Migraine Without Aura and Reproductive Life Events: A Clinical Epidemiological Study in 1300 Women

Granella, Franco; Sances, Grazia; Zanferrari, Carla; Costa, Alfredo; Martignoni, D Emilia; Manzoni, Gian Camillo

doi:10.1111/j.1526-4610.1993.hed3307385.x

Cited by 255 publications

(230 citation statements)

References 8 publications

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“…The above cited definitions for menstrual migraines were applied in this study. Classic population studies 5 demonstrate that menstru ation triggers off migraine in only 24% and tensional headaches in 39%, results very close to those obtained by this present study.…”

Section: Discussionsupporting

confidence: 81%

“…Majority of the epidemiological studies 1 -4 , 6 , 7 , 1 0 demonstrate that pregnant women with headaches prior to pregnancy re p o rt an impro v e m e n t in 55 to 90% of the cases, while in a smaller contingent of pregnant women, there is an onset of headaches during pregnancy 5 .…”

Section: Discussionmentioning

confidence: 99%

“…The menstru a l l y -related migraine shows the greatest improvement during pre g n a n c y, especially the strictly menstrual migraine [4][5][6][7][8][9] .…”

Section: R E S U M O -mentioning

confidence: 99%

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Headaches during pregnancy in women with a prior history of menstrual headaches

Melhado

Maciel

Guerreiro

2005

Arq. Neuro-Psiquiatr.

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-Objective: To evaluate the presence of menstrual headaches prior to pregnancy according to the International Headache Society (IHS) classification criteria, 2004, and also study the outcome (fre q u e ncy and intensity) of these pre-existing headaches during the gestational trimesters. Method: This study involved 1,101 pregnant women (12 to 45 years old). A semi-stru c t u red questionnaire was used to interview the women during the first, second and third gestational trimesters as well as after delivery. All the i n t e rviews were conducted by one of the re s e a rchers by applying the IHS Classification (IHSC-2004). R e s u l t s A 1,029 women out of the 1,101 women interviewed presented headaches prior to gestation, which made it possible to study headaches in 993 women during the gestational trimesters. Menstrually related headaches w e re presented by 360 of the 993 women. Migraine was re p o rted by 332/360 women (92.22%) with mens t rual headaches and 516/633 women (81.51%) without menstrual headaches, re s p e c t i v e l y, prior to gestation. The majority of the women with menstrual migraine presented a headache improvement or disappearance during gestation (62.22% during the first trimester; 74.17% during the second trimester; 77.78% during the third trimester). Conclusion: Most of the pregnant women with menstrual or non-menstrual headaches prior to gestation presented migraine, which either improved or disappeared during pre g n a ncy. Women who suffered from non-menstrual headaches improved during pregnancy but not as much as women with menstrual headaches.KEY WORDS: headache, pregnancy, menstrual, migraine. Apresentaram cefaléia re l a c i o n ada à menstruação 360/993 mulheres. Encontramos migrânea em, 332/360 (92,22%) mulheres com cefaléia menstrual e em 516/633 (81,51%) mulheres com cefaléia não menstrual antes da gestação. A maioria das m u l h e res com migrânea menstrual apresentou melhora da cefaléia durante a gestação (62,22% no primeiro t r i m e s t re; 74,17% no segundo trimestre; 77.78% no terc e i ro trimestre ) . Conclusão: A maioria das mulheres grávidas, com cefaléia tanto menstrual quanto não menstrual, antes da gestação, apresentou migrânea, sendo que a mesma melhora ou desaparece durante a gestação. Mulheres com cefaléia não menstru a l antes da gestação melhoram em proporção menor do que aquelas com cefaléia menstrual. Cefaléia durante a gestação em mulheres com história de cefaléia menstrual R E S U M O -

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Headaches during pregnancy in women with a prior history of menstrual headaches

Melhado

Maciel

Guerreiro

2005

Arq. Neuro-Psiquiatr.

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“…On the contrary, in a smaller contingent of pregnant women, there is an onset of headaches during pregnancy [7]; in our study, we found this phenomenon in 155/755 (21 %) of the women. However, some of these cases may have been caused by secondary headaches, in particular those linked to hypertensive disorders [5,8].…”

