symptoms (nausea, phono and photophobia and) occurs as early as 3 months after bariatric surgery. Moreover, patients who had higher weight loss were more likely to experience a 50% or higher reduction in headache frequency, duration and severity. Conclusions:The entire evidences suggest patients with indications of bariatric surgery will benefit from the improvements in the Migraine headache after surgery. However, it remains unclear whether Bariatric-induced endocrine, gut-brain axis alterations, or reduction in adipokine contribute to migraine improvement, so further studies are needed to confirm and clarify these findings.

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Changes in headache frequency in premenopausal obese women with migraine after bariatric surgery: A case series

Cited by 62 publications

References 23 publications

Disability and quality of life in headache: where we are now and where we are heading

Disability and quality of life in headache: where we are now and where we are heading

Peri-operative pain in patients experiencing bariatric surgery

The Effect of Bariatric Surgery on Migraine Headache in Morbid Obese Patients

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