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Migraine prodromes separated from the aura: complete migraine
British Medical Journal
|September 6, 1980
Summary
Migraine prodromes, including mood and appetite changes, precede headache in some patients. These early symptoms suggest an initial brain disturbance, leading to the proposed term "complete migraine".
Area of Science:
- Neurology
- Neuroscience
- Medical Research
Background:
- Migraine is a common neurological disorder.
- Prodromal symptoms preceding migraine attacks are not fully understood.
- Uncomplicated migraine attacks were studied.
Purpose of the Study:
- To investigate the occurrence and nature of prodromal symptoms in migraine patients.
- To propose a new term for migraine attacks with prodromes.
Main Methods:
- Detailed interviews were conducted with 50 patients diagnosed with uncomplicated migraine.
- Patients were questioned about symptoms that occurred hours before the headache phase.
Main Results:
- 17 out of 50 patients (34%) reported prodromal symptoms.
- Prodromes included changes in mood, behavior, wakefulness, appetite, bowel activity, and fluid balance.
- These symptoms preceded the headache phase by several hours.
Conclusions:
- Prodromal symptoms are a notable feature in a significant portion of migraine attacks.
- The term "complete migraine" is proposed for attacks featuring these preceding symptoms.
- The presence of prodromes suggests an initial diffuse cerebral or hypothalamic disturbance in migraine.