MIGRAINE AND PREGNANCY - 11/09/11
Resumen |
Migraine is an episodic headache disorder that may be preceded by a prodrome and initiated by an aura. Migraine occurs in 4% of children, 6% of men, and 18% of women. Migraine in women is influenced by hormonal changes throughout the life cycle: menarche, menstruation, oral contraceptive use, pregnancy, menopause, and hormonal replacement therapy. Migraine can occur for the first time during pregnancy; preexisting migraine may worsen, particularly during the first trimester; or the patient may become headache free in later pregnancy. Some women have no change in their headache during pregnancy.57 The real incidence of migraine in pregnancy is uncertain, and most reported cases have been of migraine with aura or prolonged aura.
In the past, migraine headaches were known as either classic migraine or common migraine, based on the presence or absence of an aura.53Common migraine is now called migraine without aura. Classic migraine is now called migraine with aura . Migraine with or without aura may be associated with premonitory phenomena that develop hours to days before the headache attack. Examples include hyperactivity or hypoactivity, depression, irritability, difficulty in concentrating, and food cravings, especially for chocolate.53
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| Address reprint requests to Stephen D. Silberstein, MD, FACP, Comprehensive Headache Center, Germantown Hospital and Medical Center, One Penn Boulevard, Philadelphia, PA 19144 |
Vol 15 - N° 1
P. 209-231 - février 1997 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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