Driving with migraines

Laws against driving under the influence of drugs or alcohol are understandable. But what about driving under the influence of a migraine?

Megan Oltman, author of free my brain from Migraine pain, presents a unique story of a woman in the u.s. who almost her license suspended because of her migraines. According to Oltman, the story goes as follows: "her son, who lived at home, had his driving privileges suspended and apply for a limited license was so that he could drive himself to work. Since the mother was home, said the MVC [motor vehicle Commission] initially that the mother could drive him to work. The mother let them know that they could not always drive him because if she had a migraine, she could not drive. The MVC used this as a reason to review her driving privileges, with a suggestion that they can suspend its license. "

As evidenced by this story, is the way that the law usually deals with the question of driving with any medical condition, migraine included, monitor, restrict and sometimes suspend licences. This brings both moral and legal issues relating to the idea of fairness in relation to responsibility for migraine sufferers.

On the one hand, migraine may itself decide when they can or cannot drive. They know better than anyone the pain and discomfort, and how debilitating migraines can be linked. Most don't want to drive in such a State anyway. Moreover, it seems as if the woman in the story is punished for her own migraine avoid driving during a self-reporting.

On the other hand, it is the responsibility of MVCs to protect all drivers of potential damage on the road, and this means keeping people who might be potential risks of the road. It is the reason for road tests and tests that vision, and why sometimes people with diseases such as epilepsy are banned from driving. Migraines can be crippling and often have very quick, unexpected beginning. Revision of the licenses of migraine might be the MVCs way of risk reduction.

Anyway, drivers suffering from migraines should always have a backup plan for getting around during an unexpected migraine. Oltman suggests a phone list of friends and family who you where you can go if needed, as well as the number of a cab company.

Visit www.MyMigraineConnection.com for more information and analyses relating to the subject matter of driving with migraines, and for more information about migraines and their symptoms, check out the NHS website at www.headaches.org.

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Link Between Infants' Colic And Mothers' Migraines

Main Category: Headache / Migraine
Also Included In: Pediatrics / Children's Health;  GastroIntestinal / Gastroenterology
Article Date: 21 Feb 2012 - 0:00 PST Current ratings for:
Link Between Infants' Colic And Mothers' Migraines

A study of mothers and their young babies by neurologists at the University of California, San Francisco (UCSF) has shown that mothers who suffer migraine headaches are more than twice as likely to have babies with colic than mothers without a history of migraines.

The work raises the question of whether colic may be an early symptom of migraine and therefore whether reducing stimulation may help just as reducing light and noise can alleviate migraine pain. That is significant because excessive crying is one of the most common triggers for shaken baby syndrome, which can cause death, brain damage and severe disability.

"If we can understand what is making the babies cry, we may be able to protect them from this very dangerous outcome," said Amy Gelfand, MD, a child neurologist with the Headache Center at UCSF who will present the findings at the American Academy of Neurology's 64th Annual Meeting, which takes place in New Orleans in April.

Colic, or excessive crying in an otherwise healthy infant, has long been associated with gastrointestinal problems - presumably caused by something the baby ate. However, despite more than 50 years of research, no definitive link has been proven between infant colic and gastrointestinal problems. Babies who are fed solely breast milk are as likely to have colic as those fed formula, and giving colicky babies medication for gas does not help.

"We've known about colic for a really long time," Gelfand said, "but despite this fact, no one really knows why these babies are crying."

How the Study was Conducted

In the UCSF study, Gelfand and her colleagues surveyed 154 new mothers bringing their infants to the pediatrician for routine check ups at two months, the age when colicky crying typically peaks. The mothers were surveyed about their babies' crying patterns and their own history of migraine, and those responses were analyzed to make sure the reported crying did indeed fit the clinical definition of colic.

Mothers who suffered migraines were found to be two-and-a-half times more likely to have colicky babies. Overall, 29 percent of infants whose mothers had migraines had colic compared to 11 percent of babies whose mothers did not have migraines.

