Impact of Ramadan Fasting on Migraine Headache

2021 ◽  
Author(s):  
Jasem Yousef Al-Hashel ◽  
Fathi Abokalawa ◽  
Raneem Toma ◽  
Amani Algubari ◽  
Samar Farouk Ahmed
Keyword(s):  
Migraine Headache ◽  
Disease Duration ◽  
Negative Impact ◽  
Episodic Migraine ◽  
Management Plan ◽  
Headache Disorders ◽  
Ramadan Fasting ◽  
The Impact ◽  
Analgesic Use

Abstract Background: Fasting is known as a migraine trigger for migraine. Muslims fast one month every luminal year. We aimed to study the impact of The Holy month of Ramadan on episodic migraine.Methods: This retrospective study included patients diagnosed as migraine according to The International Classification of Headache Disorders, 3rd edition (ICDH-3). Both genders, aged between 18 and 65 years were included. The impact of fasting and changing habits during the month of Ramadan was studied. Frequency, severity of migraine attacks and number of analgesic days during Ramadan were compared to those during Shaban, the Immediate previous month to Ramadan. Number of breaking fasting due to migraine was reported.Results: This study identified 293 with migraine with mean age and mean disease duration 37.09 ±9.36, 12.34±9.27 years respectively. Most of them were females(89.1%). During Ramadan month, the patient had significant increase in migraine days 10.42±7.98 compared with 6.90±6.55 migraine days during the previous month (p < 0.001). Also, days of analgesic use (11.32±10.46 versus 6.11±6.69;P<0,001) and migraine severity (7.46±2.39 versus 6.84±2.25; P<0,001) were significantly increased during Ramadan compared to Shaban. Most of the patients completed fasting the whole month of Ramadan. A minority (1.7) could not tolerate fasting whole Ramadan due intolerable migraine headache and 36.5% broke their fasting for some days during Ramadan. Some patients changed previous prophylactic therapy before fasting to reduce the impact of fasting on migraine headache. Most of our cohort (82.3%) continue on the same management plan for migraine during Ramadan. Majority of cohort (75.4%) reported that migraine interfered with their daily activities due to fasting during Ramadan. Conclusion: Ramadan fasting has negative impact on the majority of migraine patients. Physicians should educate migraine patients who to manage their headache and habits before starting fasting.

Clinical Characteristics and Therapeutic Results in a Series of 68 Patients with Occipital Neuralgia

Pain Medicine ◽  
2019 ◽  
Author(s):  
Enrique Martínez-Pías ◽  
Javier Trigo-López ◽  
David García-Azorín ◽  
Aisling McGreal ◽  
Ángel Luis Guerrero Peral
Keyword(s):  
Clinical Characteristics ◽  
Negative Impact ◽  
International Headache Society ◽  
Tertiary Hospital ◽  
Occipital Neuralgia ◽  
Headache Disorders ◽  
Number Of Patients ◽  
Therapeutic Results ◽  
Prolonged Latency

Abstract Objective Cranial pain is a condition that has a negative impact on human lives, and occipital neuralgia is among its causes. This study aims to evaluate the clinical characteristics and therapeutic results of a series of patients with occipital neuralgia. Design Prospective registry (observational study). Settings Headache outpatient clinic in a tertiary hospital. Subjects Sixty-eight cases. Methods Demographic and nosological characteristics have been analyzed, as well as treatment response of occipital neuralgia. All patients were recruited between January 2008 and January 2018, and the diagnosis of occipital neuralgia was made according to the International Headache Society (International Classification of Headache Disorders) criteria being utilized at the time of diagnosis. Results Sixty-eight patients were diagnosed with occipital neuralgia, which corresponded to 1.2% of the total number of patients (5,515) who visited our Headache Unit during the aforementioned period. Fifty-four (79.4%) of them were female. Baseline pain was present in 62 (91.1%) patients, and exacerbations in 42 (61.8%). Latency from onset (range) was 27.7 ± 56.1 (1–360) months. Conclusions Occipital neuralgia is an uncommon disorder in the sample explored. The prolonged latency between the onset of symptoms and diagnosis suggests that there should be an increased awareness of this disorder.

