A study of triggers of migraine in India.
OBJECTIVE
To evaluate the migraine triggers in consecutive patients and correlate these with demographic and clinical variables.


METHODS
A prospective study.


METHODS
Tertiary care teaching hospital.


METHODS
A total of 182 patients with migraine were included whose age ranged between 14 to 58 years and 131 were females. Duration of migraine ranged between 6 and 260 months. Endogenous and exogenous migraine triggers were inquired using a questionnaire. Severity of migraine, associated symptoms, and functional disability were recorded. Presence of trigger was correlated with various demographic and clinical variables.


RESULTS
Migraine triggers were present in 160 (87.9%) patients and included emotional stress in 70%, fasting in 46.3%, physical exhaustion or traveling in 52.5%, sleep deprivation in 44.4%, menstruation in 12.8%, and weather changes in 10.1% patients. Multiple triggers (>2) were present in 34.4% patients.


CONCLUSIONS
The triggers in the Indian migraine patients are similar to other populations but for dietary factors.
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, India.
Rama K
RK
Yadav
Jayantee
J
Kalita
Usha K
UK
Misra
D000293:Adolescent; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D004032:Diet; D004185:Disability Evaluation; D004435:Eating; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology*; D010147:Pain Measurement; D005082:Physical Exertion / Q000502:physiology; D011379:Prognosis; D011446:Prospective Studies; D017366:Serotonin Receptor Agonists / Q000627:therapeutic use; D012892:Sleep Deprivation; D013315:Stress, Psychological / Q000150:complications; D014230:Triazoles / Q000627:therapeutic use; D014363:Tryptamines / Q000627:therapeutic use; D014887:Weather; D055815:Young Adult
D000894:Anti-Inflammatory Agents, Non-Steroidal; D017366:Serotonin Receptor Agonists; D014230:Triazoles; D014363:Tryptamines; C093622:rizatriptan; D007052:Ibuprofen