Gelfand and her colleagues believe colic may be an early manifestation of a set of conditions known as childhood periodic syndromes, believed to be precursors to migraine headaches later in life.

Babies with colic may be more sensitive to stimuli in their environment just as are migraine sufferers. They may have more difficulty coping with the onslaught of new stimuli after birth as they are thrust from the dark, warm, muffled life inside the womb into a world that is bright, cold, noisy and filled with touchy hands and bouncy knees.

The UCSF team next plans to study a group of colicky babies over the course of their childhood to see if they develop other childhood periodic syndromes, such as abdominal migraine.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our headache / migraine section for the latest news on this subject. The presentation "Infant Colic is Associated with Maternal Migraine" by Amy Gelfand, Katherine Thomas, and Peter Goadsby will be at 5 p.m., Wednesday, April 25 in New Orleans.
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Migraine Sufferers Find Relief From Handheld Magnetic Device

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Main Category: Headache / Migraine
Also Included In: Pain / Anesthetics;  Medical Devices / Diagnostics
Article Date: 24 Sep 2012 - 5:00 PDT Current ratings for:
Migraine Sufferers Find Relief From Handheld Magnetic Device

A handheld magnetic device may be a way for migraine sufferers to take treatment into their own hands. At a congress last week, researchers revealed how three months of treatment with the device relieved or reduced headache pain in 73% of patients treated.

Headache specialists at several clinics around the UK, including in Aberdeen, Bath, Exeter, Hull, Liverpool and London, are prescribing the non-invasive single pulse Spring Transcranial Magnetic Stimulation (TMS) device, made by eNeura Technology in California.

The new data, from a trial involving 60 migraine sufferers treated with TMS at UK clinics, was presented at the 3rd European Headache and Migraine Trust International Congress in London on Friday.

The news comes in the wake of a warning by the National Institute for Health and Clinical Excellence (NICE) in England and Wales, that painkiller overuse can cause headaches.

The TMS device costs about £500 and is about the size and weight of a portable radio. As soon as he or she senses a migraine coming on, the user holds it to the back of the head and pushes a button. This sends a brief magnetic pulse into the brain.

Scientists suggest that magnetic pulses could halt migraines before they get the chance to build. Scientists believe the magnetic pulse somehow short-circuits the electrical storm that builds up at the start of migraine headaches.

The congress also heard how the TMS improved other symptoms of migraine in 63% of the trial participants: symptoms such as vertigo, nausea, memory problems, and hyper-sensitivity to light and noise.

And over half (53%) reported a reduction in the number of headache days.

Andy Bloor took part in the UK trials. He suffers from chronic migraines and says the TMS device worked for him:

"The key for me was using the device quickly - as soon as the migraine started."

He says when he did that, the migraine stopped.

"The plus of the device is it reduces my reliance on strong drugs like cocodamol," he adds, in a report on the congress by the UK Press Association.

Findings from a trial of the efficacy of the TMS device were published in The Lancet Neurology in 2010. They say the device offers efficient pain relief for up to 48 hours after treatment in some patients with migraine with aura, and does not cause any serious side-effects.

Professor and neurologist Peter Goadsby, one of the world's leading headache experts and researchers, was joint chair of the London congress. He told the press:

"For the many migraine sufferers whose medicines just do not do the job, it is exciting to see such an innovative, novel approach to treatment that provides new optimism."