Migraine and vertigo

2020 ◽  
pp. 128-137
Author(s):  
Yoon-Hee Cha
Keyword(s):  
Migraine Headache ◽  
Clinical Characteristics ◽  
Vestibular Migraine ◽  
Headache Disorders ◽  
Temporal Profile ◽  
Growing Body ◽  
Vestibular Symptoms ◽  
The Common ◽  
Treatment Responses

The phenomena of migraine headache and vertigo share many epidemiological, anatomical, and clinical characteristics. The historically parallel development of the neuroscience of each field has formally intersected in the development of consensus criteria for vestibular migraine and the inclusion of vestibular migraine in the International Classification of Headache Disorders. Differences exist in the temporal profile of head pain and vertigo as manifestations of migraine, which can obscure the association. However, the growing body of evidence on the common demographic, neurochemical signature, and treatment responses of pain and vestibular symptoms indicate that they exist as symptoms of a common syndrome, one which can only be fully understood by recognizing the significance of each kind of manifestation.

Retinal Migraine Reappraised

Cephalalgia ◽  
2006 ◽  
Vol 26 (11) ◽  
pp. 1275-1286 ◽  
Author(s):  
BM Grosberg ◽  
S Solomon ◽  
DI Friedman ◽  
RB Lipton
Keyword(s):  
Diagnostic Criteria ◽  
Migraine Headache ◽  
Visual Loss ◽  
Prophylactic Treatment ◽  
Visual Features ◽  
Headache Disorders ◽  
Migrainous Infarction ◽  
History Of ◽  
Reversible Visual Loss

Retinal migraine is usually characterized by attacks of fully reversible monocular visual loss associated with migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with retinal migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, retinal migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting <1 h, ipsilateral to the headache. Nearly half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the ICHD-2 diagnostic criteria for retinal migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the retinal migraine spectrum, perhaps representing an ocular form of migrainous infarction. Based on this observation, the authors recommend migraine prophylactic treatment in an attempt to prevent permanent visual loss, even if attacks are infrequent. We also propose a revision to the ICHD-2 diagnostic criteria for retinal migraine.

scholarly journals Risks in the Management of Corporate Intellectual Potential

2019 ◽  
Vol 8 (3) ◽  
pp. 1744-1749
Keyword(s):  
Negative Impact ◽  
Management Process ◽  
Structural Elements ◽  
Key Factors ◽  
Structural Element ◽  
Intellectual Potential ◽  
The Impact ◽  
Over Time

The article analyzes the risks that arise in the process of managing intellectual potential, including determining the prerequisites for their occurrence, as well as studying possible ways to prevent their manifestation and negative impact on the results of the corporation. As a result of the analysis, systematization, and generalization of scientific views, key factors of risk origin have been formulated in the context of intellectual potential management. Within the framework of the problematics, a possible classification of risks that has practical value in the management process has been substantiated - according to the stages of the reproduction of intellectual potential, the impact on the result over time and the structural elements of intellectual resources. Key risks associated with each structural element of intellectual potential have been identified and described. A number of measures have been proposed, the fulfillment of which will help reduce the level of influence of risks in the management of intellectual potential on the process of activity of economic entities. Detailing and improving such methods are the basis for further research in this direction.

scholarly journals PECULIARITIES OF CLASSIFICATION AND USE OF NON-TARIFF REGULATION MEASURES

2021 ◽  
Vol 5 (2) ◽  
pp. 98-108
Author(s):  
O. Podra ◽  
◽  
Natalia Petryshyn ◽  
L. S. Nodzhak ◽  
◽  
...  
Keyword(s):  
World Trade Organization ◽  
Economic Activity ◽  
World Trade ◽  
Negative Impact ◽  
Practical Importance ◽  
Similar Response ◽  
Distinctive Features ◽  
The World ◽  
The Impact

