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News covering selected sessions related to migraine from 2008 medical conferences.
Annual Meeting of the American Academy of Neurology Chicago, IL April 15-18, 2008
 
 
  Migraine Education Reduces Costs to Employers
 
  Similarities Seen in New Daily Persistent Headache and Transformed Migraine
 
Migraine Frequency Tied to Cardiovascular Risk
 
  Transformed Migraine Imposes Substantial Economic Burden
 
  Survey Provides Insight to Frequency of Migraine and
Probably Migraine
 
  Migraine Parameters Improve after Obesity Surgery
 
  Pulsality Index Shows promise for Assessing Intracranial Pressure
 
  Survey Reveals Spotty Patient Knowledge about Headache
 
  Data Strengthen Link between Patent Foramen Ovale, Migraine
 
  Progressive Balance Disorder Seen in patients with Migraine
 
  Basilar Artery Flow Patterns Distinquish Migraine Subtypes
 
  Three-question screening tool identifies patients with Migraine
 
  Transformed Migraine and New Daily Headache Have Similar Symptoms
 
  Migraine Onset and Progression Have Multiple Variations
 
  Mutation Quadruples Stroke Risk in Patients who have Migraine with Aura
 
  Oral Contraceptives Linked to Perimenstrual Migraine
 
  Migraine with Acute Confusion May Be Early Clue to
CADASIL
 
  Lachance First Clinical Data Released on Outbreak of Immune Polyradiculoneuropathy in Pork Processors
 
  Robert One of First Prevalence Studies Finds More Mild Cognitive Impairment in Men
 
  Excessively High, Low HbA1c Levels Carry Elevated Dementia Risk
 
Alzheimer’s Onset Sooner in Heavy Drinkers, Smokers
 
Longer Survival in Alzheimer’s Patients Who Took Vitamin E
 
High Midlife Cholesterol Increases Risk of Alzheimer’s and Dementia
 
Anticholinergic Drugs, Cognitive Decline Linked in Rush Religious Order Study
 
  Treatment Failure has Many Causes, Most of Which can be Corrected
 
  Issues and Challenges Increase in Older Headache Patients
 
  Medication Overuse Headache: New Insights into an Old Problem
 
Migraines Linked to Sleep Disturbances in Children
 
  Survey Provides Insight to Frequency of Migraine and Probably Migraine  
BY DON SCHRADER
Contributing Writer
CHICAGO (ECCC)— The proportion of headache patients with probable migraine increases with age, suggesting the episodes become less typical over time, Dr. Uri Napchan reported April 16 at the annual meeting of American Academy of Neurology.
A survey of 120,000 households in the United States showed that the frequency of migraine and probable migraine reached a peak between the ages of 30 and 39. Both conditions were considerably less common in people younger than age 17 and in those older than 60, said Dr. Napchan of Louisiana State University Health Science Center in Shreveport.
The findings came from an investigation designed to assess the relative frequency of migraine and possible migraine; the extent of disability associated with the conditions; and the proportion of individuals with high-frequency headache, which is defined as having a headache for 10 to 14 days a month. Such information can provide insight into the natural history of migraine and probable migraine, said Dr. Napchan.
A headache questionnaire was mailed to a sample of U.S. households, and completed surveys were returned by 162,576 individuals 12 years of age or older. Overall, 11.7% of respondents met the Second International Classification of Headache Disorders criteria for a migraine diagnosis, and 4.5% met criteria for probable migraine.
The prevalence of migraine and probable migraine peaked at 19% and 5.9%, respectively, in respondents who were ages 30 to 39. By comparison, individuals who were younger than 17 had a migraine prevalence of 6% and possible migraine prevalence of 2.5%. Patients older than 60 had prevalences of 4.42% for migraine and 3.2% for probable migraine.
The ratio of probable migraine-to-migraine increased from 0.31 for survey participants ages 19 to 29 and ages 30 to 39 to 0.34 for participants ages 40 to 49, 0.43 for ages 50 to 59, and 0.73 for survey respondents 60 years of age or older.
The proportion of participants with frequent headache attacks was stable across age groups for migraine but reached a peak in participants younger than 18 before declining in older ages. The frequency and magnitude of disability tended to decrease with age for both migraine and probable migraine.
Putting the findings into context, Dr. Napchan pointed out that the design of the study did not allow investigators to incorporate migraine progression or remission into the results.
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