scholarly journals Perimenstrual headache: Migraine without aura or premenstrual syndrome symptom?

2010 ◽  
Vol 67 (12) ◽  
pp. 969-976 ◽  
Author(s):  
Ana Sundic ◽  
Jasna Zidverc-Trajkovic ◽  
Svetlana Vujovic ◽  
Nadezda Sternic
Keyword(s):  
Premenstrual Syndrome ◽  
Migraine Headache ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Menstrual Migraine ◽  
Menstrually Related Migraine ◽  
Headache Onset ◽  
Perimenstrual Headache ◽  
Type Headache ◽  
Pure Menstrual Migraine

Background/Aim. Definition of menstrual migraine as a specific clinical entity or, maybe, migraine headache with menstrually related occurring, still remains unresolved question. The aim of this study was to investigate if perimenstrual headache in our patients fulfills diagnostic the International Classification of Headache Disorders (ICHD) criteria for migraine without aura or represents a different type of headache which is the symptom of premenstrual syndrome (PMS). Methods. The study included 50 women with headache in perimenstrual period in at least two out of three menstrual cycles, during the last year or longer. Two questionnaires, a questionnaire for headache and a questionnaire for PMS, were used. Results. The majority of all the examined women, 29 of them, had migraine and PMS and 9 women had migraine without PMS. Headache in 38 (76.0%) patients fulfilled diagnostic criteria for menstrual migraine, (26 and 12 women had pure menstrual migraine and menstrually related migraine respectively). Intensity of PMS was not different in a groups of women with different types of headache (p = 0.184): a total number of PMS symptoms was 8.2 ? 4.6 in the group with pure menstrual migraine, 10.8 ? 3.9 in the group with menstrually related migraine and 10.8 ? 6.3 in the group with non-migraine headache. Conclusion. This study shows that headache, occuring in perimenstrual period, is not always migraine, but could fulfill criteria for tension-type headache, as well. Specific characteristics of perimenstrual headache, which could distinguish it as a symptom of PMS, were not found. Expected relation in time of headache onset and menarche was not confirmed.

Lack of Seasonal Variation in Menstrually-Related Migraine

Cephalalgia ◽  
2008 ◽  
Vol 28 (12) ◽  
pp. 1277-1281 ◽  
Author(s):  
SI Bekkelund ◽  
KB Alstadhaug ◽  
R Salvesen
Keyword(s):  
Seasonal Variation ◽  
Migraine Headache ◽  
Migraine Without Aura ◽  
Telephone Interview ◽  
Menstrual Migraine ◽  
Menstrually Related Migraine ◽  
Headache Diary ◽  
June July ◽  
Arctic Area ◽  
North Norway

The aim of the study was to study seasonal variation in migraine headache in a group of women with menstrually-related migraine (MRM) compared with non-menstrual migraine. Via newspaper advertisement, women with migraine living in North Norway were invited. The patients were included by questionnaire and telephone interview. We prospectively recorded migraine attacks from a 12-month headache diary performed by a group of 62 women with a mean age of 36.0 years (range 16-46 years), who fulfilled the criteria of migraine without aura. Of these, 29 had MRM and 33 non-menstrual migraine. Mean ratio between number of attacks in the light arctic season (May-June-July) divided with total number of migraine attacks during 12 months was 0.24 (9.4/38.4) in the group of MRM compared with 0.25 (5.6/22.1) in others (confidence interval -4.2, 6.3, P = 0.84). Nor were there more migraine attacks in the dark season in an arctic area (November-December-January) in any group. We found a higher migraine attack rate in those with MRM, but no indication of more or less frequency of attacks during the bright arctic season. These findings support the assumption that MRM and seasonal variation of migraine are due to different mechanisms.

scholarly journals Characterization of headaches in the premenstrual tension syndrome

2009 ◽  
Vol 67 (1) ◽  
pp. 40-42 ◽  
Author(s):  
Yara Dadalti Fragoso ◽  
Andrea Cristina Rodrigues Guidoni ◽  
Luciana Brites Ribeiro de Castro
Keyword(s):  
Premenstrual Syndrome ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Common Type ◽  
Obstetrics And Gynecology ◽  
Headache Attack ◽  
Premenstrual Tension ◽  
Type Headache