Purpose. The purpose of the research is to conduct a systematic study of existing classifications of measures of non-tariff regulation of foreign economic activity and analysis of the dynamics of the use of specific methods of non-tariff regulation in Ukraine and the world. Design/methodology/approach. The study examined the hypothesis of the lack of a single unified classification of measures of non-tariff regulation of foreign economic activity on the basis of a study of the most commonly used classifications in Ukraine and in the world, determining their common and distinctive features. In order to achieve the purpose of the research, general scientific methods of scientific knowledge were used: analysis and synthesis, theoretical generalization, formalization, observation, systematization. Findings. It is found out that there are many classifications for non-tariff regulation, but the most common are classifications of the World Trade Organization and the United Nations Conference on Trade and Development (UNCTAD), but the last one is more popular and used for formation of a global database on dynamics of non-tariff regulation measures applying. In addition, the current classification of non-tariff regulation measures of the World Trade Organization deserves attention, it contains up-to-date information on the dynamics of the use of existing and initiated non-tariff regulation measures by WTO members. The hypothesis of the absence of a single unified classification of measures of non-tariff regulation of foreign economic activity based on a study of the most commonly used classifications in Ukraine and in the world, their common and distinctive features can be considered proven, as evidenced by the results of the study and generalized conclusions. Practical implications. The studied classifications are of great practical importance, as they allow international market participants to monitor the use of non-tariff regulation measures. The hold analysis showed that among all non-tariff regulation measures in 2021, most countries in the world used technical measures related to imports, in particular, sanitary and phytosanitary measures (A) - 29750, technical barriers to trade) - 25772, as well as exports-related measures - 7804, quantitative restrictions - 6438. The same can be said about Ukrainian practice of non-tariff regulation measures usage. Originality/value. It is established that the UNCTAD classification is the most comprehensive and suitable for the purposes of economic analysis. The impact of non-tariff measures on trade as well as on welfare is less clear than the impact of tariff restrictions. On the one hand, non-tariff measures often restrict trade flows, which has a negative impact on welfare. On the other hand, there are a number of non-tariff measures, the application of which contributes to the growth of welfare by ensuring the highest quality of goods offered on the market, which is an independent value for consumers. The use of non-tariff instruments should be treated with caution, as they are not devoid of dualism and may have contradictory consequences, as well as provoke a similar response from partner countries.

scholarly journals Current Perspective on Retinal Migraine

Vision ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. 38
Author(s):  
Yu Jeat Chong ◽  
Susan P. Mollan ◽  
Abison Logeswaran ◽  
Alexandra B. Sinclair ◽  
Benjamin R. Wakerley
Keyword(s):  
Risk Factors ◽  
Migraine Headache ◽  
Visual Loss ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Visual Disturbance ◽  
Current Understanding ◽  
Headache Disorders ◽  
Current Perspective

Retinal migraine was first formally described in 1882. Various terms such as “ocular migraine” and “ophthalmic migraine” have since been used interchangeably in the literature. The lack of a consistent consensus-based definition has led to controversy and potential confusion for clinicians and patients. Retinal migraine as defined by the International Classification of Headache Disorders (ICHD) has been found to be rare. The latest ICHD defined retinal migraine as ‘repeated attacks of monocular visual disturbance, including scintillation, scotoma or blindness, associated with migraine headache’, which are fully reversible. Retinal migraine should be considered a diagnosis of exclusion, which requires other causes of transient monocular visual loss to be excluded. The aim of this narrative review is to summarize the literature on retinal migraine, including: epidemiology and risk factors; proposed aetiology; clinical presentation; and management strategies. It is potentially a misnomer as its proposed aetiology is different from our current understanding of the mechanism of migraine

