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Headaches Preceded by Visual Aura Among Adolescents and Young Adults: A Population-Based Survey

Headaches Preceded by Visual Aura Among Adolescents and Young Adults: A Population-Based Survey Abstract • Clinical descriptions of migraine preceded by visual aura often include a composite of striking and severe symptoms of several attacks in individual patients, but few studies have characterized the spectrum of such attacks. In a populationbased telephone survey of 8920 Washington County, Maryland, residents 12 through 29 years old, the attack rate for visual aura headaches during the week prior to the standardized interview was 3.7% in male and 6.1% in female subjects. Among female subjects, the risk for visual aura headache with tension-type symptoms increased with age, whereas the risk for visual aura headache without tension symptoms decreased with increasing age. No clear agerelated patterns were observed among male subjects for either type of aura headache. The severity of visual aura headache with and without tension symptoms increased with age among female subjects, but showed an inconsistent pattern among male subjects except for decreasing disability with increasing age. The median interval between the onset of aura symptoms and the onset of headache (aura interval) was 15 minutes in male subjects and 25 minutes in female subjects, with aura intervals longer than 60 minutes reported by 12% of male subjects and 20% of female subjects. In one of the first large population-based studies to characterize the spectrum of visual aura headache, differing age, gender, and subtype patterns were found. References 1. Selby G, Lance JW. Observation on 500 cases of migraine and allied vascular headaches . J Neurol Neurosurg Psychiatry . 1960;23:23-32.Crossref 2. Alvarez WC. The migraine scotoma as studied in 618 persons . Am J Ophthalmol . 1960;49:489-504. 3. Clarke GJR, Waters WE. Headache and migraine in a London general practice . In: Waters WE, ed. The Epidemiology of Migraine . Boehringer Ingelheim, Bracknell-Berkshire; 1974. 4. Diehr P, Wood R, Wolcott B, Slay L, Tompkins R. On the relationships among headache symptoms . J Chron Dis . 1982;35:321-331.Crossref 5. Bana DS, Graham JR. Observations on prodromes of classic migraine in a headache clinic population . Headache . 1986;26:216-219.Crossref 6. Ziegler DK, Hassanein RS. Specific headache phenomena: their frequency and coincidence . Headache . 1990;30:152-156.Crossref 7. Ekbom K, Ahlborg B, Schele R. Prevalence of migraine and cluster headache in Swedish men of 18 . Headache . 1978;18:9-19.Crossref 8. Waters WE, O'Connor PJ. Epidemiology of headache and migraine in women . J Neurol Neurosurg Psychiatry . 1971;34:148-153.Crossref 9. Waters WE. Community studies of the prevalence of migraine . Headache . 1970;9:178-186.Crossref 10. Newland CA, Illis LS, Robins PK, Batchelor BG, Waters WE. A survey of headache in an English city . Headache . 1978;5:1-20. 11. Ziegler DK, Hassanein RS, Couch JR. Characteristics of life headache histories in a nonclinic population . Neurology . 1977;27:265-269.Crossref 12. Cook NR, Evans DA, Funkenstein HH, et al. Correlates of headache in a population-based cohort of elderly . Arch Neurol . 1989;46:1338-1344.Crossref 13. Markush RE, Karp H, Heyman A, O'Fallon WM. Epidemiologic study of migraine symptoms in young women . Neurology . 1975;25:430-435.Crossref 14. Linet MS, Stewart WF, Celentano DD, Ziegler DK, Sprecher M. An epidemiologic study of headache among adolescents and young adults . JAMA . 1989;261:2211-2216.Crossref 15. Stewart WF, Linet MS, Celentano DD, Van Natta M, Ziegler D. Age- and sex-specific incidence rates of migraine with and without visual aura . Am J Epidemiol . 1991;134:1111-1120. 16. Stewart WF, Celentano DD, Linet MS. Disability, physician consultation, and use of prescription medications in a population-based study of headache . Biomed Pharmacother . 1989;43:711-718.Crossref 17. Breslow NE, Day NE. Statistical Methods in Cancer Research . Lyon, France; 1987;2:178-229. International Agency for Research on Cancer Scientific Publications No. 82. 18. Ad Hoc Committee of the International Headache Society. Proposed classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain . Cephalal . 1988;8( (suppl 7) ):9-96.Crossref 19. Linet MS, Stewart WF. Migraine headache: epidemiologic perspectives . Epidemiol Rev . 1984;6:107-139. 20. Black ER. Acute conditions: incidence and associated disability: United States, July 1976-June 1977 . In: Vital and Health Statistics , Series 10. Washington, DC: US Government Printing Office; 1978;125. Dept of Health, Education, and Welfare publication (PHS) 78-1553. 21. Green JE. A survey of migraine in England, 1975-76 . Headache . 1977;17:67-68.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Headaches Preceded by Visual Aura Among Adolescents and Young Adults: A Population-Based Survey

