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Modeling Neural Immune Signaling of Episodic and Chronic Migraine Using Spreading Depression In Vitro
Published on: June 13, 2011
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Triggers, Protectors, and Predictors in Episodic Migraine
1Department of Neurology, Jefferson Headache Clinic, Thomas Jefferson University, Philadelphia, PA, USA. Michael.marmura@jefferson.edu.
Current Pain and Headache Reports
|October 7, 2018
Summary
Understanding episodic migraine triggers is key. While some triggers like stress and weather are common, lifestyle changes such as regular sleep and diet can help manage attacks and prevent chronic migraine.
Area of Science:
- Neurology
- Clinical Medicine
Background:
- Episodic migraine attacks are often triggered by various factors, but natural triggers are unpredictable and vary individually.
- Identifying and managing these triggers is crucial for effective clinical practice.
Purpose of the Study:
- To review common triggers for episodic migraine.
- To provide strategies for managing these triggers in clinical practice.
Main Methods:
- Review of patient surveys.
- Analysis of diary studies.
- Examination of clinical trials.
Main Results:
- Common triggers include stress, menstrual cycle changes, weather, sleep disturbances, alcohol, and certain foods.
- Verified triggers include fasting, premenstrual periods, post-stress letdown, and low barometric pressure.
- Premonitory symptoms can be mistaken for triggers; lifestyle modifications may prevent chronic migraine.
Conclusions:
- Many migraine triggers are difficult to modify or avoid.
- Healthy lifestyle choices (exercise, sleep, stress management, regular meals) can help prevent attacks and chronification.
- Further research may elucidate more predictable management strategies.
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