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Volume 16 Supplement 1

1st Joint ANIRCEF-SISC Congress

P066. Migraine with aura in the locker room: 4 case reports

We describe four cases of young men 19, 21, 23 and 25 years old with recurrent episodes of migraine with aura occurring shortly after the end of physical activities (football match, swimming, gym training, physical education activities at school), when they were in the locker room.

Since these types of symptoms could mime some important pathologies in approximately 10% of these headaches, it is mandatory, in this kind of patient, to exclude a form of secondary headache [1]. No other subtypes of headache, or head trauma were reported by the patients.

It is well known that physical activity can lead to an aggravation of the intensity of the headache, but the pathophysiological relationship between exertion and aura is unknown and still debated.

There are anecdotal reports of episodes of migraine preceded by head trauma and visual symptoms (with a past history of non-sports-related migraine) [2, 3], migraine prodrome symptoms after unusually strenuous running with no following head pain [4] or recurrent attacks of hemiplegic migraine induced only by exertion [5].

According to the present version of the International Classification of Headache Disorders, (ICHD-III beta), the headache subtype presented by the four patients fulfilled criteria for “migraine with aura” (ICHD-III beta code: 1.2) and for “primary exertional headache” (pulsating headache, lasting from 5 minutes to 48 hours, brought on by and occurring only during or after physical exertion; ICHD-III beta code: 4.2) [6].

To date, in the IHS Classification (ICHD-III beta), there is no mention of sport/exercise-induced migraine with aura episodes as primary headache, and there is the need of a double diagnosis, although there are anecdotal reports of attacks of migraine with aura shortly after sports.

Written informed consent to publish was obtained from the patient(s).

References

  1. 1.

    Nadelson C: Sport and exercise-induced migraines. Curr Sports Med Rep. 2006, 5 (1): 29-33. 10.1097/01.CSMR.0000306516.25172.21.

    Article  PubMed  Google Scholar 

  2. 2.

    Espir ML, Hodge IL, Matthews PH: Footballer's migraine. Br Med J. 1972, 3 (5822): 352-

    PubMed Central  Article  CAS  PubMed  Google Scholar 

  3. 3.

    Gibbs N: Common rugby league injuries. Recommendations for treatment and preventative measures. Sports Med. 1994, 18 (6): 438-450. 10.2165/00007256-199418060-00007.

    Article  CAS  PubMed  Google Scholar 

  4. 4.

    Thompson JK: Exercise-induced migraine prodrome symptoms. Headache. 1987, 27 (5): 250-251. 10.1111/j.1526-4610.1987.hed2705250.x.

    Article  CAS  PubMed  Google Scholar 

  5. 5.

    Razavi M, Razavi B, Fattal D, Afifi A, Adams HP: Hemiplegic migraine induced by exertion. Arch Neurol. 2000, 57 (9): 1363-1365.

    Article  CAS  PubMed  Google Scholar 

  6. 6.

    Headache Classification Committee of the International Headache Society (IHS): The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013, 33 (9): 629-808.

    Article  Google Scholar 

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Correspondence to Laura Bernetti.

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Bernetti, L., Corbelli, I., Romoli, M. et al. P066. Migraine with aura in the locker room: 4 case reports. J Headache Pain 16, A169 (2015). https://doi.org/10.1186/1129-2377-16-S1-A169

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Keywords

  • Physical Activity
  • Migraine
  • Head Trauma
  • Migraine With Aura
  • Headache Disorder
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