Written by Catharine Paddock PhD
Copyright: Medical News Today
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posted by Steve H on 24 Sep 2012 at 10:06 am

Magnetic fields applied to water will cause the positive and negative ions to line up making the water more conductive. I assume as the human body is made up of a large proportion of water the same principle applies which will cause the electrical eddy currents causing the migraine to quickly dissipate through the increased conductivity of body fluids

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Study Finds Medicare And Medicaid CT Scan Measure Unreliable

Main Category: Headache / Migraine
Also Included In: Public Health;  Radiology / Nuclear Medicine
Article Date: 27 Feb 2012 - 0:00 PST Current ratings for:
Study Finds Medicare And Medicaid CT Scan Measure Unreliable

Researchers at Brigham and Women's Hospital (BWH) have published findings that question the reliability of a new Centers for Medicare and Medicaid Services (CMS) quality measure. The study, "Assessment of Medicare's Imaging Efficiency Measure for Emergency Department Patients With Atraumatic Headache" finds that the CMS measure - an attempt to reduce computed tomography (CT) scans in emergency departments (ED) - does not accurately determine which hospitals are performing CT scans inappropriately.

The study is electronically published in the Annals of Emergency Medicine.

With the recent surge of CT use in EDs, comes concern about radiation exposure and cost. CMS developed measure OP-15, "Use of Brain Computed Tomography in the Emergency Department for Atraumatic Headache," to evaluate the use of brain CT in the ED for atraumatic headache in order to improve imaging efficiency. The measure was implemented into the Outpatient Prospective Payment System in January 2012 but was never field-tested.

Jeremiah Schuur, MD, BWH Department of Emergency Medicine, and colleagues at 21 EDs in the United States studied the reliability, validity, and accuracy of measure OP-15. The measure uses Medicare billing records to determine whether a CT was clinically appropriate.

The researchers compared the data reliability of the measure as obtained from CMS administrative data against data from ED medical records. They reviewed 748 patient visits that CMS labeled as having undergone inappropriate brain CTs based on billing data. However, when the patients' medical records were reviewed, they showed that the bills didn't tell the whole story; the researchers discovered that 65 percent of the CT scans actually complied with Medicare's measure and another 18 percent of patients had valid reasons for the CTs documented on their charts. Overall, 83 percent of the patients should not have been labeled as having been inappropriately imaged.

This led researchers to conclude that CMS measure OP-15 may lead to inaccurate comparisons of EDs' imaging performance.

"It is important for physicians, hospitals and payers to work together to develop systems that ensure that every CT that is performed is appropriate," said Schuur. "Our research finds that OP-15 may not be a valid measure of imaging in elders and that when calculated from Medicare claims, can produce unreliable data."

"Further research should focus on developing scientific evidence that could be used to better inform this measure," added Ali Raja, MD, associate director for trauma, BWH Department of Emergency Medicine, and study co-author. According to Raja, "existing guidelines built around solid evidence for the appropriate use of CT for other clinical conditions could serve as a guide for the measurement of these and similar conditions."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our headache / migraine section for the latest news on this subject. Data collection efforts at BWH for this study were partly funded by an internal grant from the Brigham and Women's Physicians Organization.
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Migraines Hurt Your Head But Not Your Brain

Main Category: Headache / Migraine
Also Included In: Women's Health / Gynecology
Article Date: 14 Aug 2012 - 0:00 PDT Current ratings for:
Migraines Hurt Your Head But Not Your Brain

Migraines currently affect about 20 percent of the female population, and while these headaches are common, there are many unanswered questions surrounding this complex disease. Previous studies have linked this disorder to an increased risk of stroke and structural brain lesions, but it has remained unclear whether migraines had other negative consequences such as dementia or cognitive decline. According to new research from Brigham and Women's Hospital (BWH), migraines are not associated with cognitive decline.

This study is published online by the British Medical Journal (BMJ). "Previous studies on migraines and cognitive decline were small and unable to identify a link between the two. Our study was large enough to draw the conclusion that migraines, while painful, are not strongly linked to cognitive decline," explained Pamela Rist ScD, a research fellow in the Division of Preventive Medicine at BWH, and lead author on this study.

