Abdominal migraine

Angus‐Leppan, Heather; Sutcliffe, Alastair; Guiloff, R J

doi:10.1136/bmj.k179

Cited by 23 publications

(27 citation statements)

References 67 publications

(136 reference statements)

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“…Studies have shown that migraine may lead to an alteration of pain processing pathways – the cortical dysexcitability may influence perception of pain (30). For example, general body pain, cutaneous allodynia and abdominal pain are symptoms that have been shown to be associated with migraine attacks (31,32). Our data suggest the perioperative period to be a potentially under-recognized period in which optimized migraine treatment strategies may improve patient well-being, and reduce the economic impact of migraine in the context of hospital readmissions.…”

Section: Discussionmentioning

confidence: 99%

Migraine treatment and the risk of postoperative, pain-related hospital readmissions in migraine patients

et al. 2020

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Background Migraine treatment may mitigate migraine and associated pain in the perioperative period. Objective The aim of the study was to estimate the effect of perioperative acute and prophylactic migraine treatment on the risk of postoperative 30-day hospital readmission with an admitting diagnosis specifying any pain complaints among migraine patients. Design Electronic health records were analysed for 21,932 adult migraine patients undergoing surgery between 2005 and 2017 at Beth Israel Deaconess Medical Center and Massachusetts General Hospital in Boston, Massachusetts, USA. Methods Perioperative abortive migraine treatment was defined as guideline-recommended medication (triptan, ergotamine, acetaminophen, nonsteroidal anti-inflammatory drug) prescription after surgery, within 30 days after discharge and prior readmission. Perioperatively continued prophylactic migraine treatment was defined as prescription both prior to surgery and perioperatively for recommended medications (beta-blockers, antidepressants, antiepileptics, onabotulinumtoxin A). Results Overall, 10,921 (49.8%) patients received a prescription for abortive migraine drugs. Of these, 1.2% and 1.5% of patients with and without such prescription were readmitted for pain, respectively. Patients with abortive treatment had lower odds of pain-related readmission (adjusted odds ratio 0.63 [95% confidence interval 0.49–0.81]). Prophylactic migraine treatment showed no effect on pain-related readmission independently of acute treatment (adjusted odds ratio 0.97 [95% confidence interval 0.72–1.32]). Conclusions Migraine patients undergoing surgery with a perioperative prescription for abortive migraine drugs were at decreased risk of pain-related hospital readmission.

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Section: Discussionmentioning

confidence: 99%

Migraine treatment and the risk of postoperative, pain-related hospital readmissions in migraine patients

et al. 2020

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“…A pragmatic clinical definition of AM in children is given by Angus-Leppan et al 33 in 2018, adapted from definitions of Symon and Russel, 31 ICHD-3 beta, 8 and Rome IV 32 : (1) episodic central abdominal pain, usually lasting > 1 hour, (2) episodes interfere with normal activity, (3) episodes occur with one or more of pallor, anorexia, nausea, vomiting, photophobia, headache, or are associated with other episodic syndromes (particularly CVS well between episodes), and (4) normal physical and developmental examination.…”

Section: Abdominal Migrainementioning

confidence: 99%

“…However, to date, only 1 randomized control trial has been published within the field of pediatrics: pizotifen (a serotonin agonist) reduces the duration and the severity of AM when used as a preventive treatment 44 Retrospective data on propranolol (a b blocker), cyproheptadine (an antihistamine), and flunarizine (a calcium channel blocker) as preventive therapies also seem to show a reduction in the frequency and severity of AM episodes. 33 Lifestyle modifications are also recommended to prevent migraine crises.…”

Section: Abdominal Migrainementioning

confidence: 99%

Brain to Belly: Abdominal Variants of Migraine and Functional Abdominal Pain Disorders Associated With Migraine

Lenglart

Caula

Moulding

et al. 2021

J Neurogastroenterol Motil

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Migraine is one of the most frequent causes of primary headache and 9% of children suffer from migraines. Most children will continue to experience migraine attacks as adults, therefore it is imperative that we have a thorough understanding of this major health issue. This article considers the so-called abdominal variants of migraine, which are more commonly seen in children rather than adults: abdominal migraine, cyclic vomiting syndrome, and infantile colic. Other functional abdominal pain disorders such as irritable bowel syndrome and functional dyspepsia have also been linked to migraine in clinical studies. The common pathophysiological root of these diseases seems to be the gut-brain axis mechanism. Abdominal variants of migraine are considered pediatric precursors of migraine whereas the functional abdominal pain disorders related to migraine seem to share a pathophysiological root with no temporarily link as for today. In this review we aim to describe the epidemiological background, the current pathophysiological theories and the relationship of each disease to migraine. This review is the first to compile abdominal variants of migraine and functional abdominal pain disorders associated with migraine and we endeavor to elucidate the broad spectrum of migraine-related episodes in children.

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“…Fever, sleep disturbance and dehydration with acute COVID-19 may trigger a migraine episode [ 14 , 15 ]. There is little to differentiate worsening of pre-existing migraine from headaches described with COVID-19 reported in 13% of a hospitalized Wuhan cohort [ 16 ] or later studies [ 17 , 18 ].…”

Section: The Effects Of Covid-19 On Migrainementioning

confidence: 99%

“…Headaches with COVID-19 in migraineurs were different from their usual headache in 92% of 25 studied, usually holocranial and pressing [ 23 ]. Phenotypic variations in migraine and other primary headaches are well described clinically including in individual patients [ 15 , 24 ], and genetically [ 25 ].…”

Section: The Effects Of Covid-19 On Migrainementioning

confidence: 99%

Navigating migraine care through the COVID-19 pandemic: an update

Angus‐Leppan

Guiloff

Benson³

et al. 2021

J Neurol

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The worldwide treatment gap for migraine before COVID-19 inevitably widens as attention focuses on an international emergency. Migraine hits people particularly in their early and middle years, potentially reduces quality of life and productivity, and remains a common emergency presentation. This article examines the impact of COVID-19 on migraine, and changing aspects of migraine care during and after the pandemic. Many risk factors for severe COVID-19-older age, male gender, cardiac and respiratory diseases, diabetes, obesity, and immunosuppression-are less frequent in migraineurs. Telemedicine is effective for migraine follow-up, and needs ongoing evaluation. Most migraine treatments can start or continue in acute COVID-19, with care to avoid drug interactions. Close contact procedures (botulinum toxin, acupuncture and steroid injections) are avoided in lockdown or in the vulnerable. Secondary effects of COVID-19, including long COVID and its economic impact, are probably equal or greater in people with migraine. Migraine and other long-term conditions need adequate resourcing to prevent personal, social and economic suffering. Treating migraine, a sequel of COVID, potentially reduces the impact of long COVID.

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Abdominal migraine

Cited by 23 publications

References 67 publications

Migraine treatment and the risk of postoperative, pain-related hospital readmissions in migraine patients

Migraine treatment and the risk of postoperative, pain-related hospital readmissions in migraine patients

Brain to Belly: Abdominal Variants of Migraine and Functional Abdominal Pain Disorders Associated With Migraine

Navigating migraine care through the COVID-19 pandemic: an update

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