Circadian variations in the clinical presentation of headaches among migraineurs: A study using a smartphone headache diary

Park, Jeong‐Wook; Cho, Soo-Jin; Park, Sang-Gue; Chu, Min Kyung

doi:10.1080/07420528.2017.1420076

Cited by 17 publications

(35 citation statements)

References 32 publications

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“…Basing on the present population enrolled in our headache centre, the morning onset group included the 10% of patients, less than in previous studies, where the attacks were distributed during the daytime [ 2 – 6 ]. We assigned each patient to a time onset category in an arbitrary way, using the criterion of the 50% of attacks onset, which may be questionable.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study described the circadian rhythm of migraine patients, who used a on-smartphone headache diary. This could be a reliable and handful method to assess migraine features [ 6 ]. In this study, both migraine and not migraine headache occurred preferentially in the early morning, though many acute headache episodes occurred during other hours, including night [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…This could be a reliable and handful method to assess migraine features [ 6 ]. In this study, both migraine and not migraine headache occurred preferentially in the early morning, though many acute headache episodes occurred during other hours, including night [ 6 ]. These studies spotted a prevalent morning onset of migraine, but the correlation between circadian rhythm and clinical phenotype, as migraine frequency and disability, might be worthy of further evaluation.…”

Section: Introductionmentioning

confidence: 99%

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Circadian rhythms of migraine attacks in episodic and chronic patients: a cross sectional study in a headache center population

Tommaso

Delussi

2018

BMC Neurol

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BackgroundMigraine is considered a disease with diurnal and 24 h pattern, though the existence of a prevalent circadian rhythm associated to migraine frequency and severity is still not clear. This observational cross-sectional study aimed to:1. Assess the circadian rhythm of migraine attacks onset in a large patients’ population selected in a headache center and including episodic and chronic migraine 2. Analyze the principal characteristic of the different onset time groups 3. Verify if migraine features, particularly those associated to chronic and disabling migraine, could be discriminant factors for time of onset group.MethodsWe selected 786 consecutive migraine outpatients, who correctly completed the headache diaries for 3 consecutive months and who fulfilled the diagnosis of migraine without aura-MO, migraine with typical aura alone or associated to migraine without aura - MO/MA and chronic migraine – CM. For the time of headache onset, we considered four time slots, from 6 to 12 am (morning), from 1 to 6 pm (afternoon), from 7 to 11 pm (evening), from 12 pm to 5 am (night), and an additional category named “any time”. Each time slot included the 60 min preceding the next one (e.g. an onset at 12.30 am was included in 6–12 am time slot). We evaluated in all patients the pericranial tenderness, anxiety and depression tracts, headache-related disability, sleep features, quality of life, allodynia and fatigue.ResultsWe scored a total of 16,578 attacks, distributed in the entire day. The most of patients, including CM, satisfied the criteria for the “any time” onset. Night onset was significantly less represented in the MA/MO group. Patients with prevalent night onset were significantly older, with longer migraine history and shorter sleep duration. Age and illness duration were the variables discriminating the different onset time groups.ConclusionsThe most of migraine patients do not report a specific circadian profile of attacks occurrence. Frequent migraine, severe disability, psychopathological tracts as well as central sensitization signs, do not match with a specific circadian rhythm of attacks onset. Night onset migraine seems to be an age related feature, emerging in the course of the disease.Electronic supplementary materialThe online version of this article (10.1186/s12883-018-1098-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Circadian rhythms of migraine attacks in episodic and chronic patients: a cross sectional study in a headache center population

Tommaso

Delussi

2018

BMC Neurol

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“…Several biological phenomena and diseases have speci c circadian rhythms (6)(7)(8). The relatively high occurrence of migraine or benign paroxysmal positional vertigo attacks have been widely documented upon awakening in recently studies (9,10). We also noticed that a lot of VM patients experienced sudden vertigo with or without severe headache during the morning hours in our clinic practice.…”

Section: Introductionmentioning

confidence: 77%

“…In pathophysiological model of VM by Furman, the hypothalamus was contained within a network of interoceptive circuits for vestibular, visceral sensory, and nociceptive information (28).Therefore, the circadian variations in the occurrence and the clinical presentation of VM may due to the hypothalamic involvement in both nociception and circadian periodicity (28). Similar to the migraine, peak incidence of VM is usually during sleep or upon awakening (9,29). A key question is whether the observed temporal pattern represents a true endogenously mediated circadian pattern, or it is just triggered by alteration of the sleep pattern.…”

Section: Discussionmentioning

confidence: 99%

Circadian variations in occurrence and the clinical presentation of Vestibular Migraine: A retrospective study

Liu¹,

Yang²,

Dong³

et al. 2020

Preprint

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Background: As a new clinical disease entity, vestibular migraine (VM) is considered to be the commonest cause of spontaneous episodic vertigo. This study is trying to explore the circadian variations in occurrence and the clinical presentation of VM.Methods: We conducted a retrospective study and identified female patients who fulfilled the 2012 International Headache Society-Bárány Society Criteria for VM. Population’s clinical data were collected, including onset time and descriptions of sensations experienced by our patients during VM attacks.Results: A total of 189 female VM patients were included in our study. 74.0% of attacks in VM were presented in morning hours before 12 o’clock and the peak of occurrence was at about 7 o'clock. The attack frequency reached the baseline during 12:00-23:59 while there were two abnormal upward fluctuations at about 14:00 and 20:00. The biological circadian cycles may have greater impact of VM than lack of sleep. In addition, clinical presentations of vestibular symptoms including orthostatic vertigo, visually induced vertigo and dizziness showed variations among four 6-hour quadrants per day. Conclusions: Occurrence as well as clinical presentations of vestibular symptoms exhibited circadian variations among VM patients. These data suggested that chronobiological mechanisms may play a role in vestibular migraine pathophysiology.

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Towards eHealth to support the health journey of headache patients: a scoping review

et al. 2020

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Objective The aim of this study is to (1) review the digital health tools that have been used in headache studies, and (2) discuss the effectivity and reliability of these tools. Background Many headache patients travel a long and troublesome journey from first symptoms until a meaningful care plan. eHealth, mHealth, and digital therapeutic modalities have been advocated as the way forward to improve patient care. Method Online databases PubMed, Cinahl, and PsycINFO were searched using a predefined search query. A data extraction form was used to gather relevant data elements from the selected papers. Results A total of 39 studies were selected. The studies included 94,127 participants. The majority of studies focused on diaries (N = 27 out of 39). Digital (cognitive) behavioral therapy were also quite common (N = 7 out of 39). Other digital health tool categories were tele-consultations, telemonitoring and patient portals. Conclusion Many digital health tools for headache patients regarding diaries and behavioral/therapeutical treatment are described in scientific research with limited information on effectivity and reliability. Scientific knowledge with regard to other categories such as tele-consultations, patient portals, telemonitoring including medication adherence, online information resources, wearable, symptom checkers, digital peer support is still scarce or missing.

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Circadian variations in the clinical presentation of headaches among migraineurs: A study using a smartphone headache diary

Abstract: SHD: smartphone headache diary; ICHD-3 beta: the third edition beta version of the International Classification of Headache Disorders.

Cited by 17 publications

References 32 publications

Circadian rhythms of migraine attacks in episodic and chronic patients: a cross sectional study in a headache center population

Circadian rhythms of migraine attacks in episodic and chronic patients: a cross sectional study in a headache center population

Circadian variations in occurrence and the clinical presentation of Vestibular Migraine: A retrospective study

Towards eHealth to support the health journey of headache patients: a scoping review

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