Triggers, Protectors, and Predictors in Episodic Migraine

Purpose of Review A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common trigger...

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Published inCurrent pain and headache reports Vol. 22; no. 12; p. 81
Main Author Marmura, Michael J.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2018
Springer Nature B.V
Subjects
Episodic Migraine (S Nahas
Female
Food
Humans
Internal Medicine
Male
Medical Records
Medicine
Medicine & Public Health
Menstruation Disturbances
Migraine
Migraine Disorders - diagnosis
Migraine Disorders - etiology
Migraine Disorders - prevention & control
Pain Medicine
Precipitating Factors
Section Editor
Topical Collection on Episodic Migraine
Menstrual migraine
Episodic migraine
Food triggers
Weather in headache
Migraine triggers
Migraine diaries
Fasting headache
Online AccessGet full text
ISSN1531-3433
1534-3081
1534-3081
DOI10.1007/s11916-018-0734-0

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Abstract Purpose of Review A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice. Recent Findings Multiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, “letdown” after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers. Summary Multiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.
AbstractList A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice. Multiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, "letdown" after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers. Multiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.
A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice.PURPOSE OF REVIEWA wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice.Multiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, "letdown" after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers. Multiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.RECENT FINDINGSMultiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, "letdown" after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers. Multiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.
Purpose of ReviewA wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice.Recent FindingsMultiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, “letdown” after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers.SummaryMultiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.
Purpose of Review A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural triggers are much less predictable and vary in importance between individuals. This review describes the most common triggers in episodic migraine and provides strategies for managing them in clinical practice. Recent Findings Multiple migraine attack triggers have been established based on patient surveys, diary studies, and clinical trials. Stress, menstrual cycle changes, weather changes, sleep disturbances, alcohol, and other foods are among the most common factors mentioned. Clinical studies have verified that fasting, premenstrual periods in women, “letdown” after stress, and most likely low barometric pressures are migraine triggers. Premonitory symptoms such as neck pain, fatigue, and sensitivity to lights, sounds, or odors may mimic triggers. Summary Multiple studies clearly demonstrate triggers in episodic migraine, often related to change in homeostasis or environment. Many common migraine triggers are not easily modifiable, and avoiding triggers may not be realistic. Healthy lifestyle choices such as exercise, adequate sleep, stress management, and eating regularly may prevent triggers and transformation to chronic migraine over time.
ArticleNumber 81
Author Marmura, Michael J.
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  surname: Marmura
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  organization: Department of Neurology, Jefferson Headache Clinic, Thomas Jefferson University
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ID FETCH-LOGICAL-c372t-222abeca010936cfeefca840bd4dc8b6ed20d492b34539523a3e6dc58eba08353
IEDL.DBID BENPR
ISSN 1531-3433
1534-3081
IngestDate Thu Sep 04 23:08:11 EDT 2025
Fri Jul 25 07:04:56 EDT 2025
Wed Feb 19 02:34:13 EST 2025
Thu Apr 24 23:01:55 EDT 2025
Tue Jul 01 04:09:39 EDT 2025
Fri Feb 21 02:41:15 EST 2025
IsPeerReviewed true
IsScholarly true
Issue 12
Keywords Menstrual migraine
Episodic migraine
Food triggers
Weather in headache
Migraine triggers
Migraine diaries
Fasting headache
Language English
LinkModel DirectLink
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content type line 23
PMID 30291562
PQID 2406474156
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crossref_primary_10_1007_s11916_018_0734_0
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  year: 2018
  text: 2018-12-01
  day: 01
PublicationDecade 2010
PublicationPlace New York
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PublicationTitle Current pain and headache reports
PublicationTitleAbbrev Curr Pain Headache Rep
PublicationTitleAlternate Curr Pain Headache Rep
PublicationYear 2018
Publisher Springer US
Springer Nature B.V
Publisher_xml – name: Springer US
– name: Springer Nature B.V
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Snippet Purpose of Review A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce...
A wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce migraine, natural...
Purpose of ReviewA wide variety of triggers prompt attacks in episodic migraine. Although experimental triggers such as glyceryl trinitrate reliably produce...
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Publisher
StartPage 81
SubjectTerms Episodic Migraine (S Nahas
Female
Food
Humans
Internal Medicine
Male
Medical Records
Medicine
Medicine & Public Health
Menstruation Disturbances
Migraine
Migraine Disorders - diagnosis
Migraine Disorders - etiology
Migraine Disorders - prevention & control
Pain Medicine
Precipitating Factors
Section Editor
Topical Collection on Episodic Migraine
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Title Triggers, Protectors, and Predictors in Episodic Migraine
URI https://link.springer.com/article/10.1007/s11916-018-0734-0
https://www.ncbi.nlm.nih.gov/pubmed/30291562
https://www.proquest.com/docview/2406474156
https://www.proquest.com/docview/2116848635
Volume 22
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