The not so hidden impact of interictal burden in migraine: A narrative review

Migraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment...

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Main Authors: Maurice Vincent, Lars Viktrup, Robert A. Nicholson, Michael H. Ossipov, Bert B. Vargas
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.1032103/full
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author Maurice Vincent
Lars Viktrup
Robert A. Nicholson
Michael H. Ossipov
Bert B. Vargas
author_facet Maurice Vincent
Lars Viktrup
Robert A. Nicholson
Michael H. Ossipov
Bert B. Vargas
author_sort Maurice Vincent
collection DOAJ
description Migraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment tools and treatment goals than any other feature, characteristic, or phase of migraine. However, the migraine attack may encompass up to 4 phases: the prodrome, aura, headache phase and postdrome. There is growing recognition that the burden of migraine, including symptoms associated with the headache phase of the attack, may persist between migraine attacks, sometimes referred to as the “interictal phase.” These include allodynia, hypersensitivity, photophobia, phonophobia, osmophobia, visual/vestibular disturbances and motion sickness. Subtle interictal clinical manifestations and a patient's trepidation to make plans or commitments due to the unpredictability of migraine attacks may contribute to poorer quality of life. However, there are only a few tools available to assess the interictal burden. Herein, we examine the recent advances in the recognition, description, and assessment of the interictal burden of migraine. We also highlight the value in patients feeling comfortable discussing the symptoms and overall burden of migraine when discussing migraine treatment needs with their provider.
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spelling doaj.art-5d717d930b334f39b8509c42eb40e9312022-12-22T04:34:24ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-11-011310.3389/fneur.2022.10321031032103The not so hidden impact of interictal burden in migraine: A narrative reviewMaurice Vincent0Lars Viktrup1Robert A. Nicholson2Michael H. Ossipov3Bert B. Vargas4Eli Lilly and Company, Indianapolis, IN, United StatesEli Lilly and Company, Indianapolis, IN, United StatesEli Lilly and Company, Indianapolis, IN, United StatesEvidera, Bethesda, MD, United StatesEli Lilly and Company, Indianapolis, IN, United StatesMigraine is a highly prevalent neurological disease of varying attack frequency. Headache attacks that are accompanied by a combination of impact on daily activities, photophobia and/or nausea are most commonly migraine. The headache phase of a migraine attack has attracted more research, assessment tools and treatment goals than any other feature, characteristic, or phase of migraine. However, the migraine attack may encompass up to 4 phases: the prodrome, aura, headache phase and postdrome. There is growing recognition that the burden of migraine, including symptoms associated with the headache phase of the attack, may persist between migraine attacks, sometimes referred to as the “interictal phase.” These include allodynia, hypersensitivity, photophobia, phonophobia, osmophobia, visual/vestibular disturbances and motion sickness. Subtle interictal clinical manifestations and a patient's trepidation to make plans or commitments due to the unpredictability of migraine attacks may contribute to poorer quality of life. However, there are only a few tools available to assess the interictal burden. Herein, we examine the recent advances in the recognition, description, and assessment of the interictal burden of migraine. We also highlight the value in patients feeling comfortable discussing the symptoms and overall burden of migraine when discussing migraine treatment needs with their provider.https://www.frontiersin.org/articles/10.3389/fneur.2022.1032103/fullinterictal burdenMIBS-4migrainequality of lifedisabilityco-morbidities
spellingShingle Maurice Vincent
Lars Viktrup
Robert A. Nicholson
Michael H. Ossipov
Bert B. Vargas
The not so hidden impact of interictal burden in migraine: A narrative review
Frontiers in Neurology
interictal burden
MIBS-4
migraine
quality of life
disability
co-morbidities
title The not so hidden impact of interictal burden in migraine: A narrative review
title_full The not so hidden impact of interictal burden in migraine: A narrative review
title_fullStr The not so hidden impact of interictal burden in migraine: A narrative review
title_full_unstemmed The not so hidden impact of interictal burden in migraine: A narrative review
title_short The not so hidden impact of interictal burden in migraine: A narrative review
title_sort not so hidden impact of interictal burden in migraine a narrative review
topic interictal burden
MIBS-4
migraine
quality of life
disability
co-morbidities
url https://www.frontiersin.org/articles/10.3389/fneur.2022.1032103/full
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