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Some clinical comparisons between common and classical migraine: a questionnaire-based study.

P T Davies1, R C Peatfield, T J Steiner

  • 1Princess Margaret Migraine Clinic, Charing Cross Hospital, London.

Cephalalgia : an International Journal of Headache
|November 1, 1991
PubMed
Summary

Migraine with aura (classical migraine) and migraine without aura (common migraine) share similar clinical features. The primary difference observed was the higher likelihood of common migraine attacks occurring on weekends.

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Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Migraine is a common neurological disorder.
  • Distinguishing between migraine with aura (classical) and migraine without aura (common) is important for understanding its varied presentations.

Purpose of the Study:

  • To compare the clinical features of classical migraine and common migraine.
  • To identify any significant differences in attack characteristics, triggers, and patient history between the two migraine types.

Main Methods:

  • A questionnaire-based study was conducted.
  • 354 patients with classical migraine and 397 patients with common migraine were recruited from The Princess Margaret Migraine Clinic.
  • Clinical features, attack characteristics, triggers, and patient history were compared between the two groups.

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Main Results:

  • No significant differences were found in attack frequency, duration, onset time, location, severity, nausea, or vomiting between classical and common migraine.
  • Common migraine attacks were more likely to occur on weekends (p = 0.002).
  • Dietary triggers were more prevalent in classical migraine, while pregnancy and menstrual cycle affected both equally. Classical migraine patients had a higher incidence of hypertension and a slight tendency towards depression.

Conclusions:

  • Classical migraine and common migraine exhibit fundamentally similar clinical characteristics.
  • The presence of aura has minimal influence on the overall clinical features of a migraine attack.
  • Weekend occurrence is a distinguishing feature for common migraine attacks.