Migraine: headache features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Migraine: headache features. Preictal (prodrome or premonitory) phase, Ictal phase, Post-ictal (postdrome) phase. Fully referenced neurology checklist.

Migraine phases

  • Preictal (prodrome or premonitory) phase
  • Ictal phase
  • Post-ictal (postdrome) phase
  • Interictal phase

Premonitory phase symptoms

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Ictal phase features

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Features of unilateral migraine

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Ictal cranial autonomic features

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Ictal unusual accompanying features

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Postdrome phase symptoms

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Interictal phase symptoms

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Significant differential diagnoses

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References

  1. Peng KP, May A. Redefining migraine phases - a suggestion based on clinical, physiological, and functional imaging evidence. Cephalalgia 2020; 40:866-870.
  2. Vincent M, Viktrup L, Nicholson RA, Ossipov MH, Vargas BB. The not so hidden impact of interictal burden in migraine: a narrative review. Front Neurol 2022; 13:1032103.
  3. Eigenbrodt AK, Christensen RH, Ashina H, et al. Premonitory symptoms in migraine: a systematic review and meta-analysis of observational studies reporting prevalence or relative frequency. J Headache Pain 2022; 23:140. 
  4. Jacome DE. Compulsive yawning as migraine premonitory symptom. Cephalagia 2001; 21:623-625.
  5. Güven B, Güven H, Çomoğlu SS. Migraine and yawning. Headache 2018; 58:210-216. 
  6. And 26 more. Subscribe to see the full list

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