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Headache and pregnancy.
Neurologist. 2008 Mar; 14(2):108-19.N

Abstract

BACKGROUND

Many women who suffer from migraine and tension-type headaches (TTHs) have an improvement in the frequency of these headaches during pregnancy. At the same time pregnancy predisposes women to a number of potentially life-threatening conditions which can present with headache. Accurate diagnosis and treatment of headache during pregnancy is essential.

REVIEW SUMMARY

The primary objectives of this review are to: (1) Summarize the natural history of primary headache disorders, including migraine, tension-type, and cluster headaches during pregnancy, as well as the impact of migraine on pregnancy outcomes and complications.(2) Summarize the therapeutic options and strategies for managing headaches in pregnancy and (3) Discuss the causes of secondary headaches and the diagnostic evaluation for new onset headache during pregnancy.

CONCLUSION

Primary headache disorders, in particular TTHs and migraines, generally improve during pregnancy. However the frequency of improvement varies greatly. Because the pathophysiology of both migraines and TTHs is poorly understood, this limits our ability to predict improvement. Future research should be focused on headache pathophysiology and the effect of ovarian hormones and the pregnant state on headache pathogenesis.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Menon R
Department of Neurology, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Bushnell CD
No affiliation info available

MeSH

FemaleHeadache Disorders, PrimaryHumansPregnancyPregnancy ComplicationsPregnancy OutcomeRisk Factors

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18332840

Citation

Menon, Rukmini, and Cheryl D. Bushnell. "Headache and Pregnancy." The Neurologist, vol. 14, no. 2, 2008, pp. 108-19.
Menon R, Bushnell CD. Headache and pregnancy. Neurologist. 2008;14(2):108-19.
Menon, R., & Bushnell, C. D. (2008). Headache and pregnancy. The Neurologist, 14(2), 108-19. https://doi.org/10.1097/NRL.0b013e3181663555
Menon R, Bushnell CD. Headache and Pregnancy. Neurologist. 2008;14(2):108-19. PubMed PMID: 18332840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headache and pregnancy. AU - Menon,Rukmini, AU - Bushnell,Cheryl D, PY - 2008/3/12/pubmed PY - 2008/7/11/medline PY - 2008/3/12/entrez SP - 108 EP - 19 JF - The neurologist JO - Neurologist VL - 14 IS - 2 N2 - BACKGROUND: Many women who suffer from migraine and tension-type headaches (TTHs) have an improvement in the frequency of these headaches during pregnancy. At the same time pregnancy predisposes women to a number of potentially life-threatening conditions which can present with headache. Accurate diagnosis and treatment of headache during pregnancy is essential. REVIEW SUMMARY: The primary objectives of this review are to: (1) Summarize the natural history of primary headache disorders, including migraine, tension-type, and cluster headaches during pregnancy, as well as the impact of migraine on pregnancy outcomes and complications.(2) Summarize the therapeutic options and strategies for managing headaches in pregnancy and (3) Discuss the causes of secondary headaches and the diagnostic evaluation for new onset headache during pregnancy. CONCLUSION: Primary headache disorders, in particular TTHs and migraines, generally improve during pregnancy. However the frequency of improvement varies greatly. Because the pathophysiology of both migraines and TTHs is poorly understood, this limits our ability to predict improvement. Future research should be focused on headache pathophysiology and the effect of ovarian hormones and the pregnant state on headache pathogenesis. SN - 1074-7931 UR - https://www.unboundmedicine.com/medline/citation/18332840/Headache_and_pregnancy_ DB - PRIME DP - Unbound Medicine ER -