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1992.00530290100018
Publisher site
See Article on Publisher Site

Abstract

Abstract • Clinical descriptions of migraine preceded by visual aura often include a composite of striking and severe symptoms of several attacks in individual patients, but few studies have characterized the spectrum of such attacks. In a populationbased telephone survey of 8920 Washington County, Maryland, residents 12 through 29 years old, the attack rate for visual aura headaches during the week prior to the standardized interview was 3.7% in male and 6.1% in female subjects. Among female subjects, the risk for visual aura headache with tension-type symptoms increased with age, whereas the risk for visual aura headache without tension symptoms decreased with increasing age. No clear agerelated patterns were observed among male subjects for either type of aura headache. The severity of visual aura headache with and without tension symptoms increased with age among female subjects, but showed an inconsistent pattern among male subjects except for decreasing disability with increasing age. The median interval between the onset of aura symptoms and the onset of headache (aura interval) was 15 minutes in male subjects and 25 minutes in female subjects, with aura intervals longer than 60 minutes reported by 12% of male subjects and 20% of female subjects. In one of the first large population-based studies to characterize the spectrum of visual aura headache, differing age, gender, and subtype patterns were found. References 1. Selby G, Lance JW. Observation on 500 cases of migraine and allied vascular headaches . J Neurol Neurosurg Psychiatry . 1960;23:23-32.Crossref 2. Alvarez WC. The migraine scotoma as studied in 618 persons . Am J Ophthalmol . 1960;49:489-504. 3. Clarke GJR, Waters WE. Headache and migraine in a London general practice . In: Waters WE, ed. The Epidemiology of Migraine . Boehringer Ingelheim, Bracknell-Berkshire; 1974. 4. Diehr P, Wood R, Wolcott B, Slay L, Tompkins R. On the relationships among headache symptoms . J Chron Dis . 1982;35:321-331.Crossref 5. Bana DS, Graham JR. Observations on prodromes of classic migraine in a headache clinic population . Headache . 1986;26:216-219.Crossref 6. Ziegler DK, Hassanein RS. Specific headache phenomena: their frequency and coincidence . Headache . 1990;30:152-156.Crossref 7. Ekbom K, Ahlborg B, Schele R. Prevalence of migraine and cluster headache in Swedish men of 18 . Headache . 1978;18:9-19.Crossref 8. Waters WE, O'Connor PJ. Epidemiology of headache and migraine in women . J Neurol Neurosurg Psychiatry . 1971;34:148-153.Crossref 9. Waters WE. Community studies of the prevalence of migraine . Headache . 1970;9:178-186.Crossref 10. Newland CA, Illis LS, Robins PK, Batchelor BG, Waters WE. A survey of headache in an English city . Headache . 1978;5:1-20. 11. Ziegler DK, Hassanein RS, Couch JR. Characteristics of life headache histories in a nonclinic population . Neurology . 1977;27:265-269.Crossref 12. Cook NR, Evans DA, Funkenstein HH, et al. Correlates of headache in a population-based cohort of elderly . Arch Neurol . 1989;46:1338-1344.Crossref 13. Markush RE, Karp H, Heyman A, O'Fallon WM. Epidemiologic study of migraine symptoms in young women . Neurology . 1975;25:430-435.Crossref 14. Linet MS, Stewart WF, Celentano DD, Ziegler DK, Sprecher M. An epidemiologic study of headache among adolescents and young adults . JAMA . 1989;261:2211-2216.Crossref 15. Stewart WF, Linet MS, Celentano DD, Van Natta M, Ziegler D. Age- and sex-specific incidence rates of migraine with and without visual aura . Am J Epidemiol . 1991;134:1111-1120. 16. Stewart WF, Celentano DD, Linet MS. Disability, physician consultation, and use of prescription medications in a population-based study of headache . Biomed Pharmacother . 1989;43:711-718.Crossref 17. Breslow NE, Day NE. Statistical Methods in Cancer Research . Lyon, France; 1987;2:178-229. International Agency for Research on Cancer Scientific Publications No. 82. 18. Ad Hoc Committee of the International Headache Society. Proposed classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain . Cephalal . 1988;8( (suppl 7) ):9-96.Crossref 19. Linet MS, Stewart WF. Migraine headache: epidemiologic perspectives . Epidemiol Rev . 1984;6:107-139. 20. Black ER. Acute conditions: incidence and associated disability: United States, July 1976-June 1977 . In: Vital and Health Statistics , Series 10. Washington, DC: US Government Printing Office; 1978;125. Dept of Health, Education, and Welfare publication (PHS) 78-1553. 21. Green JE. A survey of migraine in England, 1975-76 . Headache . 1977;17:67-68.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: May 1, 1992

References