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The not so hidden impact of interictal burden in migraine: A narrative review

Migraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment...

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Autores principales: Vincent, Maurice, Viktrup, Lars, Nicholson, Robert A., Ossipov, Michael H., Vargas, Bert B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9669578/
https://www.ncbi.nlm.nih.gov/pubmed/36408525
http://dx.doi.org/10.3389/fneur.2022.1032103
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author Vincent, Maurice
Viktrup, Lars
Nicholson, Robert A.
Ossipov, Michael H.
Vargas, Bert B.
author_facet Vincent, Maurice
Viktrup, Lars
Nicholson, Robert A.
Ossipov, Michael H.
Vargas, Bert B.
author_sort Vincent, Maurice
collection PubMed
description Migraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment tools and treatment goals than any other feature, characteristic, or phase of migraine. However, the migraine attack may encompass up to 4 phases: the prodrome, aura, headache phase and postdrome. There is growing recognition that the burden of migraine, including symptoms associated with the headache phase of the attack, may persist between migraine attacks, sometimes referred to as the “interictal phase.” These include allodynia, hypersensitivity, photophobia, phonophobia, osmophobia, visual/vestibular disturbances and motion sickness. Subtle interictal clinical manifestations and a patient's trepidation to make plans or commitments due to the unpredictability of migraine attacks may contribute to poorer quality of life. However, there are only a few tools available to assess the interictal burden. Herein, we examine the recent advances in the recognition, description, and assessment of the interictal burden of migraine. We also highlight the value in patients feeling comfortable discussing the symptoms and overall burden of migraine when discussing migraine treatment needs with their provider.
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spelling pubmed-96695782022-11-18 The not so hidden impact of interictal burden in migraine: A narrative review Vincent, Maurice Viktrup, Lars Nicholson, Robert A. Ossipov, Michael H. Vargas, Bert B. Front Neurol Neurology Migraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment tools and treatment goals than any other feature, characteristic, or phase of migraine. However, the migraine attack may encompass up to 4 phases: the prodrome, aura, headache phase and postdrome. There is growing recognition that the burden of migraine, including symptoms associated with the headache phase of the attack, may persist between migraine attacks, sometimes referred to as the “interictal phase.” These include allodynia, hypersensitivity, photophobia, phonophobia, osmophobia, visual/vestibular disturbances and motion sickness. Subtle interictal clinical manifestations and a patient's trepidation to make plans or commitments due to the unpredictability of migraine attacks may contribute to poorer quality of life. However, there are only a few tools available to assess the interictal burden. Herein, we examine the recent advances in the recognition, description, and assessment of the interictal burden of migraine. We also highlight the value in patients feeling comfortable discussing the symptoms and overall burden of migraine when discussing migraine treatment needs with their provider. Frontiers Media S.A. 2022-11-03 /pmc/articles/PMC9669578/ /pubmed/36408525 http://dx.doi.org/10.3389/fneur.2022.1032103 Text en Copyright © 2022 Vincent, Viktrup, Nicholson, Ossipov and Vargas. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Vincent, Maurice
Viktrup, Lars
Nicholson, Robert A.
Ossipov, Michael H.
Vargas, Bert B.
The not so hidden impact of interictal burden in migraine: A narrative review
title The not so hidden impact of interictal burden in migraine: A narrative review
title_full The not so hidden impact of interictal burden in migraine: A narrative review
title_fullStr The not so hidden impact of interictal burden in migraine: A narrative review
title_full_unstemmed The not so hidden impact of interictal burden in migraine: A narrative review
title_short The not so hidden impact of interictal burden in migraine: A narrative review
title_sort not so hidden impact of interictal burden in migraine: a narrative review
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9669578/
https://www.ncbi.nlm.nih.gov/pubmed/36408525
http://dx.doi.org/10.3389/fneur.2022.1032103
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