The prognosis of migraine

Curr Opin Neurol. 2008 Jun;21(3):301-8. doi: 10.1097/WCO.0b013e328300c6f5.

Abstract

Purpose of the review: The prognosis of migraine is poorly studied and research in this regard is in its infancy. Migraine is a chronic disorder with episodic attacks with a highly variable long-term prognosis. In many, migraine may have a very benign (complete remission) or relatively benign (partial remission) prognosis. In some, migraine persists and in others, it progresses.

Recent findings: A recent population study showed that, over a 1-year period, 84% of the patients with migraine persisted with this diagnosis (migraine persistence); around 10% had 1-year complete clinical remission, and 3% had partial remission; the other 3% developed chronic migraine. Long-term studies support the concept that remission increases with age and also that risk factors for progression have been identified (e.g. medication overuse, obesity, etc.).

Summary: Identifying predictors of migraine prognosis is, therefore, of great scientific and clinical interest. Herein we review the prognosis of migraine and risk factors for the above-mentioned nonexclusive possibilities.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Child
  • Europe / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Migraine Disorders / diagnosis*
  • Migraine Disorders / epidemiology
  • Migraine Disorders / therapy
  • North America / epidemiology
  • Prognosis
  • Remission, Spontaneous
  • Sex Distribution
  • South America / epidemiology
  • Treatment Outcome