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Chronic stress may trigger migraine attacks [8, 9] or induce CM [11, 33], subsequently restricting or preventing participation in social or work related activities [35].
HRT may trigger migraine attacks in women without a past history of migraine or may also cause the reappearance of migraine in those women who had the disorder before menopause [57, 58].
While some authors claim that neck pain is simply a symptom of the migraine attack [2], others postulate that dysfunctions in neck muscles may trigger migraine attacks and thereby contribute to the transition from episodic to chronic migraine [4].
Indeed: (i) adenosine plasma levels have been reported to be increased during migraine attacks [6]; (ii) exogenous adenosine may trigger migraine attacks [7]; (iii) dipyridamole, an adenosine uptake inhibitor, may increase the frequency of migraine attacks [8]; and (iv) an adenosine gene haplotype has been associated with migraine with aura [9].
To date, the pathogenesis of primary exertional headache is unidentified and it is still under debate; several theories regarding the cause have been proposed, such as, migraine triggered by physical effort particularly evident in aerobic exercise, altitude and hot weather, suggesting that low oxygen tension may trigger migraine by an as yet unknown mechanism [9].
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Too much caffeine may trigger migraines in some people so instead of coffee, you might try tea, which tends to have less caffeine.[40].[40]
This hypothesis is supported by recent evidence indicating that many external stimuli commonly identified as trigger factors may not trigger migraine attacks when systematically studied in a prospective setting.
Management of pediatric migraine includes lifestyle changes (in order to avoid foods, habits or enviromental factors that may trigger a migraine attack), the use of abortive medications and preventive measures, which can be either nonpharmacological or pharmacological.
Sleep disturbances may trigger a migraine attack in the preictal state [6].
Fasting results in activation of insulin receptors which may trigger a migraine attack [28].
Sleep related symptoms like tiredness and yawning are particularly frequent in the premonitory phase before an attack [2] while insufficient sleep may trigger a migraine attack [3].
Related(20)
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