Related Experiment Video
Updated: Aug 2, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
18.3K
Defining migraine days, based on longitudinal E-diary data
Britt W H van der Arend1, Iris E Verhagen1, Matthijs van Leeuwen2
1Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Cephalalgia : an International Journal of Headache
|April 6, 2023
Summary
Standardizing the migraine day definition is crucial. A proposed definition includes headache duration, specific characteristics, or acute medication use, improving migraine day classification.
Area of Science:
- Neurology
- Clinical Research
Background:
- Standardization of migraine day definition is needed for clinical practice and research.
- Current definitions may not accurately capture all migraine experiences.
Purpose of the Study:
- To prospectively compare different migraine day definitions.
- To propose a standardized definition for migraine days.
Main Methods:
- Prospective study of 1494 migraine patients using e-diaries.
- Comparison of baseline definition (≥4 hours OR triptan OR aura) with alternative criteria.
Main Results:
- 66.2% of triptan-defined migraine days had <4 hours duration.
- Adjusting headache duration to ≥30 minutes increased total migraine days by 5.4% (0.45 days/month).
- These additional days had a median duration of 2.5 hours.
Conclusions:
- A proposed definition includes: headache (≥30 min, ≥2 characteristics, ≥1 associated symptom), aura (5-60 min), or acute medication use.
- This refined definition aims to improve accuracy in identifying and quantifying migraine days.
Related Concept Videos
01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:26Methods of Documentation IV: Focus Charting
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
01:27Depressive Disorders: MDD and Dysthymia
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...