Section: Discussioncontrasting

confidence: 71%

Migraine and pregnancy: an internet survey

et al. 2013

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Data in the literature show that migraine tends to improve during pregnancy in most migrainous women. The aim of this Internet survey was to obtain the most likely cross section of the situation in the general population with respect to the presence and course of migraine in pregnancy. All women who participated were asked to answer questions pertaining to their history of pregnancy and headache. One thousand and eighteen women participated in the survey; only 775 met the eligibility criteria for inclusion. One hundred and ninety-five women (25.2 %) reported having had a headache only before pregnancy, 425 (54.8 %) before and during pregnancy, and 155 (20.0 %) only during pregnancy. Women suffering from headache before and/or during pregnancy were much more likely to have headaches with more migrainous features at the ID Migraine Screener test when compared to women whose headache began during pregnancy. ''Definite migraines'' were 277/620 (44.7 %) and 26/155 (16.8 %), respectively, in the two groups (p \ 0.0001). Among the 620 females that suffered from headache before pregnancy, 375 (60.5 %) improved, 195 (31.5 %) showed complete resolution of the disorder, and 180 (29.0 %) had a reduction in headache frequency. Moreover, the multinomial logistic model (with headache pattern as dependent variable) proved fetal presentation as significant (p = 0.0042). Women with ''new headache'' (No/Yes pattern) had an OR (95 % CI) of 1.9 (1.2-3.0) of breech presentation at delivery versus those with a stable pattern of headache (Yes/Yes). Finally, women with not recent pregnancy stated they suffered from headache less than the women with recent pregnancy.

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“…6 Perimenstrual migraines are problematic as they last significantly longer, are more disabling, and are more difficult to treat pharmacologically than nonmenstrual migraines. 3,7,8 The definition of a menstrual period is two or more consecutive days of bleeding. 1 The IHS classifies menstrual migraine attacks as those that occur anytime from 2 days before onset to the last day of menses; the peak time for migraine attacks is between 2 days pre-menses and the first 2 days of the cycle.…”

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confidence: 99%

An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

Horwitz

Stewart

2015

Physiotherapy Canada

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Purpose: To determine whether an association between cervical dysfunction and perimenstrual migraines exists. Methods: Forty perimenstrual migraine sufferers and 46 controls were compared. Information on the participants' ages and perceptions of neck pain and stiffness were solicited. The blinded physical examination of the cervical area consisted of postural, range of motion, muscle strength, muscle length, trigger point, neural mobility, and segmental cervical joint movement assessment. Results: The migraine group had increased perception of neck pain and stiffness (p < 0.001); reduced bilateral rotation (p ¼ 0.013); decreased muscle length in both trapezii, left sternocleidomastoid, and right occipitals (p ¼ 0.045); more pain on muscle stretch in both levator scapulae, both trapezii, left sternocleidomastoid, and both occipitals (p ¼ 0.013); increased trigger points bilaterally in the left trapezius (p ¼ 0.021), right trapezius (p ¼ 0.023), left sternocleidomastoid (p ¼ 0.0.004), and right sternocleidomastoid (p ¼ 0.021); reduced neural mobility with bilateral elbow lag (p ¼ 0.043); greater C4-C6 pain (p ¼ 0.045); and increased cervical stiffness in C5-C7 (p ¼ 0.023). There were no differences in posture and muscle strength. Decreased muscle length increased the risk of perimenstrual migraines 2.4-6.7 fold, reduced neural mobility 5.8-10.7 fold, and increased C7 stiffness 17.0 fold. Conclusion: The results suggest that an association between cervical dysfunction and perimenstrual headaches should be further explored.Key Words: cervical pain; headache; menstruation; migraine disorders. RÉ SUMÉObjectif : Cette é tude visait à dé terminer s'il y a un lien entre la dysfonction cervicale et les migraines pé rimenstruelles. Mé thodes : On a comparé 40 femmes souffrant de migraines pé rimenstruelles à 46 té moins. On a ré uni de l'information sur l'â ge des participantes et les perceptions de la douleur et de la raideur dans le cou. L'examen mé dical à l'insu de la ré gion cervicale a consisté à é valuer la posture, l'amplitude du mouvement, la force musculaire, la longueur des muscles, le point de dé clenchement, la mobilité neurale et le mouvement de l'articulation cervicale segmentaire. Ré sultats : Les patientes souffrant de migraines avaient une perception accrue de la douleur et de la raideur dans le cou (p < 0,001), une rotation bilaté rale ré duite (p ¼ 0,013); elles pré sentaient une diminution de la longueur musculaire au niveau des deux trapè zes, du sternoclé idomastoïdien gauche et des occipitaux droits (p ¼ 0,045); ressentaient plus de douleur à l'é tirement musculaire au niveau des deux muscles é lé vateurs de la scapula, des deux trapè zes, du sternoclé idomastoïdien gauche et des deux occipitaux (p ¼ 0,013); une é lé vation des points de dé clenchement des deux cô té s dans le trapè ze gauche (p ¼ 0,021), le trapè ze droit (p ¼ 0,023), le sternoclé idomastoïdien gauche (p ¼ 0,0004) et le sternoclé idomastoïdien droit (p ¼ 0,021); une ré duction de la mobilité neurale avec latence du coude de...

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Migraine Without Aura and Reproductive Life Events: A Clinical Epidemiological Study in 1300 Women

Cited by 255 publications

References 8 publications

Headaches during pregnancy in women with a prior history of menstrual headaches

Headaches during pregnancy in women with a prior history of menstrual headaches

Migraine and pregnancy: an internet survey

An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

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