Migraine: Difference between revisions
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'''Migraine''' headaches commonly occur in people with [[ME/CFS]]. In a 2011 study by Ravindran, et al, migraine headaches were found in 84%, and tension-type headaches in 81% of a cohort of [[Chronic fatigue syndrome|CFS]] patients.<ref name=":0" /> This compared to 5% and 45%, respectively, in a cohort of healthy controls.<ref name=":0" /> | '''Migraine''' headaches commonly occur in people with [[ME/CFS]]. In a 2011 study by Ravindran, et al, migraine headaches were found in 84%, and tension-type headaches in 81% of a cohort of [[Chronic fatigue syndrome|CFS]] patients.<ref name=":0" /> This compared to 5% and 45%, respectively, in a cohort of healthy controls.<ref name=":0" /> | ||
== | ==Symptoms== | ||
Migraine without aura is defined by the following diagnostic criteria outlined in''The International Classification Of Headache Disorders, | '''Migraine without aura''' is defined by the following diagnostic criteria outlined in''The International Classification Of Headache Disorders, 3rd edition'': | ||
at least 5 episodes lasting 4 to 72 hr (untreated or unsuccessfully treated) with at least 2 of the following criteria: | |||
(i) unilateral location; | |||
(ii) pulsating quality; | |||
(iii) moderate to severe pain intensity; and | |||
(iv) aggravation by or causing avoidance of routine physical activity. | |||
During the headache either nausea with or without vomiting, or [[photophobia]] and [[phonophobia]] must occur.<ref>{{Cite journal|last=Headache Classification Subcommittee of the International Headache Society|date=2004|title=The International Classification of Headache Disorders: 2nd edition|url=https://www.ncbi.nlm.nih.gov/pubmed/14979299|journal=Cephalalgia: An International Journal of Headache|volume=24 |issue =Suppl 1|pages=9–160|issn=0333-1024|pmid=14979299}}</ref><ref>{{Cite journal|date=2018-01-01|title=Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition|url=https://doi.org/10.1177/0333102417738202|journal=Cephalalgia|language=en|volume=38|issue=1|pages=1–211|doi=10.1177/0333102417738202|issn=0333-1024}}</ref> | |||
==Migraines in ME/CFS== | ==Migraines in ME/CFS== | ||
Migraines is one of several illnesses or conditions experienced alongside of ME/CFS.<ref>{{Cite web|url=https://ammes.org/overlapping-conditions/|title=Overlapping Conditions – American ME and CFS Society|website=ammes.org|language=en-US|access-date=2018-08-12}}</ref><br > | Migraines is one of several illnesses or conditions experienced alongside of ME/CFS.<ref>{{Cite web|url=https://ammes.org/overlapping-conditions/|title=Overlapping Conditions – American ME and CFS Society|website=ammes.org|language=en-US|access-date=2018-08-12}}</ref><br> | ||
The [[Canadian Consensus Criteria]] recognizes migraines in the [[:Category:Neurological signs and symptoms |possible neurological symptoms]] of [[ME/CFS]]. | The [[Canadian Consensus Criteria]] recognizes migraines in the [[:Category:Neurological signs and symptoms |possible neurological symptoms]] of [[ME/CFS]]. | ||
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==Potential treatments== | ==Potential treatments== | ||
*[[Sumatriptan]], | *Triptans, e.g. [[Sumatriptan]], brand name Imitrex (13 out of 14 newly diagnosed migraine subjects responded to [[sumatriptan]] in one [[Chronic fatigue syndrome|CFS]] patient cohort)<ref name=":0" /> or Zomitriptan, brand name Zomig<ref>{{Cite web|url=https://www.drugs.com/health-guide/migraine.html|title=Migraine Guide: Causes, Symptoms and Treatment Options|website=Drugs.com|language=en|access-date=2021-10-12}}</ref> | ||
*Avoiding consumption of [[nitrates]] and [[tyramine]] | *Avoiding consumption of [[nitrates]] and [[tyramine]] | ||
*[[Daith piercing]]<ref>{{Cite journal|last=Cascio Rizzo|first=Angelo|last2=Paolucci|first2=Matteo|last3=Altavilla|first3=Riccardo|last4=Brunelli|first4=Nicoletta|last5=Assenza|first5=Federica|last6=Altamura|first6=Claudia|last7=Vernieri|first7=Fabrizio|date=2017|title=Daith Piercing in a Case of Chronic Migraine: A Possible Vagal Modulation|journal=Frontiers in Neurology|language=English|volume=8|pages=|doi=10.3389/fneur.2017.00624|issn=1664-2295|pmc=5711775|pmid=29230190|via=}}</ref> | *[[Daith piercing]]<ref>{{Cite journal|last=Cascio Rizzo|first=Angelo|last2=Paolucci|first2=Matteo|last3=Altavilla|first3=Riccardo|last4=Brunelli|first4=Nicoletta|last5=Assenza|first5=Federica|last6=Altamura|first6=Claudia|last7=Vernieri|first7=Fabrizio|date=2017|title=Daith Piercing in a Case of Chronic Migraine: A Possible Vagal Modulation|journal=Frontiers in Neurology|language=English|volume=8|pages=|doi=10.3389/fneur.2017.00624|issn=1664-2295|pmc=5711775|pmid=29230190|via=}}</ref> | ||
*[[:Category:CGRP antagonists|CGRP antagonists]] including [[:Category:Gepants|gepants]] and [[Calcitonin gene-related peptide monoclonal antibody|CGRP monoclonal antibodies]]<ref>{{Cite journal|last=Negro|first=Andrea|author-link=|last2=Martelletti|first2=Paolo|author-link2=|last3=|first3=|author-link3=|last4=|first4=|author-link4=|last5=|first5=|author-link5=|last6=|first6=|author-link6=|last7=|first7=|last8=|first8=|date=Jun 2019|title=Gepants for the treatment of migraine|url=https://pubmed.ncbi.nlm.nih.gov/31081399/|journal=Expert Opinion on Investigational Drugs|volume=28|issue=6|pages=555–567|doi=10.1080/13543784.2019.1618830|issn=1744-7658|pmc=|pmid=31081399|access-date=|quote=|via=}}</ref> | |||
==Notable studies== | ==Notable studies== |
Revision as of 01:33, October 12, 2021
Migraine headaches commonly occur in people with ME/CFS. In a 2011 study by Ravindran, et al, migraine headaches were found in 84%, and tension-type headaches in 81% of a cohort of CFS patients.[1] This compared to 5% and 45%, respectively, in a cohort of healthy controls.[1]
Symptoms[edit | edit source]
Migraine without aura is defined by the following diagnostic criteria outlined inThe International Classification Of Headache Disorders, 3rd edition:
at least 5 episodes lasting 4 to 72 hr (untreated or unsuccessfully treated) with at least 2 of the following criteria:
(i) unilateral location;
(ii) pulsating quality;
(iii) moderate to severe pain intensity; and
(iv) aggravation by or causing avoidance of routine physical activity.