OBJECTIVE: Characterization of headaches in premenstrual syndrome (PMS). Although headache is one of the symptoms for PMS, no details on this headache are given by the American College of Obstetrics and Gynecology (ACOG) criteria. METHOD: A group of 45 fertile age women presenting PMS were invited to complete a registration diary for headache and PMS symptoms for three consecutive months. The diary included details of each headache attack, allowing for classification according to the International Headache Society criteria (IHS-2004). RESULTS: Migraine without aura was the most common type of headache in PMS (n=27, 60%), followed by tension type headache (n=15, 30%). Only in two cases the type of headache varied among the observed months, and only in one case the diagnosis could not be concluded by the IHS-2004 criteria. CONCLUSION: Better clinical and therapeutic approach to headache in PMS can be achieved if the patient's type of headache could be properly characterized.

Perinatal outcomes in women affected by different types of headache disorders: A prospective cohort study

Cephalalgia ◽  
2021 ◽  
pp. 033310242110292
Author(s):  
Isabella Neri ◽  
Daniela Menichini ◽  
Francesca Monari ◽  
Ludovica Spanò Bascio ◽  
Federico Banchelli ◽  
...  
Keyword(s):  
Migraine With Aura ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Migraine Without Aura ◽  
Perinatal Outcomes ◽  
First Trimester ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Aneuploidy Screening ◽  
Type Headache

Objective This study aims to investigate pregnancy and perinatal outcomes in women with tension-type headache, migraine without aura and migraine with aura by comparing them to women without any headache disorders. Study design Prospective cohort study including singleton pregnancies attending the first trimester aneuploidy screening at the University Hospital of Modena, in Northern Italy, between June 2018 and December 2019. Results A total of 515 consecutive women were included and headache disorders were reported in 43.5% of them (224/515). Tension-type headache was diagnosed in 24.3% of the cases, while 14% suffered from migraine without aura and 5.2% from migraine with aura. Birthweight was significantly lower in women affected by migraine with aura respective to other groups, and a significantly higher rate of small for gestational age infants was found in tension-type headache (10.4%) and in migraine with aura (24.9%) groups respective to the others (p < 0.001). Moreover, the admission to the neonatal intensive care unit was significantly higher in all the headache groups (p = 0.012). Multivariate analysis showed that women presenting tension-type headache (OR 4.19, p = 0.004), migraine with aura (OR 5.37, p = 0.02), a uterine artery pulsatility index >90th centile (OR 3.66, p = 0.01), low multiple of the median (MoM) of Pregnancy-associated plasma protein-A (PAPP-A) (OR 0.48, p = 0.05) and high MoM of Inhibin-A (OR 3.24, p = 0.03) at first trimester, are independently associated with the delivery of small for gestational age infants when compared to women without headache disorders. Conclusion Migraine with aura and tension type headache expose women to an increased risk of delivering small for gestational age infants, in association with some utero-placenta markers evaluated at first trimester. These women with headache disorders have an additional indication to undergo first trimester aneuploidy screening and would possibly benefit from specific interventions.

Personality Traits in Childhood and Adolescent Headache

Cephalalgia ◽  
2001 ◽  
Vol 21 (1) ◽  
pp. 53-60 ◽  
Author(s):  
G Lanzi ◽  
CA Zambrino ◽  
O Ferrari-Ginevra ◽  
C Termine ◽  
S D'Arrigo ◽  
...  
Keyword(s):  
Clinical Study ◽  
Personality Traits ◽  
Test Anxiety ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Personality Characteristics ◽  
Anxiety And Depression ◽  
Sociodemographic Data ◽  
Type Headache ◽  
Adolescent Headache

