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Migraine is a highly prevalent disorder, affecting 27 million women and 10 million men in the US.1 Over the course of a lifetime, 43% of women and 18% of men will experience migraine.2 Direct and indirect costs from migraine exceed $15 billion per year in the US alone.3 Migraine patients suffer the burdens of acute […]

Numerous ‘tools’ have been developed for clinicians and patients that elucidate important elements of migraine diagnosis and management. Just as the stethoscope captures the dynamics of the working heart, migraine tools are an external verification of the migraineur’s level of pain and disability. Properly utilized, ‘migraine tools’ have the potential to: improve communication between patient […]

Introduction Presented by: Richard B Lipton Albert Einstein College of Medicine, Bronx, NY, US Current guidelines recommend preventive treatments for people who experience frequent and disabling migraine headaches, specifically those suffering headaches on 4 or more days/month.1 However, only one-third of people eligible for preventive treatments actually receive them, and of these, over three-quarters discontinue […]

It cannot be seen, cannot be felt, cannot be heard, cannot be smelt. It lies behind stars and under hills, and empty holes it fills. It comes first and follows after, ends life, kills laughter. The Hobbit. JRR Tolkien ‘Darkness’ was the answer to Gollum’s riddle to get out of the tunnel in The Hobbit.1 Darkness is the […]

Treatment guidelines recommend preventive therapy for migraine, based primarily on the frequency of migraine attacks.1 Migraine-related burden of disease increases with the number of headache days; however, even fewer than 4 headache days per month can result in severe disability in addition to impairment during individual episodes.2,3 The needs of patients with migraine go beyond simply reducing […]

Migraine prevention medication is recommended for: (1) frequent headaches (generally defined as at least four migraines per month that are associated with some degree of impairment); (2) migraines that significantly interfere with a patient’s daily activities despite acute treatment; (3) migraine with brainstem aura and hemiplegic migraine independent of frequency; (4) contraindication to, treatment failure […]