Expert Opinion: What Causes Migraine: Which Physician Explanation Do Patients Prefer and Understand?

Evans, Randolph W.; Evans, Rochelle E.

doi:10.1111/j.1526-4610.2009.01562.x

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…This is difficult when diagnosis is based on symptoms and without an independent diagnostic standard. This problem applies to migraine in general, although the condition is well known [Evans and Evans, 2009], and even more so to vestibular migraine. As most vestibular episodes are temporarily independent of headache it often seems illogical for patients to link them with migraine.…”

Section: Introductionmentioning

confidence: 99%

Management of vestibular migraine

Bisdorff

2011

Ther Adv Neurol Disord

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Vestibular migraine is considered to be the second most common cause of vertigo and the most common cause of spontaneous episodic vertigo. The duration of attacks varies from seconds to days, usually lasting minutes to hours, and they mostly occur independently of headaches. Long-lasting individual attacks are treated with generic antivertiginous and antiemetic drugs. Specific antimigraine drugs are unlikely to be very effective for rescue. The mainstay of the management of vestibular migraine is prophylactic medication. To date, there are no controlled trials available; the body of knowledge builds on case series and retrospective or observational studies. Most drugs are also used for the prevention of migraine headaches. The choice of medication should be guided by its side effect profile and the comorbidities of patients. Betablockers such as propanolol or metoprolol are preferred in patients with hypertension but in the absence of asthma. Anticonvulsants include topiramate when patients are obese, valproic acid and lamotrigine. Lamotrigine is preferred if vertigo is more frequent than headaches. Calcium antagonists include verapamil and flunarizine. If patients have anxiety, tricyclic antidepressants such as amitryptiline or nortryptiline or SSRIs and benzodiazepines such as clonazepam are recommended. Acetazolamide is effective in rare genetic disorders related to migraine-like episodic ataxia; however, its place in vestibular migraine is still to be established. Nonpharmacological measures such as diet, sleep, hygiene and avoidance of triggers are recommended as they are for migraine. Vestibular rehabilitation might be useful when there are complications such as loss of confidence in balance or visual dependence.

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Section: Introductionmentioning

confidence: 99%

Management of vestibular migraine

Bisdorff

2011

Ther Adv Neurol Disord

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“…El paciente migrañoso señalaba la experiencia del profesional como el factor de satisfacción más importante, seguido de la amabilidad y de la explicación de la migraña como enfermedad que debe de tratarse. Los dos factores que, en opinión de nuestros pacientes, deberían mejorar son, sin embargo, el tiempo para explicar el tratamiento y la facilidad de acceso [15]. Por tanto, al igual que en otros países europeos [16], parece que cumplimos razonablemente bien en los aspectos que el paciente valora más (experiencia, amabilidad).…”

Section: Discussionunclassified

Satisfacción del paciente con migraña que acude a consultas de neurología: resultados del proyecto CIEN-mig (II)

Pascual

M²,

Jiménez³

et al. 2010

RevNeurol

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“…Another factor is genetics, where people are more predisposed to changes in estrogen levels, weather changes, a disrupted sleep pattern, or red wine. (Evans & Evans 2009) [9] . As of today, there is no known cure for migraine headaches.…”

Section: Introductionmentioning

confidence: 99%

To study the association of serum vitamin D levels with migraine in Indian rural female population: Case-control study

Mann¹,

Singh²,

Maan³

2020

Int. J. Adv. Res. Med.

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To investigate the vitamin D serum levels of migraine patients and compared it with a control group. Materials and Methods:The present case control study entitled was conducted in the Department of General Medicine during the period of I year. The study was performed on 150 female patients (case group n = 100 and matched control group n = 50) attended General Medicine outpatient department. 25-hydroxy vitamin D was analyzed with liquid chromatography-tandem mass spectrometry (LC/MS/MS) method. Results: The Mean Age, Serum vitamin D level and BMI among cases and controls are as follows (34.54±1.37, 33.17±1.19), (13.12±0. 98, 13.41±0.19) and (26.4±1.21, 25.8±1.53). 58% of the cases had migraine frequency per month of more than 10 episodes and 36% of the cases shown that the pain last for 4-12 hours in a day. Conclusion:The prevalence of vitamin D deficiency is roughly similar between cases and controls and between matching age groups. This suggests a high prevalence of vitamin D deficiency in both healthy population and migraine patients which implies a common underlying cause.

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Expert Opinion: What Causes Migraine: Which Physician Explanation Do Patients Prefer and Understand?

Cited by 5 publications

References 8 publications

Management of vestibular migraine

Management of vestibular migraine

Satisfacción del paciente con migraña que acude a consultas de neurología: resultados del proyecto CIEN-mig (II)

To study the association of serum vitamin D levels with migraine in Indian rural female population: Case-control study

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