Precipitating and Aggravating Factors In Migraine Attack

Year 2007, Volume: 9 Issue: 3, 9 - 13, 01.12.2007

Mehmet Yaman Mehmet Kemal Demırkıran Serdar Oruç

Abstract

Purpose: The aim of the present study is to estimate the frequency of precipitating and aggravating factors of migraine with and without aura in neurology outpatient clinic. Methods: We evaluated 20 0 patients with migraine (37 with aura and 163 without aura). The questionnaire inquired about the following precipitating and aggravating headache factors: stress, straining, menstruation, reading, driving, lack of sleep, oversleeping, not eating on time, sleeping low pad, expedition, fatigue, specific foods/drinks, alcohol, cigarette, drugs, head trauma, smell, light, noise, physical activity, sexual activity, cough, bending over, neck movement, weather. Results: The result of our study demonstrated that stress, straining, lack of sleep, not eating on time, fatigue and noise trigger the migraine attacks (equally in with and without aura migraine) more than the other factors. Reading (p=0.013), traveling (p=0.02), smoking (p

Keywords

Migraine, attack, precipitating and aggravating factors

Migrende Basagrisini Tetikleyici Ve Kötülestirici Faktörler

Abstract

Amaç: Bu çalismada nöroloji polikliniginde migren tanisi alan hastalarda basagrisini tetikleyen ve kötülestiren faktörlerin sikliginin arastirilmasi amaçlandi. Yöntem: Iki yüz migren hastasi (37 aurali ve 163 aurasiz migren hastasi) degerlendirildi ve hastalarin tümü yari yapilandirilmis bir form ile basagrisini tetikleyen ve kötülestiren faktörler yönünden sorgulandi. Aurali ve aurasiz migren olgulari arasindaki farkliliklar istatistiksel olarak arastirildi. Bulgular: Tüm olgularda stres, mental gerginlik, uykusuzluk, açlik, yorgunluk ve gürültü en sik rastlanan tetikleyici faktörler olarak bulundu ve hem aurali hem de aurasiz migren olgularinda benzer oranlarda basagrisini tetikledikleri bulundu. Okuma (p=0.013), seyahat (p=0.02), sigara (p

Keywords

Migren, atak, tetikleyen ve kötülestiren faktörler

References

• Siniatchkin M, Averkina N, Gerber WD: Relationship Between Precipitating Agents and Neurophysiological Abnormalities in Migraine. Cephalalgia 26: 457-465, 2006.
• Zarifoglu M, Siva A, Hayran O and Turkish Headache Epidemiology Study Group: An Epidemiologic Study of Headache in Turkey: A Nationwide SSurvey. Neurology. 50 (Suppl. 4): A225, 1998.
• Börü ÜT, Koçer A, Lüleci a, Sur H, Tutkan H, Atli H: Prevalence and Characteristics of Migraine in Women of Reproductive Age in Istanbul, Turkey: A Population Based Survey. Tohoku J. Exp. Med 206: 51-59, 2005.
• Ferrari MD: Migraine. Lancet 351: 1043- 1051, 1998.
• Spierings ELH, Ranke AH, Honkoop PC: Precipitating and Aggravating Factors of Migraine versus Tension-type Headache. Headache 41: 554-558, 2001.
• Zivadinov R, Willeim K, Sepic -Grahovac D, Jurjevic A, Bucuk M, Brnabic -Razmilic O, Relja G, Zorzon M: Migraine and Tension-type Headache in Croatia: A Population-based Survey of Precipitating Factors. Cephalalgia 23: 336-343, 2003.
• Headache Classification Subcommittee of the International Headache Society, The International Classification of Headache Disorders: 2nd edition. Cephalalgia 24 (suppl 1): 9-160, 2004.
• Karli N, Zarifoglu M, Calisir N, Akgoz S: Comparison of Pre-headache Phases and Trigger Factors of Migraine and Episodic Tension-type Headache: Do They Share Similar Cephalalgia 25: 444-451, 2005. Pathophysiology?
• Chabriat H, Danchot J, Michel P, Joire JE, Henry P: Precipitating Headache. A Prospective Study in a National Migraineurs and Headache 39: 335-338, 1999. Factors of Control-matched Survey in Nonmigraineurs.
• Robbins L: Precipitating Factors in Migraine: A Retrospective Review of 494 Patients. Headache 43: 214-216, 1994.
• Nicolodi M, Sicuteri F: Wine and Migraine: Incompatibility? Drugs Exptl. Clin. Res XXV(2/3) : 147-153, 1999.
• Peatfield RC: Relationships between Food, Wine and Beer Precipitated Migrainous Headaches. Headache 35: 355-357, 1995.
• Savi L, Rainero I, Valfre W, Gentile S, Lo Giudice R, Pinessi: Food and Headache Attacks: A Comparison of Patients with Migraine and Tension-type Headache. Panminerva Med 44: 27-31, 2002.
• Fragoso YD, Carvalho R, Ferrero F, Lourenco DM, Paulino ER: Crying as a Precipitating Factor for Migraine and Tension-type Headache. Sao Paulo Med J/ Rev Paul Med 121: 31-33, 2003.