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Menstrual migraine: case studies of women with estrogen-related headaches.
Headache. 2008 Nov-Dec; 48 Suppl 3:S131-41.H

Abstract

This paper presents 2 case scenarios that illustrate the complexity of diagnosing and managing migraine associated with hormonal changes. Migraine is commonly associated with comorbidies such as depression, anxiety, obesity, cardiovascular disease, as well as other conditions, thereby making management more challenging for the physician and the patient. The first case is a 35-year-old woman who has migraine almost exclusively during menstruation. She is under a physician's care for long-term management of premenstrual dysphoric disorder (PMDD). Achieving a differential diagnosis of pure menstrual migraine is illustrated, and a detailed treatment plan including use of a migraine miniprophylaxis protocol, management of her PMDD, and prescription of acute treatment medications is reviewed. The second case scenario describes the diagnosis of menstrually associated migraine in a woman who suffers from a frequent disabling migraine along with work-related anxiety and depression. This paper reviews her differential diagnosis, laboratory testing, treatment plan, including management of her comorbid anxiety and depressive symptoms.

Authors+Show Affiliations

Orange County Migraine and Headache Center, University of California, Irvine, CA, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19076659

Citation

Hutchinson, Susan L., and Stephen D. Silberstein. "Menstrual Migraine: Case Studies of Women With Estrogen-related Headaches." Headache, vol. 48 Suppl 3, 2008, pp. S131-41.
Hutchinson SL, Silberstein SD. Menstrual migraine: case studies of women with estrogen-related headaches. Headache. 2008;48 Suppl 3:S131-41.
Hutchinson, S. L., & Silberstein, S. D. (2008). Menstrual migraine: case studies of women with estrogen-related headaches. Headache, 48 Suppl 3, S131-41. https://doi.org/10.1111/j.1526-4610.2008.01311.x
Hutchinson SL, Silberstein SD. Menstrual Migraine: Case Studies of Women With Estrogen-related Headaches. Headache. 2008 Nov-Dec;48 Suppl 3:S131-41. PubMed PMID: 19076659.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Menstrual migraine: case studies of women with estrogen-related headaches. AU - Hutchinson,Susan L, AU - Silberstein,Stephen D, PY - 2008/12/17/entrez PY - 2008/12/23/pubmed PY - 2009/1/17/medline SP - S131 EP - 41 JF - Headache JO - Headache VL - 48 Suppl 3 N2 - This paper presents 2 case scenarios that illustrate the complexity of diagnosing and managing migraine associated with hormonal changes. Migraine is commonly associated with comorbidies such as depression, anxiety, obesity, cardiovascular disease, as well as other conditions, thereby making management more challenging for the physician and the patient. The first case is a 35-year-old woman who has migraine almost exclusively during menstruation. She is under a physician's care for long-term management of premenstrual dysphoric disorder (PMDD). Achieving a differential diagnosis of pure menstrual migraine is illustrated, and a detailed treatment plan including use of a migraine miniprophylaxis protocol, management of her PMDD, and prescription of acute treatment medications is reviewed. The second case scenario describes the diagnosis of menstrually associated migraine in a woman who suffers from a frequent disabling migraine along with work-related anxiety and depression. This paper reviews her differential diagnosis, laboratory testing, treatment plan, including management of her comorbid anxiety and depressive symptoms. SN - 1526-4610 UR - https://www.unboundmedicine.com/medline/citation/19076659/Menstrual_migraine:_case_studies_of_women_with_estrogen_related_headaches_ L2 - https://doi.org/10.1111/j.1526-4610.2008.01311.x DB - PRIME DP - Unbound Medicine ER -