Comparison of Pre-Headache Phases and Trigger Factors of Migraine and Episodic Tension-Type Headache: Do they Share Similar Clinical Pathophysiology?

Karlı, Necdet; Zarifoğlu, Mehmet; Çalişir, Nermin; Akgöz, Semra

doi:10.1111/j.1468-2982.2005.00880.x

Cited by 81 publications

(105 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies are consistent with stress, lack of sleep, and fasting being the most common trigger factors 3,4 , but some other factors such as including alcohol intake, excessive caffeine consumption, and hormonal factors in women are also recognized. In spite of its importance, little is known about migraine trigger factors in our society.…”

Section: Fatores Desencadeantes De Enxaquecamentioning

confidence: 80%

Trigger factors in migraine patients

Fukui

Gonçalves

Strabelli

et al. 2008

Arq. Neuro-Psiquiatr.

128

161

View full text Add to dashboard Cite

-Background: Migraine is a chronic neurological disease with several trigger factors, including dietary, hormonal and environmental factors. Purpose: To analyse precipitating factors in a sample of migraine patients. Method: Two hundred consecutive migraine patients were interviewed about possible trigger factors for migraine attacks. Results: Most patients showed at least one dietary trigger, fasting was the most frequent one, followed by alcohol and chocolate. Hormonal factors appeared in 53% , being the pre-menstrual period the most frequent trigger. Physical activities caused migraine in 13%, sexual activities in 2.5% and 64% reported emotional stress a trigger factor. 81% related some sleep problem as a trigger factor. Regarding environmental factors, smells were reported by 36.5%. Conclusion: Trigger factors are frequent in migraine patients, its avoidance may decrease headache frequency and also improve patients' quality of life.KEY WORDS: migraine, trigger factors. fatores desencadeantes de enxaquecaResumo -Introdução: A enxaqueca é uma doença neurológica crônica que apresenta diversos desencadeantes como fatores alimentares, hormonais e ambientais. Objetivo: Analisar os fatores desencadeantes em uma amostra de pacientes com enxaqueca. Método: Duzentos pacientes com diagnóstico de enxaqueca foram questionados sobre fatores que pudessem desencadear suas crises. Resultados: 83,5% apresentaram algum fator alimentar, jejum foi o fator mais freqüente, seguido de álcool e chocolate. Dos fatores hormonais, o período pré-menstrual foi o mais freqüente. Atividade física causou enxaquecas em 13%, atividade sexual em 2,5%, estresse em 64% e 81% relataram o sono como fator desencadeante. Em relação aos fatores ambientais, odores foram desencadeantes em 36,5%. Conclusão: Os fatores desencadeantes são freqüentes em enxaqueca e a sua detecção deve ser pormenorizada para que se reduza a freqüência de crises e melhore a qualidade de vida do paciente.PAlAvRAS-cHAvE: enxaqueca, fatores desencadeantes. Migraine is a chronic debilitating neurological condition with several trigger factors. It usually begins in childhood or adolescence and can remain with the patient for the whole life. It is more common in women than men, its prevalence is 12% of the general population, affecting 18% to 20% of women, occurring mainly during their productive and reproductive phases (20 to 50 years old). Therefore, migraine has a significant socioeconomic impact and in patients quality of life 1 . Migraine is a complex disorder with several pathopsysiological mechanisms involved, such as hypothalamic dysfunction shown by a chronobiologic dysregulation, and a possible hyperdopaminergic state 2 . A variety of external and internal factors have been demonstrated to precipitate migraine attacks.Trigger factors are important in migraine management since their avoidance may result in a better control of the disorder. Several studies are consistent with stress, lack of sleep, and fasting being the most common trigger factors 3,4 , but some o...

show abstract

Section: Fatores Desencadeantes De Enxaquecamentioning

confidence: 80%

Trigger factors in migraine patients

Fukui

Gonçalves

Strabelli

et al. 2008

Arq. Neuro-Psiquiatr.

128

161

View full text Add to dashboard Cite

show abstract

“…Most studies support the relationship between migraine and alcohol consumption, which is considered a major trigger factor of migraine attacks 1,2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21 . However this relationship is complex and depends on many factors.…”