Field Testing Alternative Criteria for Chronic Migraine

Cephalalgia ◽  
2006 ◽  
Vol 26 (4) ◽  
pp. 477-482 ◽  
Author(s):  
ME Bigal ◽  
SJ Tepper ◽  
FD Sheftell ◽  
AM Rapoport ◽  
RB Lipton
Keyword(s):  
Chronic Migraine ◽  
Chronic Daily Headache ◽  
Medication Overuse ◽  
Field Testing ◽  
Episodic Migraine ◽  
Headache Disorders ◽  
Transformed Migraine ◽  
Daily Headache ◽  
Probable Migraine

The criteria for chronic migraine (CM), as proposed by the Second Edition of the International Classification of Headache Disorders (ICHD-2) is very restrictive, excluding most patients that evolve from episodic migraine. In this study we empirically tested three recent proposals for revised criteria for CM. We included individuals with transformed migraine (TM) with or without medication overuse, according to the criteria proposed by Silberstein and Lipton. All individuals had headache calendars for at least three consecutive months. We assessed the proportion of subjects that fulfilled ICHD-2 criteria for CM or probable chronic migraine with probable medication overuse (CM+). We also tested three proposals for making the CM criteria more inclusive. In proposal 1, CM/CM+ would require at least 15 days of migraine or probable migraine per month. Proposal 2 suggests that CM/CM+ would be classified in those with ≥15 days of headache per month, where at least 50% of these days are migraine or probable migraine. Proposal 3 suggests that CM/CM+ would be classified in those with chronic daily headache and at least 8 days of migraine or probable migraine per month. Among TM sufferers, 399 (62.5%) had TM with medication overuse, and just 10.2% were classified as CM+ 158 (37.5%) had TM without medication overuse; just nine (5.6%) met current ICHD-2 criteria for CM. Using the alternative criteria, proposal 1 included 48.7% of patients with TM without medication overuse; proposal 2 captured 88%, and proposal 3 classified 94.9% of these patients. For TM with medication overuse, the proportions for proposals 1-3 were, respectively, 37%, 81% and 91%. The differences were statistically significant, favouring proposal 3. Consistently, criteria for CM and CM+ should be revised to require at least 8 days of migraine or probable migraine per month, in individuals with 15 or more days of headache per month.

Migraine Features in Patients with Persistent Postural-Perceptual Dizziness

2021 ◽  
pp. 000348942110072
Author(s):  
Brooke Sarna ◽  
Adwight Risbud ◽  
Ariel Lee ◽  
Ethan Muhonen ◽  
Mehdi Abouzari ◽  
...  
Keyword(s):  
Migraine Headache ◽  
Tertiary Care ◽  
Survey Study ◽  
Headache Disorders ◽  
Retrospective Survey ◽  
Significant Difference ◽  
The Mean ◽  
Weather Changes ◽  
Survey Responses

Objectives: To evaluate the presence of migraine features in patients with persistent postural-perceptual dizziness (PPPD). Methods: In a retrospective survey study, consecutive patients presenting to a tertiary care neurotology clinic during an 18-month period were given questionnaires about headache and dizziness symptoms. The survey responses plus history and examination of the patient were used to diagnose patients with PPPD. The prevalence of migraine headache, vestibular migraine (VM), and migraine characteristics was evaluated. Results: In total, 36 subjects with PPPD were included in the study. The mean age of the subjects was 56 ± 16 years with a female (72%) predominance. A total of 19 (53%) patients met the International Classification of Headache Disorders criteria for migraine headache, and 6 of those (17%) met the criteria for definite VM. Of the patients who did not meet full migraine headache criteria, 6 (17%) patients met 4 of 5 criteria, and 5 (14%) patients met 3 of 5 criteria. There was no significant difference between PPPD patients who fulfilled full migraine headache criteria and those who did not in sensitivity to light, sound, smells, weather changes, feelings of mental fog/confusion, and sinus pain/facial pressure. Conclusions: This study demonstrates that a majority of patients with PPPD fulfill the criteria for migraine headache. A large proportion of PPPD patients who do not meet the full criteria for migraine headache still meet a majority of the migraine headache criteria. This suggests an association between the 2 conditions. PPPD may be a part of the spectrum of otologic migraine, where migraine manifests as otologic symptoms.

