Migraine: prodromal features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Migraine: prodromal features. This is also known as pre-ictal or premonitory phase. Fully referenced neurology checklist.
Prodromal phase
- This is also known as pre-ictal or premonitory phase
- It occurs up to 36 hours before the headache
- It is present in about half of cases
Major prodromal phase symptoms
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Other prodromal phase symptoms
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References
- Peng KP, May A. Redefining migraine phases - a suggestion based on clinical, physiological, and functional imaging evidence. Cephalalgia 2020; 40:866-870.
- Lacritz M, Lipton RB, Metts C, Seng EK. The role of prodromal symptoms in predicting headache onset: a longitudinal electronic momentary assessment study. Headache 2026; 66:1767-1778.
- 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.
- 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.
- Jacome DE. Compulsive yawning as migraine premonitory symptom. Cephalagia 2001; 21:623-625.
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