Menstrual migraine: clinical and therapeutical aspects.

Abstract:

:Estrogens fluctuations, particularly their premenstrual fall, are currently regarded as the main triggers of menstrual migraine (MM). MM presents in two clinical forms: pure MM, where attacks are confined to the perimenstrual period (PMP), and menstrually related migraine, where attacks always occur during, but are not confined to, the PMP. MM episodes are usually longer, more intense, more disabling and more refractory than nonmenstrual attacks. Acute management of MM should initially be abortive and primarily sought with triptans. If this fails, short-term perimenstrual prophylaxis with NSAIDs, coxibs, triptans or ergotamine derivatives can be considered. Hormone manipulations, mainly application of percutaneous estradiol gel in PMP or administration of oral contraceptives in extended cycles, constitute an alternative approach for nonresponders.

journal_name

Expert Rev Neurother

authors

Allais G,Castagnoli Gabellari I,De Lorenzo C,Mana O,Benedetto C

doi

10.1586/14737175.7.9.1105

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1105-20

issue

9

eissn

1473-7175

issn

1744-8360

journal_volume

7

pub_type

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