We evaluate personality traits, anxiety and depression in a population of paediatric and adolescent patients, correlating personality characteristics with headache and sociodemographic variables. The clinical features of headache include specific personality traits. We report a clinical study of 57 patients (age 8–18 years), divided up as follows: 12 migraine with aura, 29 migraine without aura and 16 tension-type headache. One of Cattel's tests was administered to every patient; the Children's Depression Inventory test was administered to 53 patients and the Test Anxiety Inventory test to 43 subjects. The scores obtained by every patient in each test were correlated with the characteristics of headache and with sociodemographic data. We found that patients affected by idiopathic headache share some personality traits, mainly emotional rigidity and tendency to repress anger and aggression. These traits do not seem to be correlated with sociodemographic data and the duration of headache: we considered these as characteristic of migrainous patients.

scholarly journals The power features of Masseter muscle activity in tension-type and migraine without aura headache during open-close clench cycles

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3556 ◽  
Author(s):  
Behrouz Alizadeh Savareh ◽  
Ali Ghanjal ◽  
Azadeh Bashiri ◽  
Monireh Motaqhey ◽  
Boshra Hatef
Keyword(s):  
Muscle Activity ◽  
Masseter Muscle ◽  
Migraine Without Aura ◽  
Mouth Opening ◽  
Tension Type Headache ◽  
Emg Activity ◽  
Statistical Parameters ◽  
Signal Energy ◽  
Type Headache ◽  
Mean Variance

Introduction Different types of headaches and TMJ click influence the masseter muscle activity. The aim of this study was to assess the trend of energy level of the electromyography (EMG) activity of the masseter muscle during open-close clench cycles in migraine without aura (MOA) and tension-type headache (TTH) with or without TMJ click. Methods Twenty-five women with MOA and twenty four women with TTH participated in the study. They matched with 25 healthy subjects, in terms of class of occlusion and prevalence of temporomandibular joint (TMJ) with click. The EMG of both masseter muscles were recorded during open-close clench cycles at a rate of 80 cycles per minute for 15 seconds. The mouth opening was restricted to two centimeters by mandibular motion frame. Signal processing steps have been done on the EMG as: noise removing, smoothing, feature extraction, and statistical analyzing. The six statistical parameters of energy computed were mean, Variance, Skewness, Kurtosis, and first and second half energy over all signal energy. Results A three-way ANOVA indicated that during all the cycles, the mean of energy was more and there was a delay in showing the peak of energy in the masseter of the left side with clicked TMJ in MOA group compared to the two other groups, while this pattern occurred inversely in the side with no-clicked TMJ (P < 0.009). The variation of energy was significantly less in MOA group compared to the two other groups in the no-clicked TMJ (P < 0.003). However, the proportion of the first or second part of signal energy to all energy showed that TTH group had less energy in the first part and more energy in the second part in comparison to the two other groups (P < 0.05). Conclusion The study showed different changes in the energy distribution of masseter muscle activity during cycles in MOA and TTH. MOA, in contrast to TTH, had lateralization effect on EMG and interacted with TMJ click.

A prospective study on osmophobia in migraine versus tension-type headache in a large series of attacks

Cephalalgia ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 337-346 ◽  
Author(s):  
Alberto Terrin ◽  
Federico Mainardi ◽  
Carlo Lisotto ◽  
Edoardo Mampreso ◽  
Matteo Fuccaro ◽  
...  
Keyword(s):  
Prospective Study ◽  
Diagnostic Criteria ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Headache Attack ◽  
Accompanying Symptoms ◽  
Type Headache ◽  
A Prospective Study

