Premonitory symptoms in migraine

Giffin, Nicola; Ruggiero, Lucia; Lipton, Richard B.; Silberstein, Stephen D; Tvedskov, Jesper Filtenborg; Olesen, Jes; Altman, Julie S.; Goadsby, Peter J.; Macrae, Alastair

doi:10.1212/01.wnl.0000052998.58526.a9

Cited by 570 publications

(586 citation statements)

References 25 publications

(21 reference statements)

Supporting

Mentioning

538

Contrasting

Unclassified

Order By: Relevance

“…It is under debate, however, whether stress is more important in migraine or in TTH [4,8,15]. Sleep disturbances and fatigue are also related to headache, but they are more likely consequences than precipitants of a headache attack [4,16,17].…”

Section: Introductionmentioning

confidence: 99%

Trigger factors of migraine and tension-type headache: experience and knowledge of the patients

et al. 2006

View full text Add to dashboard Cite

The objective was to examine potential trigger factors of migraine and tension-type headache (TTH) in clinic patients and in subjects from the population and to compare the patients' personal experience with their theoretical knowledge. A cross-sectional study was carried out in a headache centre. There were 120 subjects comprising 66 patients with migraine and 22 with TTH from a headache outpatient clinic and 32 persons with headache (migraine or TTH) from the population. A semistructured interview covering biographic data, lifestyle, medical history, headache characteristics and 25 potential trigger factors differentiating between the patients' personal experience and their theoretical knowledge was used. The most common trigger factors experienced by the patients were weather (82.5%), stress (66.7%), menstruation (51.4%) and relaxation after stress (50%). The vast majority of triggers occurred occasionally and not consistently. The patients experienced 8.9±4.3 trigger factors (range 0-20) and they knew 13.2±6.0 (range 1-27). The number of experienced triggers was smallest in the population group (p=0.002), whereas the number of triggers known did not differ in the three study groups. Comparing theoretical knowledge with personal experience showed the largest differences for oral contraceptives (65.0 vs. 14.7%, p<0.001), chocolate (61.7 vs. 14.3%, p>0.001) and cheese (52.5 vs. 8.4%, p<0.001). In conclusion, almost all trigger factors are experienced occasionally and not consistently by the majority of patients. Subjects from the population experience trigger factors less often than clinic patients. The difference between theoretical knowledge and personal experience is largest for oral contraceptives, chocolate and cheese.

show abstract

Section: Introductionmentioning

confidence: 99%

Trigger factors of migraine and tension-type headache: experience and knowledge of the patients

et al. 2006

View full text Add to dashboard Cite

show abstract

“…Typically, VAS employ the 'pen and paper' (P&P) method where 100 mm lines represent the continuum of the subjective feeling to be rated. Recently, the increasing cost-effectiveness and improved reliability of hand-held computers has encouraged the development of portable electronic VAS systems (Delargy et al, 1996;Jamison et al, 2002;Giffin et al, 2003). We have recently developed our Apple Newton(R)-based system (Stratton et al, 1998) to make use of contemporary Palm(R)-based handheld computers.…”

mentioning

confidence: 99%

The evaluation of an electronic visual analogue scale system for appetite and mood

Whybrow¹,

Stephen²,

Stubbs³

2005

Eur J Clin Nutr

View full text Add to dashboard Cite

Our objective was to evaluate a new electronic visual analogue scale (VAS) system for logging subjective motivation to eat ratings. In total, 10 men and 10 women completed both electronic and traditional pen and paper versions of the questionnaire every hour of the waking day. Subjects consumed a standard medium-fat diet, which was fixed at 1.6 Á BMR. Correlation coefficients for scores obtained by both methods were significant for all questions, with R 2 values ranging from 67 to 87%. However, Bland and Altman plots and paired t-tests identified significant bias between the two methods for five of the nine individual questions. These were questions that tended to be scored more towards the ends of the VAS. The new electronic VAS produces comparable, but not interchangeable, results to the traditional pen and paper method in the study of appetite and mood, while offering advantages of improved reliability in data collection. ( Keywords: visual analogue scales; palmtop computers; electronic data; appetite Visual analogue scales (VAS) have been used in the clinical setting to assess subjective sensations such as pain (Jamison et al., 2001) and quality of life (Nishiyama et al., 2000), and are used extensively to track subjective feelings of motivation to eat (Stubbs et al., 2000). This technique has provided additional insights into the effects of dietary (Stubbs et al., 1996) and exercise (King et al., 1997) interventions, that are not always apparent from direct measures of food intake . Typically, VAS employ the 'pen and paper' (P&P) method where 100 mm lines represent the continuum of the subjective feeling to be rated. Recently, the increasing cost-effectiveness and improved reliability of hand-held computers has encouraged the development of portable electronic VAS systems (Delargy et al., 1996;Jamison et al., 2002;Giffin et al., 2003). We have recently developed our Apple Newton(R)-based system (Stratton et al., 1998) to make use of contemporary Palm(R)-based handheld computers. As the two computer systems differ, for example in screen size and therefore VAS line length, this study was conducted to validate the new electronic appetite rating system (EARS) against the traditional P&P method in free-living subjects. European Journal of Clinical NutritionIn total, 10 male and 10 female subjects (mean (s.d.) age 37(13) and 32(9) years, BMI 25(4) and 20(7) kg Á m À2 , respectively) were each studied on two occasions, separated by 7-days, and each lasting 24-h. Basal metabolic rate (BMR) was measured by indirect calorimetry (Deltatrac II MBM -200, Datex-Ohmeda, Helsinki, Finland) before the study. On each measurement day, subjects were provided with a fixed maintenance diet (40:47:13% energy from fat, CHO and protein, respectively) calculated at 1.6 Á BMR. This comprised of three preprepared, isoenergetic, meals.Subjects completed P&P and EARS questionnaires immediately one after the other to log subjective motivation to eat and mood each hour, during waking hours. On one test day subjects completed the EARS then...

show abstract

“…The headaches are aggravated with physical exertion and are associated with nausea, vomiting and/or sensitivity to light, sound or smell [19]. A third of patients may experience focal neurological symptoms (aura) and many have prodromal symptoms of neck stiffness, yawning, irritability, depression, irritability with sensitivity to light, sound and smell [20]. Recurrent attacks varying in frequency from once a year to almost every day with a median frequency of 1-2 per month has been described [21].…”

Section: Migrainementioning

confidence: 99%

Acupuncture in Primary Headache Disorders; Review of the Evidence

Zaidi¹,

Ahme²

2016

J Neurol Disord

View full text Add to dashboard Cite

Primary headache disorders affect large number of people worldwide. Migraine and tension type headaches constitute 95% of all headaches. Both tension type headaches and migraine impose huge socioeconomic impact on society. The role of non-pharmacological interventions in management of primary headaches is not entirely clear. Acupuncture is one of the most historical non pharmacological ways of treating migraine and tension type headaches. The evidence in support of its effectiveness however is conflicting. This review evaluates the available evidence regarding effectiveness of acupuncture for migraine and tension type headaches.

show abstract

Premonitory symptoms in migraine

Abstract: Using an electronic diary system, the authors show that migraineurs who report premonitory symptoms can accurately predict the full-blown headache.

Cited by 570 publications

References 25 publications

Trigger factors of migraine and tension-type headache: experience and knowledge of the patients

Trigger factors of migraine and tension-type headache: experience and knowledge of the patients

The evaluation of an electronic visual analogue scale system for appetite and mood

Acupuncture in Primary Headache Disorders; Review of the Evidence

Contact Info

Product

Resources

About