Section: Discussionmentioning

confidence: 99%

Migraine and tension-type headache triggers in a Greek population

Constantinides

Anagnostou

Bougea

et al. 2015

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Migraine is a primary headache that is usually severe, unilateral and throbbing in nature. It is often accompanied by photo -or phonophobia, nausea and vomiting and it worsens with physical activity 1 . A number of external and internal factors are considered triggers for migraine. Amongst them, the most common are stress, dietary factors, environmental factors, hormonal factors and sleep disorders.Tension type headache on the other hand is the most common primary headache, and is characterized by bilateral location, pressing/tightening quality and of generally milder intensity compared to migraine. The accompanying symptoms of migraine (nausea, vomiting, photo-and phonophobia) are only rarely encountered in tension-type headache 1 .The importance of these triggers (particularly stress and dietary factors) varies significantly among studies, presumably because of the different lifestyles and cultures of cohorts 2,3,4,5 . The purpose of this article is to review the literature regarding trigger factors of headache and to present data about the prevalence of these trigger factors in a Greek cohort of migraineurs and patients with tension-type headache (TTH) in a Headache Clinic of a Tertiary Hospital in Athens. Method All patients examined at the Headache Clinic of Eginition AbstrActMigraine and tension type headache are the two most common primary headaches. The purpose of this study was to detect differences in clinical characteristics and headache triggers and in a Greek cohort of 51 migraineurs and 12 patients with tension-type headache. (TTH) Migraine patients had a significantly lower age at headache onset and frequency, higher mean visual analogue scale (VAS) and greater maximum duration of headache episodes compared to TTH patients. They did not differ from (TTH) patients in quality of headache, laterality of pain, way of headache installation and progression and temporal pattern of headaches. Nausea, vomiting and phonophobia were more frequent in migraine. Triggering of headaches by dietary factors was associated with migraine, whereas there was no difference between the two groups in any of the other headache triggers. Stress, both physical and psychological, were particularly common in both patient groups.Keywords: migraine, tension type headache, precipitating factors.resuMo Enxaqueca e cefaleia tipo tensional são as duas cefaleias primárias mais frequentes. O propósito deste estudo foi avaliar as diferenças e características dos fatores desencadeantes destas cefaleias numa coorte grega de 51 pacientes com enxaqueca e 12 com cefaleia tipo tensional. Pacientes com enxaqueca tinham uma idade significativamente menor por ocasião do início da cefaleia e maior frequência, maiores valores de (VAS) e maior duração dos episódios em comparação com os pacientes com (CTT). Não houve diferença entre os pacientes com enxaqueca e (CTT) com relação à qualidade e lateralidade da dor, na forma de instalação e progressão, e no padrão temporal das cefaleias. Náuseas, vômitos e fonofobia foram mais frequentes em enxaqu...

show abstract

“…In some studies, these factors have been identified as precipitating factors for migraine due to estrogen effect. 19,26 In our study, the sleep quality of probable migraineurs was found significantly lower than the healthy participants. Incidence of sleep disorders was determined higher in migraine patients than general population in the study which conducted by Peres et al 28 Sleep disorders may be a symptom which associated with migraine.…”

Section: Discussionmentioning

confidence: 43%

“…Karli et al have been reported that smoking is the one of the most prominent precipitating factors of migraine type headaches. 26 It was known that carbon monoxide intoxication had been associated with headache. Also inhalation of tobacco smoke, which contains up to 5% carbon monoxide, raised the plasma carboxyhemoglobin level.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of probable migraine and sleep quality among women aged 20-49 living in a semi-rural area in western Turkey

et al. 2015

View full text Add to dashboard Cite

INTRODUCTIONMigraine is a chronic, progressive and debilitating disorder that has important effects on people's lives. 1 Migraine is responsible for 1.3% of years with disability in the world. Also all headaches are responsible for twice of this load. Migraine is one of the most common neurological disorders, with a one-year prevalence of approximately 18% in women and 6% in men and typically the highest prevalence occurs between the ages of 25 and 55 years in women.2,3 Attacks of migraine may be precipitated by a number of conditions such as hormonal changes, stress, fatigue and variations in sleep rhythm. 4 Despite all these conditions, the particular mechanisms of migraine precipitation are still unknown. 5Previous studies have found that migraine occurs with other illnesses at a greater coincidental rate than is seen in the general population.6 Migraine patients report sleep disturbances, most notably, increased trouble falling asleep which affects 50% of them. Other complaints include: waking up during night, fear or anxiety when falling asleep, falling asleep sweating, lacking of refreshing sleep, feeling tired upon awakening, snoring and restless movements while asleep.7 Impairment of the patients' quality of sleep and quality of life can be caused not only by the migraine attacks but also by additional problems such as sleep disorders, excessive fatigue and daytime sleepiness. Relationship between sleep quality and migraine has been known for more than a century, yet the exact pathophysiological mechanism of this ABSTRACT Background: We aimed to evaluate the prevalence of probable migraine, to examine the factors associated with probable migraine and to assess the level of sleep quality among women aged 20-45 who were living in the county town named Mahmudiye, in Eskisehir, in Turkey. Methods: The study was carried out in all women aged 20-45 years in Mahmudiye. 69.2% of women (n=570) comprised the study group. Questionnaire consisted of three parts: The first part included several socio-demographic, nutritional and health characteristics. The second part included questions about the headache type and third part included Pittsburgh Sleep Quality Index (PSQI). Migraine type headache was scanned via the International Headache Society (IHS) criteria for migraine. There were eight criteria which were defined by IHS. Individuals who possessed the six of the eight criteria were defined as "probable migraine". Results:The mean age of the participants was 32.8±7.3 years. Prevalence of probable migraine was 13.3% (n=60) and it was significantly higher in women who have been smoking and who had a physician diagnosed chronic diseases. Of the women, 45.1% had poor sleep quality based on the PSQI. The sleep quality of probable migraineurs was found significantly lower than healthy women. Conclusions: To control the probable migraine symptoms and attacks, we suggest to giving regular treatment to women with chronic diseases and reducing the smoking.

show abstract

Comparison of Pre-Headache Phases and Trigger Factors of Migraine and Episodic Tension-Type Headache: Do they Share Similar Clinical Pathophysiology?

Cited by 81 publications

References 23 publications

Trigger factors in migraine patients

Trigger factors in migraine patients

Migraine and tension-type headache triggers in a Greek population

The prevalence of probable migraine and sleep quality among women aged 20-49 living in a semi-rural area in western Turkey

Contact Info

Product

Resources

About