Migraine headache is present in the aura phase: A prospective study

Jakob M. Hansen, Richard B. Lipton, David W. Dodick, Stephen D. Silberstein, Joel R. Saper, Sheena K. Aurora, Peter J. Goadsby, Andrew Charles

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Objectives: Migraine aura is commonly considered to be a distinct phase of a migraine attack that precedes headache. The objective of the study was to examine a large number of prospectively recorded attacks of migraine with aura and determine the timing of headache and other migraine symptoms relative to aura. Methods: As part of a clinical trial we collected prospective data on the time course of headache and other symptoms relative to the aura. Patients (n = 267) were enrolled from 16 centers, and asked to keep a headache diary for 1 month (phase I). They were asked to record headache symptoms as soon as possible after aura began and always within 1 hour of aura onset. A total of 456 attacks were reported during phase I by 201 patients. These patients were then randomized and included in phase II, during which a total of 405 attacks were reported in 164 patients. In total, we present data from 861 attacks of migraine with aura from 201 patients. Results: During the aura phase, the majority of attacks (73%) were associated with headache. Other migraine symptoms were also frequently reported during the aura: nausea (51%), photophobia (88%), and photophobia (73%). During the first 15 minutes within the onset of aura, 54% of patients reported headache fulfilling the criteria for migraine. Conclusion: Our results indicate that headaches as well as associated migraine symptoms are present early, during the aura phase of the migraine attack in the majority of patients.

Original languageEnglish (US)
Pages (from-to)2044-2049
Number of pages6
JournalNeurology
Volume79
Issue number20
DOIs
StatePublished - Nov 13 2012

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Migraine Disorders
Epilepsy
Prospective Studies
Headache
Migraine with Aura
Photophobia
Aura
Nausea
Attack
Clinical Trials

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)

Cite this

Hansen, J. M., Lipton, R. B., Dodick, D. W., Silberstein, S. D., Saper, J. R., Aurora, S. K., ... Charles, A. (2012). Migraine headache is present in the aura phase: A prospective study. Neurology, 79(20), 2044-2049. https://doi.org/10.1212/WNL.0b013e3182749eed

Migraine headache is present in the aura phase : A prospective study. / Hansen, Jakob M.; Lipton, Richard B.; Dodick, David W.; Silberstein, Stephen D.; Saper, Joel R.; Aurora, Sheena K.; Goadsby, Peter J.; Charles, Andrew.

In: Neurology, Vol. 79, No. 20, 13.11.2012, p. 2044-2049.

Research output: Contribution to journalArticle

Hansen, JM, Lipton, RB, Dodick, DW, Silberstein, SD, Saper, JR, Aurora, SK, Goadsby, PJ & Charles, A 2012, 'Migraine headache is present in the aura phase: A prospective study', Neurology, vol. 79, no. 20, pp. 2044-2049. https://doi.org/10.1212/WNL.0b013e3182749eed
Hansen JM, Lipton RB, Dodick DW, Silberstein SD, Saper JR, Aurora SK et al. Migraine headache is present in the aura phase: A prospective study. Neurology. 2012 Nov 13;79(20):2044-2049. https://doi.org/10.1212/WNL.0b013e3182749eed
Hansen, Jakob M. ; Lipton, Richard B. ; Dodick, David W. ; Silberstein, Stephen D. ; Saper, Joel R. ; Aurora, Sheena K. ; Goadsby, Peter J. ; Charles, Andrew. / Migraine headache is present in the aura phase : A prospective study. In: Neurology. 2012 ; Vol. 79, No. 20. pp. 2044-2049.
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