The research team analyzed data from the Women's Health Study, a cohort of nearly 40,000 women, 45 years and older. In this study, researchers analyzed data from 6,349 women who provided information about migraine status at baseline and then participated in cognitive testing during follow-up. Participants were classified into four groups: no history of migraine, migraine with aura (transient neurology symptoms mostly of the visual field), migraine without aura, and past history of migraine. Cognitive testing was carried out in two year intervals up to three times.

"Compared with women with no history of migraine, those who experienced migraine with or without aura did not have significantly different rates of cognitive decline," explained Rist. "This is an important finding for both physicians and patients. Patients with migraine and their treating doctors should be reassured that migraine may not have long term consequences on cognitive function."

There is still a lot that is unknown about migraines. However this study offers promising evidence for patients and their treating physicians. More research needs to be done to understand the consequences of migraine on the brain and to establish strategies to influence the course of the disease in order to optimize treatment strategies.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our headache / migraine section for the latest news on this subject. This research was supported by The Women's Health Study is supported by grants from the National Heart, Lung, and Blood Institute (HL-043851, HL-080467, HL-099355) and the National Cancer Institute (CA-47988). The cognitive substudy of the Women's Health Study was supported by a grant from the National Institute of Aging (AG-15933). PMR was supported by a training grant from the National Institute of Aging (AG-00158). TK is supported in part by a Chair of Excellence grant of the French National Research Agency (Agence Nationale de la Recherche, R09177DD).
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posted by polly on 8 Sep 2012 at 9:43 am

i only get migrain if i smell smoke, strong deodorant too bright light or drink red wine

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posted by AnnieKat on 29 Aug 2012 at 12:16 pm

This is the most useless study I have yet come across. How is this supposed to help migraines? I can tell you that indeed there is memory loss, but I believe it's associated with taking triptans more than the migraine itself. There is NO cognitive decline whatsoever!!! What else you need to know? Now please work on something that will provide me with something useful...

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posted by Kit Wilson on 14 Aug 2012 at 8:22 pm

Reassuring after a lifetime of recurrent migraine. A lengthy hallucinatory bout this past week has had me worried, as I did experience a few days of reduced memory function and outright dizziness. However, recovery is now nearly complete!

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'Migraines Hurt Your Head But Not Your Brain'

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Migraines Linked To Behavioral Problems In Kids

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Main Category: Pediatrics / Children's Health
Also Included In: Headache / Migraine
Article Date: 17 Sep 2012 - 11:00 PDT Current ratings for:
Migraines Linked To Behavioral Problems In Kids

Children with migraines are much more inclined to suffer from behavioral issues, such as anxiety, depression, and social and attention issues than those who do not have headaches.

The more recurrent the headaches, the more likely the chance of a behavioral disorder developing, according to the new study published in Cephalagia.

Marco Arruda, director of the Glia Institute in São Paulo, Brazil, together with Marcelo Bigal of the Albert Einstein College of Medicine in New York, conducted a study of 1,856 Brazilian children ages 5 to 11 which looked at the connection of emotional symptoms with migraine and tension-type headaches (TTH).

The study used headache surveys, in addition to the Child Behavior Checklist (CBCL), to measure emotional symptoms. The researchers instructed teachers how to walk parents through the questionnaires, step by step.

Children with migraines had a much greater probability of irregular behavioral scores than children without headaches, primarily in social, anxiety-depressive, internalizing, and attention areas.

Children with TTH were affected in the same areas, but to a lesser extent. With more frequency of headaches, abnormal behavioral scores increased. Over half of the migraine sufferers had issues with internalizing behaviors. Externalizing behaviors, such as breaking rules or becoming aggressive, were no more likely among the children with headaches. The authors advised that the CBCL may not be efficient enough to measure this correlation in detail.

Arruda explains:

"As previously reported by others, we found that migraine was associated with social problems. The 'social' domain identifies difficulties in social engagement as well as infantilized behavior for the age and this may be associated with important impact on the personal and social life."