Background In literature, osmophobia is reported as a specific migrainous symptom with a prevalence of up to 95%. Despite the International Classification of Headache Disorders 2nd edition proposal of including osmophobia among accompanying symptoms, it was no longer mentioned in the ICHD 3rd edition. Methods We conducted a prospective study on 193 patients suffering from migraine without aura, migraine with aura, episodic tension-type headache or a combination of these. After a retrospective interview, each patient was asked to describe in detail osmophobia, when present, in the following four headache attacks. Results In all, 45.7% of migraine without aura attacks were associated with osmophobia, 67.2% of migraineurs reported osmophobia in at least a quarter of the attacks. No episodic tension-type headache attack was associated with osmophobia. It was associated with photophobia or phonophobia in 4.3% of migraine without aura attacks, and it was the only accompanying symptom in 4.7% of migraine without aura attacks. The inclusion of osmophobia in the ICHD-3 diagnostic criteria would enable a 9.0% increased diagnostic sensitivity. Conclusion Osmophobia is a specific clinical marker of migraine, easy to ascertain and able to disentangle the sometimes challenging differential diagnosis between migraine without aura and episodic tension-type headache. We recommend its inclusion among the diagnostic criteria for migraine as it increases sensitivity, showing absolute specificity.

Contingent Negative Variation in Patients with Chronic Daily Headache

Cephalalgia ◽  
1998 ◽  
Vol 18 (8) ◽  
pp. 565-569 ◽  
Author(s):  
M Siniatchkin ◽  
W-D Gerber ◽  
P Kropp ◽  
A Vein
Keyword(s):  
Chronic Daily Headache ◽  
Contingent Negative Variation ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
Transformed Migraine ◽  
Early Component ◽  
Predictive Variables ◽  
Environment Control ◽  
Daily Headache ◽  
Type Headache

The aim of this study was the investigation of amplitude and habituation of contingent negative variation (CNV) in migraine and chronic daily headache (CDH) patients in order to describe possible neurophysiological features responsible for the clinical transformation and worsening of the headache. Fifteen females suffering from migraine without aura and 15 females diagnosed with CDH evolved from migraine without aura with interparoxysmal chronic tension-type headache (transformed migraine), underwent CNV recording. Fifteen healthy females matched for age served as controls. CNV was obtained from C3 and C4 using the standard reaction time paradigm and 3 sec ISI. The amplitudes and habituation of total CNV, early and late components, and of post-imperative negative variation (PINV) were calculated. The migraine patients were characterized by significantly more pronounced negativity of the early component and total CNV, compared to CDH sufferers and controls. CDH patients demonstrated significantly reduced negativity of the late component and pronounced PINV compared to the other groups. The early component of CNV did not habituate in migraine or CDH patients. However, the impaired habituation in CDH was related to significantly lower amplitudes. These results support the diagnostic and scientific value of habituation in migraine research and therapy. Late components of CNV and PINV can be considered as predictive variables for transformation of migraine. The results are discussed in terms of the relationship between late CNV, PINV, environment control abilities and susceptibility for development of depression.

Headache

2017 ◽  
Author(s):  
Regina Krel ◽  
Paul G. Mathew
Keyword(s):  
Menstrual Cycle ◽  
Chief Complaint ◽  
Menstrual Migraine ◽  
Clinical Implications ◽  
Menstrually Related Migraine ◽  
Neurology Clinic ◽  
Gender Specific ◽  
Insight Into ◽  
Pure Menstrual Migraine

Migraine is a common disorder that affects women of menstruating age, and it is frequently the chief complaint of women presenting in the neurology clinic. The prevalence of menstrually related migraine can range from 20–60%, while pure menstrual migraine occurs in less than 10% of women. In addition to utilizing non–gender-specific abortive and preventative strategies, understanding migraine and its relationship to hormones, particularly estrogen, can have clinical implications for optimal treatment. This chapter seeks to provide insight into diagnosing menstrually related migraine, the role of decreased estrogen just prior to menstrual cycle onset and migraine, as well as the therapeutic options that are available to treat and possibly prevent menstrual migraine attacks.

Genetics of Migraine without Aura, Migraine with Aura, Migrainous Disorder, Head Trauma Migraine without Aura and Tension-Type Headache

Cephalalgia ◽  
2001 ◽  
Vol 21 (7) ◽  
pp. 778-780 ◽  
Author(s):  
MB Russell
Keyword(s):  
Head Trauma ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Tension Type Headache ◽  
60Th Birthday ◽  
Type Headache

This review is a tribute to Professor Jes Olesen involvement in the genetics of migraine and tension-type headache as it is coming up to his 60th birthday.

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