![]() ![]() Patients were asked about their normal life migraine characteristics and if exercise had ever triggered a migraine attack within 48 hours after stopping exercise, according to the ICHD-II definition of a migraine trigger. A questionnaire was taken by an experienced headache neurologist (HK). The study design of this study was retrospective as migraine patients (diagnosed according to the International Classification of Headache Disorders ICHD-II) were questioned about their migraine history. Moreover, received treatments and impact of ETM were evaluated. The objective of this study was to investigate the lifetime prevalence of ETM attacks in migraineurs, and if these migraineurs share typical characteristics. Furthermore it has never been investigated if patients reporting sport as a migraine trigger actually quit this offending sport, which would be likely if there is an actual causal relation. As a result it is not clear which migraineurs have the highest risk of developing exercise-triggered migraine (ETM) attacks, and if these attacks resemble “normal life” migraine attacks. Most studies reporting on sport as a migraine trigger however lack extensive information on migraine diagnosis, migraine history and migraine symptoms. regular cycling) does not influence migraine frequency, or that sport even is effective in migraine prevention. However, there are also studies reporting that sport activity (e.g. Migraine attacks can be triggered by a variety of stimuli and exercise is reported to be one of them. Those experiencing exercise-triggered migraine attacks, more frequently had neck pain as initial migraine symptom during normal life attacks. ![]() Life time prevalence of exercise-triggered migraine attacks was high. As our study population was drawn from a headache clinic, result can not be generalized to the general population. More than half of the patients reporting exercise-triggered migraine attacks abandoned the offending sport due to migraine. Neck pain as the initial migraine symptom during normal life migraine attacks, was more frequent in those experiencing exercise-triggered migraine attacks. ResultsĪmong migraineurs lifetime prevalence of exercise-triggered migraine attacks was 38%, regardless of migraine type (with or without aura) or gender. Those reporting exercise triggered migraine attacks, were asked if these migraine attacks were typical or atypical compared to their normal life attacks and which kind of exercise in particular could provoke migraine attacks. Methodsġ03 consecutive migraine patients seen during their first visit at a Dutch headache clinic were administered an interview during their first visit to the outpatient headache clinic in which they were asked about their normal life migraine characteristics and if exercise had ever triggered a migraine attack within 48 hours after stopping exercise. Goal of this study was to investigate the lifetime prevalence of exercise triggered migraine attacks in migraine patients and if patients with exercise triggered attacks experience specific prodromal or ictal migraine symptoms. Sport as a migraine trigger has been reported, but extensive information on these triggered attacks and the patients experiencing these attacks is lacking. ![]()
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