Some Clinical Comparisons Between Common and Classical Migraine: A Questionnaire-Based Study

Abstract

In a questionnaire-based study we compared the clinical features of migraine with aura (classical migraine) and migraine without aura (common migraine) in 354 and 397 patients, respectively, attending The Princess Margaret Migraine Clinic. Other than those related to the aura, no significant differences were seen in any clinical features of the attack (e.g. frequency or duration of attacks, time of day at onset, location of headache at onset, severity of headache, or nausea and vomiting). Common migraine attacks were significantly more likely to occur at weekends (p = 0.002). Dietary triggers tended to be more troublesome in classical migraineurs while pregnancy and the menstrual cycle affected both migraine types equally. Classical migraine patients were twice as likely to have a history of hypertension (p less than 0.05) and showed a slightly but not significantly greater tendency to depression. Family histories of migraine were similar in each migraine type. We conclude that classical and common migraine are fundamentally similar in their clinical characteristics and that the occurrence of focal neurological symptoms during a migraine attack has little influence on the rest of the attack.

The Diagnostic Value of Historical Features in Primary Headache Syndromes

“…Among women with menstrual triggers, migraines most commonly occur during the week before the onset of menses. 34,36,42,43 Migraines during menses are the next most frequent. Less frequent precipitants include lack of sleep, perfume or odors, and weather change.…”

Leisure Sickness: A Pilot Study on Its Prevalence, Phenomenology, and Background

“…Only McEwen and Stellar [3]mentioned it in their discussion of the concept ‘allostasis’ and its relevance for understanding biological stress responses and their relationship to disease. To the best of our knowledge, there have only been a few studies focusing specifically on weekend migraine [4, 5, 6, 7, 8, 9, 10]. Furthermore, other researchers have demonstrated that the incidences of stroke [11, 12]and myocardial infarction [13, 14]are higher on weekends than on workdays.…”

“…Furthermore, other researchers have demonstrated that the incidences of stroke [11, 12]and myocardial infarction [13, 14]are higher on weekends than on workdays. However, until now, more systematic knowledge of and insight into the possible underlying mechanisms has been lacking, except for some specific speculations regarding weekend migraine, which has been associated with a decrease in caffeine intake and the so-called ‘let-up’ phenomenon [5, 6, 7, 8]. …”

Características clínicas da enxaqueca sem aura

“…Nos nossos casos a idade de início da ESA teve pico entre 10 e 19 anos, como frequentemente relatado na literatura [7][8][9][10] . Alguns autores, no entanto, encontraram este pico entre 20 e 29 anos 11,12 .…”

“…Nossos achados sobre os sintomas acompanhantes são similares aos da literatura 3,[7][8][9]11,[16][17][18] . Nós observamos que náusea, foto e fonofobia ocorrem na maioria dos ataques de enxaqueca, nos pacientes que têm estes sintomas.…”