During the headache either nausea with or without vomiting, or photophobia and phonophobia must occur.[2][3]
Migraines in ME/CFS[edit | edit source]
Migraines is one of several illnesses or conditions experienced alongside of ME/CFS.[4]
The Canadian Consensus Criteria recognizes migraines in the possible neurological symptoms of ME/CFS.
Possible causes[edit | edit source]
Potential treatments[edit | edit source]
- Triptans, e.g. Sumatriptan, brand name Imitrex (13 out of 14 newly diagnosed migraine subjects responded to sumatriptan in one CFS patient cohort)[1] or Zomitriptan, brand name Zomig[5]
- Avoiding consumption of nitrates and tyramine
- Daith piercing[6]
- CGRP antagonists including gepants and CGRP monoclonal antibodies[7]
Notable studies[edit | edit source]
- 2011, Migraine headaches in chronic fatigue syndrome (CFS): comparison of two prospective cross-sectional studies.[1]
- 2013, Migraine in gulf war illness and chronic fatigue syndrome: Prevalence, potential mechanisms, and evaluation.[8] (Full Text)
- 2016, Migraines Are Correlated with Higher Levels of Nitrate-, Nitrite-, and Nitric Oxide-Reducing Oral Microbes in the American Gut Project Cohort (Full Text)[9]
See also[edit | edit source]
Learn more[edit | edit source]
- Oct 18, 2016, Migraines could be caused by gut bacteria, study suggests[10]
- May 19, 2018, The Migraine Drug Explosion Begins: Could Fibromyalgia and ME/CFS Benefit?[11]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Ravindran, Murugan K; Zheng, Yin; Timbol, Christian; Merck, Samantha J; Baraniuk, James N (March 5, 2011). "Migraine headaches in Chronic Fatigue Syndrome (CFS): Comparison of two prospective cross-sectional studies". BMC Neurology. 11 (1). doi:10.1186/1471-2377-11-30. ISSN 1471-2377. PMID 21375763.
- ↑ Headache Classification Subcommittee of the International Headache Society (2004). "The International Classification of Headache Disorders: 2nd edition". Cephalalgia: An International Journal of Headache. 24 (Suppl 1): 9–160. ISSN 0333-1024. PMID 14979299.
- ↑ "Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition". Cephalalgia. 38 (1): 1–211. January 1, 2018. doi:10.1177/0333102417738202. ISSN 0333-1024.
- ↑ "Overlapping Conditions – American ME and CFS Society". ammes.org. Retrieved August 12, 2018.
- ↑ "Migraine Guide: Causes, Symptoms and Treatment Options". Drugs.com. Retrieved October 12, 2021.
- ↑ Cascio Rizzo, Angelo; Paolucci, Matteo; Altavilla, Riccardo; Brunelli, Nicoletta; Assenza, Federica; Altamura, Claudia; Vernieri, Fabrizio (2017). "Daith Piercing in a Case of Chronic Migraine: A Possible Vagal Modulation". Frontiers in Neurology. 8. doi:10.3389/fneur.2017.00624. ISSN 1664-2295. PMC 5711775. PMID 29230190.
- ↑ Negro, Andrea; Martelletti, Paolo (June 2019). "Gepants for the treatment of migraine". Expert Opinion on Investigational Drugs. 28 (6): 555–567. doi:10.1080/13543784.2019.1618830. ISSN 1744-7658. PMID 31081399.
- ↑ Rayhan, Rakib U.; Ravindran, Murugan K.; Baraniuk, James N. (2013). "Migraine in gulf war illness and chronic fatigue syndrome: prevalence, potential mechanisms, and evaluation". Frontiers in Physiology. 4: 181. doi:10.3389/fphys.2013.00181. ISSN 1664-042X. PMID 23898301.
- ↑ Gonzalez, Antonio; Hyde, Embriette; Sangwan, Naseer; Gilbert, Jack A.; Virre, Erik; Knight, Rob (October 18, 2016). "Migraines Are Correlated with Higher Levels of Nitrate-, Nitrite-, and Nitric Oxide-Reducing Oral Microbes in the American Gut Project Cohort" (PDF). American Society for Microbiology. 1 (5).
- ↑ Devlin, Hannah (October 18, 2016). "Migraines could be caused by gut bacteria, study suggests". the Guardian. Retrieved August 11, 2018.
- ↑ Johnson, Cort (May 19, 2018). "The Migraine Drug Explosion Begins: Could Fibromyalgia and ME/CFS Benefit? - Health Rising". Health Rising. Retrieved August 11, 2018.