Clinical review of headache in pregnancy.
Headache is a common disorder in the general population. Among women, the primary headache form that is more heavily affected by the physiologic hormonal variations occurring through a woman's lifetime is migraine. Migraine without aura (MO) and migraine with aura (MA) show a different clinical pattern during pregnancy. MO improves or disappears while it is not infrequent for women to have their first attack of MA during this period; usually, during pregnancy MA do not improve. In MO women who continue to suffer from migraine during pregnancy, clinical observation and the few data currently available from the literature suggest that in the gestational period their attacks are nonetheless less disabling than those occurring outside this period. Even though the duration of the attacks is unchanged, their severity tends to be mild or moderate. Treatment of migraine during pregnancy is discussed.
Torelli
Paola
P
Headache Centre, Department of Neuroscience, University of Parma, c/o Ospedale Maggiore, Via Gramsci 14, 43126, Parma, Italy. paola.torelli1@unipr.it
Allais
G
G
Manzoni
G C
GC
D005260:Female; D020773:Headache Disorders / Q000503:physiopathology*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications
Neurol Sci. 2008 May;29 Suppl 1:S40-3
18545894
Cephalalgia. 2003 Apr;23(3):197-205
12662187
Ther Drug Monit. 2008 Feb;30(1):5-9
18223456
Cephalalgia. 1997 Nov;17(7):765-9
9399007
Neurol Clin. 1997 Feb;15(1):209-31
9058407
Headache. 1981 Sep;21(5):201-5
7287418
Headache. 2002 May;42(5):332-6
12047331
Headache. 1993 Jul-Aug;33(7):385-9
8376100
Cephalalgia. 2007 Mar;27(3):193-210
17381554
BMJ. 1995 Aug 26;311(7004):541-4
7663209
Neurology. 1991 Jun;41(6):786-93
2046918
Curr Pain Headache Rep. 2009 Oct;13(5):392-8
19728967
Curr Opin Neurol. 2001 Jun;14(3):323-33
11371755
Cephalalgia. 1995 Apr;15(2):140-4
7641250
Brain Res. 1993 Jan 22;601(1-2):241-5
8381698
Cephalalgia. 1996 Jun;16(4):239-45
8792035
Clin Endocrinol (Oxf). 1981 Apr;14(4):409-18
6266704
Funct Neurol. 1986 Apr-Jun;1(2):112-22
3609848
J Fam Plann Reprod Health Care. 2007 Apr;33(2):83-93
17407673
Arch Neurol. 1966 Oct;15(4):356-61
5912494