The Triggers or Precipitants of the Acute Migraine Attack

This study aimed to identify triggers for acute migraine attacks. Patients rated their triggers on a scale from zero to three. The research included 1,207 patients diagnosed with migraines. About 76% of participants reported experiencing triggers for their migraines. The most common trigger was stress, reported by 80%. Hormonal changes affected 65% of women with migraines. Not eating, weather changes, and sleep disturbances were also significant triggers. Other triggers included strong odors, neck pain, and bright lights. Alcohol and smoke were noted by 38% and 36%, respectively. Sleeping late and heat triggered migraines for 32% and 30% of patients. Food and exercise were triggers for 27% and 22%, respectively. Sexual activity was a trigger for only 5% of patients. Triggers were linked to more severe migraine attacks. Differences were found between genders and migraine types, including episodic versus chronic. Clinical relevance: Understanding these triggers can help clinicians advise patients on migraine management strategies.