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Migraine headache: epidemiologic perspectives.

M S Linet, W F Stewart

    Epidemiologic Reviews
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Understanding migraine requires addressing methodological issues and recognizing potential subtypes. Future research needs clearer definitions and better characterization of patient groups to advance migraine etiology and epidemiology.

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    Area of Science:

    • Neurology
    • Epidemiology
    • Genetics

    Background:

    • Clinical and epidemiologic studies suggest factors associated with migraine risk and attack precipitation.
    • Inferences of causal associations are limited due to methodological problems in existing studies.
    • Migraine research parallels early studies of conditions like rheumatoid arthritis and lupus erythematosus, where methodological issues were resolved for progress.

    Purpose of the Study:

    • To highlight the need for resolving methodological issues in migraine research.
    • To emphasize the importance of recognizing migraine heterogeneity and distinct etiologic subtypes.
    • To advocate for improved definitions and characterization of migraine for future studies.

    Main Methods:

    • Review of existing clinical and epidemiologic studies on migraine risk factors and precipitants.

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  • Analysis of methodological challenges in current migraine research.
  • Identification of areas for improvement in future migraine studies.

    • Main Results:

    • Current studies have significant methodological limitations hindering causal inference.
    • Migraine likely comprises heterogeneous subtypes with distinct etiologies, precipitant sensitivities, and genetic components.
    • A precise definition of migraine and accurate case characterization are lacking.

    Conclusions:

    • Significant advances in understanding migraine causes require addressing heterogeneity and improving study methodologies.
    • Future research should focus on defining subtypes, identifying biochemical markers, understanding precipitants, and collecting detailed epidemiologic data.
    • Establishing reliable definitions and descriptive epidemiological data is crucial for comparing studies and understanding migraine's natural history.