Migraine does not affect cognitive decline: results from the Maastricht aging study

Headache. 2010 Feb;50(2):176-84. doi: 10.1111/j.1526-4610.2009.01572.x. Epub 2009 Nov 17.

Abstract

Objective: To investigate the effects of migraine and related pharmacotherapy on cognitive performance and cognitive change over time in a longitudinal population-based study.

Methods: Migraineurs (n = 99) and healthy controls (n = 1724) participating in the Maastricht Aging Study were cognitively tested at baseline and after 6 years. Scores on Mini Mental State Examination, immediate and delayed recall tests, and tests for simple and complex speed were compared for both groups. Generalized Estimating Equations analyses were performed to test the longitudinal effects of migraines on cognition. Effects of migraine medication use were also tested.

Results: Migraine headaches were found to have no effect on any of the cognitive measures. Medication use also had no effect on all cognitive measures.

Conclusions: No evidence was found that migraine headaches or migraine-related medication use are risk or protective factors for cognitive dysfunction or cognitive deterioration over time.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aging / psychology*
  • Analgesics / adverse effects*
  • Brain / physiopathology
  • Cognition / physiology
  • Cognition Disorders / chemically induced*
  • Cognition Disorders / etiology*
  • Cognition Disorders / physiopathology
  • Cohort Studies
  • Disability Evaluation
  • Disease Progression
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Migraine Disorders / complications*
  • Migraine Disorders / drug therapy*
  • Migraine Disorders / physiopathology
  • Netherlands
  • Neurologic Examination
  • Neuropsychological Tests
  • Reaction Time
  • Severity of Illness Index
  • Task Performance and Analysis
  • Young Adult

Substances

  • Analgesics