Rukmini Menon1, Cheryl D Bushnell. 1. Department of Neurology, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Abstract
BACKGROUND: Many women who suffer from migraine and tension-type headaches (TTHs) have an improvement in the frequency of these headaches during pregnancy. At the same time pregnancy predisposes women to a number of potentially life-threatening conditions which can present with headache. Accurate diagnosis and treatment of headache during pregnancy is essential. REVIEW SUMMARY: The primary objectives of this review are to: (1) Summarize the natural history of primary headache disorders, including migraine, tension-type, and cluster headaches during pregnancy, as well as the impact of migraine on pregnancy outcomes and complications.(2) Summarize the therapeutic options and strategies for managing headaches in pregnancy and (3) Discuss the causes of secondary headaches and the diagnostic evaluation for new onset headache during pregnancy. CONCLUSION: Primary headache disorders, in particular TTHs and migraines, generally improve during pregnancy. However the frequency of improvement varies greatly. Because the pathophysiology of both migraines and TTHs is poorly understood, this limits our ability to predict improvement. Future research should be focused on headache pathophysiology and the effect of ovarian hormones and the pregnant state on headache pathogenesis.
BACKGROUND: Many women who suffer from migraine and tension-type headaches (TTHs) have an improvement in the frequency of these headaches during pregnancy. At the same time pregnancy predisposes women to a number of potentially life-threatening conditions which can present with headache. Accurate diagnosis and treatment of headache during pregnancy is essential. REVIEW SUMMARY: The primary objectives of this review are to: (1) Summarize the natural history of primary headache disorders, including migraine, tension-type, and cluster headaches during pregnancy, as well as the impact of migraine on pregnancy outcomes and complications.(2) Summarize the therapeutic options and strategies for managing headaches in pregnancy and (3) Discuss the causes of secondary headaches and the diagnostic evaluation for new onset headache during pregnancy. CONCLUSION: Primary headache disorders, in particular TTHs and migraines, generally improve during pregnancy. However the frequency of improvement varies greatly. Because the pathophysiology of both migraines and TTHs is poorly understood, this limits our ability to predict improvement. Future research should be focused on headache pathophysiology and the effect of ovarian hormones and the pregnant state on headache pathogenesis.
Authors: Chunfang Qiu; Ihunnaya O Frederick; Tanya Sorensen; Sheena K Aurora; Bizu Gelaye; Daniel A Enquobahrie; Michelle A Williams Journal: Cephalalgia Date: 2015-01-29 Impact factor: 6.292
Authors: Michelle Vo; Abinnet Ainalem; Chunfang Qiu; B Lee Peterlin; Sheena K Aurora; Michelle A Williams Journal: Headache Date: 2011-01-26 Impact factor: 5.887
Authors: Michelle A Williams; B Lee Peterlin; Bizu Gelaye; Daniel A Enquobahrie; Raymond S Miller; Sheena K Aurora Journal: Headache Date: 2011-07-28 Impact factor: 5.887