scholarly journals Migraine during COVID-19: Data from Second Wave Pandemic in an Italian Cohort

2021 ◽  
Vol 11 (4) ◽  
pp. 482
Author(s):  
Eleonora Gentile ◽  
Marianna Delussi ◽  
Chiara Abagnale ◽  
Valeria Caponnetto ◽  
Francesco De Cesaris ◽  
...  
Keyword(s):  
Negative Impact ◽  
Episodic Migraine ◽  
Cross Sectional Study ◽  
Emotional Impact ◽  
Cross Sectional ◽  
Headache Intensity ◽  
Psychological Behavior ◽  
The Impact ◽  
Second Wave ◽  
Italian Cohort

Objectives: The study aims to assess the impact of the second COVID-19 pandemic wave on migraine characteristics. Methods: This is an observational cross-sectional study conducted on migraine patients previously interviewed during the first Italian pandemic outbreak. A second structured telephone interview was conducted between 20 November 2020 and 18 January 2021. We compared migraine characteristics among T0 (before pandemic), T1 (during the first pandemic phase), and T2 (during the second pandemic phase). Results: Among the 433 patients interviewed during the first pandemic phase, 304 cases were finally considered. One hundred forty-eight patients had a control visit between March 2020 and December 2020, 120 had an in-person visit, 14 by phone, the remainder used telemedicine software provided by the hospital. Frequency of headache, number of symptomatic drugs and headache intensity worsened during T2, compared to T0 and T1, especially in episodic migraine. Headache intensity increased relating to the negative emotional impact of the pandemic. Migraine management during the pandemic did not influence the clinical outcome. Conclusion: The prolongation of the pandemic seems to have a negative impact on migraine evolution. The arousal and negative psychological behavior toward the COVID-19 outbreak seem to worsen migraine.

scholarly journals Association of Benign Recurrent Vertigo and Migraine in 208 Patients

Cephalalgia ◽  
2009 ◽  
Vol 29 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Y-H Cha ◽  
H Lee ◽  
LS Santell ◽  
RW Baloh
Keyword(s):  
Migraine With Aura ◽  
Migraine Headache ◽  
Age Of Onset ◽  
International Classification ◽  
Headache Disorders ◽  
Migrainous Vertigo

The aim of this study was to determine the association of benign recurrent vertigo (BRV) and migraine, using standardized questionnaire-based interview of 208 patients with BRV recruited through a University Neurotology clinic. Of 208 patients with BRV, 180 (87%) met the International Classification of Headache Disorders 2004 criteria for migraine: 112 migraine with aura (62%) and 68 without aura (38%). Twenty-eight (13%) did not meet criteria for migraine. Among patients with migraine, 70% experienced headache, one or more auras, photophobia, or auditory symptoms with some or all of their vertigo attacks, meeting the criteria for definite migrainous vertigo. Thirty per cent never experienced migraine symptoms concurrent with vertigo attacks. These met criteria for probable migrainous vertigo. Among patients without migraine, 21% experienced either photophobia or auditory symptoms with some or all of their vertigo attacks; 79% experienced only isolated vertigo. The age of onset and duration of vertigo attacks did not differ significantly between patients with (34 ± 1.2 years) and patients without migraine (31 ± 3.0 years). In patients with migraine, the age of onset of migraine headache preceded the onset of vertigo attacks by an average of 14 years and aura preceded vertigo by 8 years. The most frequent duration of vertigo attacks was between 1 h and 1 day. Benign recurrent vertigo is highly associated with migraine, but a high proportion of patients with BRV and migraine never have migraine symptoms during their vertigo attacks. Other features such as age of onset and duration of vertigo are similar between patients with or without migraine.

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