Evaluation of Perimenstrual Migraine Attacks Using "Headache Diary" Data.
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| Title: | Evaluation of Perimenstrual Migraine Attacks Using "Headache Diary" Data. |
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| Authors: | Ulukök, Meltem Duraklı (AUTHOR), Uzun, Mine Güray (AUTHOR), Kılıccı, Cetın (AUTHOR), Chauhan, Anjali (AUTHOR) |
| Source: | Acta Neurologica Scandinavica. 4/11/2026, Vol. 2026, p1-10. 10p. |
| Subjects: | Migraine, Classification, Childbearing age, Migraine aura |
| Abstract: | Background: Menstrual migraine (MM), a hormone‐related migraine type, is frequently underdiagnosed because current classification systems, especially the International Classification of Headache Disorders (ICHD)‐3, are inadequate. Alternative diagnostic models for MM, which consider aura and attack timing, have recently been proposed to improve clinical spectrum capture. This research investigated the occurrence and clinical traits of MM in reproductive‐aged women, contrasting the diagnostic effectiveness of the ICHD‐3 and Chalmer et al.′s proposed criteria via prospective headache diary data. Methods: This cross‐sectional observational study included 138 menstruating women aged 18–50 diagnosed with migraine. Over a 6‐month period, participants used diaries to record headache attacks, noting frequency, intensity, aura presence, and menstrual cycle phase. Migraine subtypes were classified using the ICHD‐3 and Chalmer et al.′s criteria. Results: Based on the ICHD‐3 criteria, the study found that 2.2% of participants had pure menstrual migraine (PMM), 29.0% had menstrually related migraine (MRM), and 68.8% were classified as non‐MRM. The revised criteria revealed a subtype redistribution, improving the identification of perimenstrual attacks. PMM correlated with significantly increased vomiting (70.0%) and recurrent attacks within the same cycle (90.0%). MRM groups showed significantly fewer visual auras (p = 0.001). The classification systems showed substantial agreement, as indicated by Cohen′s kappa (κ = 0.729, p < 0.001). Conclusion: This research highlights the variable clinical presentation of MM and proposes that using the revised criteria could lead to better diagnoses and more specific treatment plans. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 192937820 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluation of Perimenstrual Migraine Attacks Using "Headache Diary" Data. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ulukök%2C+Meltem+Duraklı%22">Ulukök, Meltem Duraklı</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Uzun%2C+Mine+Güray%22">Uzun, Mine Güray</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kılıccı%2C+Cetın%22">Kılıccı, Cetın</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chauhan%2C+Anjali%22">Chauhan, Anjali</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Neurologica+Scandinavica%22">Acta Neurologica Scandinavica</searchLink>. 4/11/2026, Vol. 2026, p1-10. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Migraine%22">Migraine</searchLink><br /><searchLink fieldCode="DE" term="%22Classification%22">Classification</searchLink><br /><searchLink fieldCode="DE" term="%22Childbearing+age%22">Childbearing age</searchLink><br /><searchLink fieldCode="DE" term="%22Migraine+aura%22">Migraine aura</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Menstrual migraine (MM), a hormone‐related migraine type, is frequently underdiagnosed because current classification systems, especially the International Classification of Headache Disorders (ICHD)‐3, are inadequate. Alternative diagnostic models for MM, which consider aura and attack timing, have recently been proposed to improve clinical spectrum capture. This research investigated the occurrence and clinical traits of MM in reproductive‐aged women, contrasting the diagnostic effectiveness of the ICHD‐3 and Chalmer et al.′s proposed criteria via prospective headache diary data. Methods: This cross‐sectional observational study included 138 menstruating women aged 18–50 diagnosed with migraine. Over a 6‐month period, participants used diaries to record headache attacks, noting frequency, intensity, aura presence, and menstrual cycle phase. Migraine subtypes were classified using the ICHD‐3 and Chalmer et al.′s criteria. Results: Based on the ICHD‐3 criteria, the study found that 2.2% of participants had pure menstrual migraine (PMM), 29.0% had menstrually related migraine (MRM), and 68.8% were classified as non‐MRM. The revised criteria revealed a subtype redistribution, improving the identification of perimenstrual attacks. PMM correlated with significantly increased vomiting (70.0%) and recurrent attacks within the same cycle (90.0%). MRM groups showed significantly fewer visual auras (p = 0.001). The classification systems showed substantial agreement, as indicated by Cohen′s kappa (κ = 0.729, p < 0.001). Conclusion: This research highlights the variable clinical presentation of MM and proposes that using the revised criteria could lead to better diagnoses and more specific treatment plans. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1155/ane/8811389 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1 Subjects: – SubjectFull: Migraine Type: general – SubjectFull: Classification Type: general – SubjectFull: Childbearing age Type: general – SubjectFull: Migraine aura Type: general Titles: – TitleFull: Evaluation of Perimenstrual Migraine Attacks Using "Headache Diary" Data. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ulukök, Meltem Duraklı – PersonEntity: Name: NameFull: Uzun, Mine Güray – PersonEntity: Name: NameFull: Kılıccı, Cetın – PersonEntity: Name: NameFull: Chauhan, Anjali IsPartOfRelationships: – BibEntity: Dates: – D: 11 M: 04 Text: 4/11/2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00016314 Numbering: – Type: volume Value: 2026 Titles: – TitleFull: Acta Neurologica Scandinavica Type: main |
| ResultId | 1 |
