THE STUDY OF CLINICAL PROFILE IN MIGRAINE PATIENT
Abstract
Background: Migraine contributes to 16% to the headache patients and it is the 2nd most common cause of headache affecting 15% of women and 6% of men worldwide.
Aims and objectives: Purpose of this study was to review detail demographic and clinical profile of migraineurs along with the study of practice patterns of acute treatment and prophylaxis in patients attending OPD of a tertiary care hospital of central India.
Material and methods: All the patients with migraine attending OPD in Department of Medicine formed our study population. The Study protocol and informed consent form (ICF) was approved by the Scientific Review Committee. We had included 100 consecutive patients of migraine during the study period (February 2015 to October 2015) after voluntary written informed consent for participation in the study. Data was presented in the form of tables, a bar diagram, and a pie chart.
Results: Maximum number of migraine patients were in the age group 21-30 years (46%), lower incidence of migraine was seen in higher age group patients. The overall mean age of onset of migraine was 29.5 years, with a lower mean age in females. Migraine was more commonly seen in females (69%) in comparison to males (31%). Majority of the patients in our study presented with migraine without aura (89%). Unilateral headache was seen in 69% patients and 31% of patients had a bilateral headache. 72% of patients had severe pain, while 28% of patients had moderate pain. Traveling (42%), tension (32%) and hunger (24%) were the most common precipitants. 97% were taking NSAIDs for an acute attack of migraine and only 3% were taking Triptans. 21% of patients had positive family history of migraine. Prevalence of migraine in migraineur’s parents to be 52.9%,
Conclusion: Females are most commonly affected by migraine. Travelling, tension and hunger being the most common precipitating factors. NSAIDs are most commonly prescribed for migraine. We recommend that further large clinical as well as epidemiological studies must be conducted to confirm and further extrapolate our findings in the general population.
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