The influence of weather on migraine – are migraine attacks predictable?

Hoffmann, J.; Schirra, Tonio; Lo, Hendra; Neeb, Lars; Reuter, Uwe; Martus, Peter

doi:10.1002/acn3.139

Cited by 29 publications

(32 citation statements)

References 24 publications

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Section: Discussionmentioning

confidence: 99%

“…Migraineurs are more sensitive to various environmental stimuli than individuals without migraine. However, only in some migraineurs a significant weather sensitivity could be observed (15). Recently, Scheidt et al (30) reported that both increases and decreases in temperature led to an increase of migraine attack reports.…”

Section: E F F E C T S O F W E a T H E R O N T M D P A I N A N D M I mentioning

confidence: 99%

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Effect of weather on temporal pain patterns in patients with temporomandibular disorders and migraine

Cioffi

Farella

Chiodini

et al. 2017

J of Oral Rehabilitation

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Patients with masticatory muscle pain and migraine typically report that the intensity of pain fluctuates over time and is affected by weather changes. Weather variables, such as ambient temperature and humidity, may vary significantly depending on whether the individual is outdoor or indoor. It is, therefore, important to assess these variables at the individual level using portable monitors, during everyday life. This study aimed to determine and compare the temporal patterns of pain in individuals affected with facial and head pain and to investigate its relation with weather changes. Eleven patients (27·3 ± 7·4 years) with chronic masticatory muscle pain (MP) and twenty (33·1 ± 8·7 years) with migraine headache (MH) were asked to report their current pain level on a visual analogue scale (VAS) every hour over fourteen consecutive days. The VAS scores were collected using portable data-loggers, which were also used to record temperature, atmospheric pressure and relative humidity. VAS scores varied markedly over time in both groups. Pain VAS scores fluctuate less in the MP group than in the MH group, but their mean, minimum and maximum values were higher than those of migraine patients (all P < 0·05). Pain scores <2 cm were more common in the MH than in the MP group (P < 0·001). Perceived intensity of pain was negatively associated with atmospheric pressure in the MP group and positively associated with temperature and atmospheric in the MH group. Our results reveal that patients with masticatory muscle pain and patients with migraine present typical temporal pain patterns that are influenced in a different way by weather changes.

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Section: Discussionmentioning

confidence: 99%

Section: E F F E C T S O F W E a T H E R O N T M D P A I N A N D M I mentioning

confidence: 99%

Effect of weather on temporal pain patterns in patients with temporomandibular disorders and migraine

Cioffi

Farella

Chiodini

et al. 2017

J of Oral Rehabilitation

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“…11 One cannot exclude the possibility of an attributional bias underlying the positive association of several characteristics. The uncertain generalizability of findings to primary care settings is one such limitation.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9] Former studies have shown a variable prevalence of seasonal variation of headache in migraineurs, depending on the study design and geographical location. 4,11 However, inter-subject differences contributing to seasonal sensitivity of migraineurs are not well evaluated. 4,11 However, inter-subject differences contributing to seasonal sensitivity of migraineurs are not well evaluated.…”

Section: Introductionmentioning

confidence: 99%

Seasonal Variation, Cranial Autonomic Symptoms, and Functional Disability in Migraine: A Questionnaire‐Based Study in Tertiary Care

et al. 2015

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“…It was found that patients were least likely to present on Sunday, with a peak in presentations on Thursday. Similarly, Hoffman et al [34] found a peak of migraine events mid-week, with the least number of events being on Sunday. Stress is the most commonly reported trigger factor for migraine.…”

Section: Triggers Affecting Arrival Time and Increased Arrivalsmentioning

confidence: 99%

The presenting and prescribing patterns of migraine in an Australian emergency department: A descriptive exploratory study

Shao

Hughes

Eley

2017

World Journal of Emergency Medicine

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BACKGROUND:Migraine is a common neurological condition that frequently presents to the emergency department (ED). Many medications are available to treat migraine. This study aims to characterize the demographics of patients who present to a large metropolitan ED with migraine, and to identify the medications used in treating this condition. METHODS:This study is a retrospective database interrogation of clinical records, used to collect quantitative data on patient demographics and medication prescriptions in the ED.RESULTS: A total of 2 228 patients were identified as being treated for migraine over a 10-year period. The proportion of the ED population presenting with migraine steadily increased in this time. Females (71%) more commonly presented to the ED with migraine than males. The migraine population was signifi cantly younger (M=37.05, SD=13.23) than the whole ED population (M=46.17 SD=20.50) (P<0.001). A variety of medications were used in the treatment of migraine in the ED. Simple analgesics such as paracetamol and ibuprofen, anti-emetics and intravenous (IV) fluids with phenothiazine additives were commonly used. Over 20% of patients were prescribed oral or parenteral opiates (42 of 194 initial medication prescriptions, and 64 of 292 as required medication prescriptions). Triptans were very rarely used. CONCLUSION:Migraine is an increasingly common presentation to the ED. People presenting to the ED with migraine are more likely to be younger and female than the general ED population. Peak presentations for migraines occurred in January and February. The medications that are prescribed in the ED for migraine is varied and are not always in line with current evidence for the treatment of migraine. The excessive reliance on opiates and lack of the use of triptans denotes a signifi cant variation from published guidelines.

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The influence of weather on migraine – are migraine attacks predictable?

Cited by 29 publications

References 24 publications

Effect of weather on temporal pain patterns in patients with temporomandibular disorders and migraine

Effect of weather on temporal pain patterns in patients with temporomandibular disorders and migraine

Seasonal Variation, Cranial Autonomic Symptoms, and Functional Disability in Migraine: A Questionnaire‐Based Study in Tertiary Care

The presenting and prescribing patterns of migraine in an Australian emergency department: A descriptive exploratory study

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