Children frequently suffer from migraines, which affect over three percent to one fifth of children from early childhood to adolescence. Earlier research has suggested that children with migraines are more likely to have other psychological and physical problems, including depression, anxiety, hyperactivity, and attention disorders.

Authors suggest including factors, such as headache frequency, is important, although often left out of studies - until recently. Health providers can now be aware of this possibility in children and properly treat the problem.

Written by Kelly Fitzgerald
Copyright: Medical News Today
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posted by kimberly ramay on 7 Nov 2012 at 5:28 pm

i have a 22 year old daughter who was diagnosed with migraines at the age of 13 shes been on medication for almost 10 years she does have depression and phycical and adhd she also gets aggresive at times.now the doctors want to do a catscane to check for tumers i dont think that is the problem can you help

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posted by Marcia Guimaraes MD PhD on 19 Sep 2012 at 9:52 am

The research directs our attention to the possible connections between headaches & migraines & behavioral problems in children. There is also need to include photofobia and reading disabilities in this research - we have undergone a review of 92 cases of migraines and headaches in children and in our series most of them also had altered behavioral patterns.

If the authors are interested we'd like to share our data with them.

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First Study To Refute A Common Health Misconception: Children's Headaches Rarely Indicate A Need For Eyeglasses

Main Category: Headache / Migraine
Also Included In: Pediatrics / Children's Health;  Eye Health / Blindness
Article Date: 14 Nov 2012 - 0:00 PST Current ratings for:
First Study To Refute A Common Health Misconception: Children's Headaches Rarely Indicate A Need For Eyeglasses

A new study provides the first clear evidence that vision or eye problems are rarely the cause of recurring headaches in children, even if the headaches usually strike while the child is doing schoolwork or other visual tasks. Many parents assume that frequent headaches mean their child needs glasses, so they ask their doctor to refer their child for an eye exam. This study was conducted by pediatric ophthalmologists who wanted to find reliable answers for parents, family doctors and pediatricians facing this common health question. The research was presented at the 116th Annual Meeting of the American Academy of Ophthalmology, conducted jointly this year with the Asia-Pacific Academy of Ophthalmology.

In this retrospective study, which was conducted at the ophthalmology clinic of Albany Medical Center in New York state, researchers reviewed the medical records of 158 children under age 18 who were seen at the clinic for frequent headaches from 2002-11. All of the children received complete eye exams by the clinic's ophthalmologists.

No significant correlation was found between their frequent headaches and a need for vision correction. The researchers reached this conclusion by comparing the results of the clinic's exams of the children with headaches to the records of their previous eye exams and other relevant medical care. Eye health and vision test results remained unchanged from earlier exams for 75 percent of the children. Also, children who already had eyeglasses were not found to need new prescriptions at the time they were seen at the clinic for headaches. Although about 14 percent of the children reported that their headaches occurred while doing visual tasks like homework, and about nine percent reported visual symptoms associated with their headaches, a need for vision correction did not appear to be the primary cause or a significant factor in any of these cases, according to the study.

The researchers considered it positive that most of the children's headaches resolved over time. Follow up reports from parents showed that headaches improved in 76.4 percent of all study subjects, including those who did and those who did not receive new vision correction prescriptions. Children who received new prescriptions were not more likely than others to have their headaches improve. Assessing the causes of the headaches and addressing the children's long-term outcomes were beyond the scope of this study.

"We hope our study will help reassure parents that in most cases their children's headaches are not related to vision or eye problems, and that most headaches will clear up in time," said Zachary Roth, M.D., who led the research team. "The information should also be useful to family doctors and pediatricians in caring for children and parents who have this common health concern."

About thirty percent of the children in the study had eye conditions that went beyond the need for vision correction, including strabismus (misaligned eyes) amblyopia ("lazy eye") or other rarer, more serious conditions. Seventeen percent had a family history of migraine. Because this was a retrospective study, the researchers were unable to connect these factors with headache causes.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
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