De novo Migraine with Aura in the Third Trimester of Pregnancy: A Case Report and Literature review
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| Format: | Artículo científico |
| Langue: | en |
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Vilniaus Universitetas
2021
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| author | Elena Paškevičiūtė* |
| author_facet | Elena Paškevičiūtė* |
| contents | De novo Migraine with Aura in the Third Trimester of Pregnancy: A Case Report and Literature review Elena Paškevičiūtė* Diana Bužinskienė Kristina Ryliškienė Medicina Pregnancy Acute headache Migraine with aura Migraine management Secondary headache disorder Background. Among all headache disorders, migraine has the highest prevalence during gestation. The majority of migraineurs experience improvement during pregnancy, but a few may experience migraine for the first time. This poses a diagnostic challenge in the differential diagnosis between primary and life-threatening secondary headache disorders. Because pregnancy itself is an independent risk factor for secondary headache disorders, it is mandatory to exclude these conditions in order to diagnose migraine. There is a large body of literature about pre-existing migraine course during pregnancy and its link with adverse pregnancy outcomes, but there are no studies examining these aspects among women with new-onset migraine during pregnancy. Case report. A 31-year-old female at 33 weeks of gestation (gravida 2, para 2) was referred to the neurologist eds disturbances, which were followed by pressing severe headache, rated as 8 out of 10 on a numeric rating scale and accompanied by dizziness. The headache lasted for one day, and dizziness continued to the following day. The patient was investigated for a secondary headache disorder, but laboratory and neuroimaging results were unremarkable. A migraine with aura was diagnosed. The patient was advised to keep a consistent sleep schedule, maintain regular low physical activity, eat regularly and take magnesium supplementation. The patient was informed about a safe treatment approach in case of an acute attack. At 40 weeks of gestation the patient delivered female newborn, weighing 3750g, with Apgar scores of 8 and 9 (due to a nuchal cord). The postpartum period was uneventful. During the subsequent 4 years, the patient did not experience any recurrent migraine attacks and had no pregnancies. Conclusion. In order to diagnose a migraine during pregnancy, exclusion of secondary headache disorders is mandatory. Pregnant migraineur should be regularly monitored for adverse birth outcomes. It is essential to educate patients, provide information about the safe treatment of migraine attacks, and explain nonpharmacological prevention and supplementation benefits. 2021 artículo científico 2029-4174 https://www.redalyc.org/articulo.oa?id=694072807015 https://www.redalyc.org/journal/6940/694072807015/ https://www.redalyc.org/journal/6940/694072807015/html/ https://www.redalyc.org/journal/6940/694072807015/694072807015.epub https://www.redalyc.org/journal/6940/694072807015/movil https://doi.org/10.15388/Amed.2021.28.1.19 en http://www.redalyc.org/revista.oa?id=6940 Acta medica Lituanica application/pdf Vilniaus Universitetas Acta medica Lituanica (Lituania) Num.1 Vol.28 |
| format | Artículo científico |
| id | redalyc_694072807015 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Vilniaus Universitetas |
| spellingShingle | De novo Migraine with Aura in the Third Trimester of Pregnancy: A Case Report and Literature review Elena Paškevičiūtė* Medicina Pregnancy Acute headache Migraine with aura Migraine management Secondary headache disorder De novo Migraine with Aura in the Third Trimester of Pregnancy: A Case Report and Literature review Elena Paškevičiūtė* Diana Bužinskienė Kristina Ryliškienė Medicina Pregnancy Acute headache Migraine with aura Migraine management Secondary headache disorder Background. Among all headache disorders, migraine has the highest prevalence during gestation. The majority of migraineurs experience improvement during pregnancy, but a few may experience migraine for the first time. This poses a diagnostic challenge in the differential diagnosis between primary and life-threatening secondary headache disorders. Because pregnancy itself is an independent risk factor for secondary headache disorders, it is mandatory to exclude these conditions in order to diagnose migraine. There is a large body of literature about pre-existing migraine course during pregnancy and its link with adverse pregnancy outcomes, but there are no studies examining these aspects among women with new-onset migraine during pregnancy. Case report. A 31-year-old female at 33 weeks of gestation (gravida 2, para 2) was referred to the neurologist eds disturbances, which were followed by pressing severe headache, rated as 8 out of 10 on a numeric rating scale and accompanied by dizziness. The headache lasted for one day, and dizziness continued to the following day. The patient was investigated for a secondary headache disorder, but laboratory and neuroimaging results were unremarkable. A migraine with aura was diagnosed. The patient was advised to keep a consistent sleep schedule, maintain regular low physical activity, eat regularly and take magnesium supplementation. The patient was informed about a safe treatment approach in case of an acute attack. At 40 weeks of gestation the patient delivered female newborn, weighing 3750g, with Apgar scores of 8 and 9 (due to a nuchal cord). The postpartum period was uneventful. During the subsequent 4 years, the patient did not experience any recurrent migraine attacks and had no pregnancies. Conclusion. In order to diagnose a migraine during pregnancy, exclusion of secondary headache disorders is mandatory. Pregnant migraineur should be regularly monitored for adverse birth outcomes. It is essential to educate patients, provide information about the safe treatment of migraine attacks, and explain nonpharmacological prevention and supplementation benefits. 2021 artículo científico 2029-4174 https://www.redalyc.org/articulo.oa?id=694072807015 https://www.redalyc.org/journal/6940/694072807015/ https://www.redalyc.org/journal/6940/694072807015/html/ https://www.redalyc.org/journal/6940/694072807015/694072807015.epub https://www.redalyc.org/journal/6940/694072807015/movil https://doi.org/10.15388/Amed.2021.28.1.19 en http://www.redalyc.org/revista.oa?id=6940 Acta medica Lituanica application/pdf Vilniaus Universitetas Acta medica Lituanica (Lituania) Num.1 Vol.28 |
| title | De novo Migraine with Aura in the Third Trimester of Pregnancy: A Case Report and Literature review |
| topic | Medicina Pregnancy Acute headache Migraine with aura Migraine management Secondary headache disorder |
| url | https://www.redalyc.org/articulo.oa?id=694072807015 https://www.redalyc.org/journal/6940/694072807015/ https://www.redalyc.org/journal/6940/694072807015/html/ https://www.redalyc.org/journal/6940/694072807015/694072807015.epub https://www.redalyc.org/journal/6940/694072807015/movil https://doi.org/10.15388/Amed.2021.28.1.19 |