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January 29, 2013; 80 (5) Article

Provocation of migraine with aura using natural trigger factors

Anders Hougaard, Faisal Amin, Anne Werner Hauge, Messoud Ashina, Jes Olesen
First published January 23, 2013, DOI: https://doi.org/10.1212/WNL.0b013e31827f0f10
Anders Hougaard
From the Danish Headache Center and Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Faisal Amin
From the Danish Headache Center and Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Anne Werner Hauge
From the Danish Headache Center and Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Messoud Ashina
From the Danish Headache Center and Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Jes Olesen
From the Danish Headache Center and Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
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Provocation of migraine with aura using natural trigger factors
Anders Hougaard, Faisal Amin, Anne Werner Hauge, Messoud Ashina, Jes Olesen
Neurology Jan 2013, 80 (5) 428-431; DOI: 10.1212/WNL.0b013e31827f0f10

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This article has a correction. Please see:

  • Provocation of migraine with aura using natural trigger factors - March 12, 2013
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Abstract

Objective: It is well-known that migraine attacks can be precipitated by various stimuli. More than 50% of patients with migraine with aura (MA) know of at least one stimulus that always or often triggers their MA attacks. The objective of this study was to expose patients with MA to their self-reported trigger factors in order to assess the causal relation between trigger factors and attacks.

Methods: We recruited 27 patients with MA who reported that bright or flickering light or strenuous exercise would trigger their migraine attacks. The patients were experimentally provoked by different types of photo stimulation, strenuous exercise, or a combination of these 2 factors. During and following provocation, the patients would report any aura symptoms or other migraine-related symptoms.

Results: Of 27 provoked patients with MA, 3 (11%) reported attacks of MA following provocation. An additional 3 patients reported migraine without aura attacks. Following exercise, 4 out of 12 patients reported migraine, while no patients developed attacks following photo stimulation.

Conclusion: Experimental provocation using self-reported natural trigger factors causes MA only in a small subgroup of patients with MA. Prospective confirmation is important for future studies of migraine trigger factors and in the clinical management of patients with migraine.

Glossary

MA=
migraine with aura;
MO=
migraine without aura

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Editorial, page 424

  • Received May 22, 2012.
  • Accepted in final form September 11, 2012.
  • © 2013 American Academy of Neurology
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Letters: Rapid online correspondence

  • Provoking migraine with natural triggers: An important topic for researchers and clinicians
    • Paul R Martin, Professor, Griffith Universitypaul.martin@griffith.edu.au
    • Paul R Martin, Brisbane, Queensland, Austrlia
    Submitted May 07, 2013
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