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Premonitory symptoms in migraine: A REFORM Study.

Janu Thuraiaiyah1,2, Håkan Ashina1,2,3,4,5, Rune H Christensen1,2,4,5

  • 1Department of Neurology, Danish Headache Center, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Cephalalgia : an International Journal of Headache
|February 1, 2024
PubMed
Summary

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Prompted questions significantly increase the reporting of migraine premonitory symptoms compared to unprompted methods. Understanding these symptoms is crucial for assessing migraine

Area of Science:

  • Neurology
  • Clinical Neuroscience
  • Headache Medicine

Background:

  • Prevalence estimates for migraine premonitory symptoms vary widely.
  • Understanding these symptoms is key to assessing migraine's impact.
  • Clinical factors influencing symptom reporting require further investigation.

Purpose of the Study:

  • To determine the proportion of migraine patients reporting premonitory symptoms.
  • To assess the influence of enquiry methods on symptom reporting.
  • To investigate the association between premonitory symptoms and disease burden.

Main Methods:

  • A cross-sectional study involving 632 migraine patients.
  • Premonitory symptoms assessed via unprompted enquiry followed by a prompted list.
Keywords:
Assessment methodHIT-6MIDASWHODASheadache burden

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  • Clinical characteristics gathered through semi-structured interviews.

    • Main Results:

    • Prompted enquiry identified significantly more patients with premonitory symptoms (69.9%) than unprompted (43.0%).
    • Prompted enquiry also yielded higher symptom counts.
    • Symptom reporting was positively associated with postdromal symptoms/triggers and negatively with monthly migraine days.

    Conclusions:

    • A standardized and optimized method is essential for accurate premonitory symptom assessment.
    • This improved assessment is vital for understanding symptom prevalence and their contribution to disease burden.