Study Shows Increase In Attacks During Menopause Transition (1)
A first of it’s kind study conducted by researchers at the University of Cincinnati Headache and Facial Pain Program shows conclusive proof that there is a recordable increase in the number of migraine episodes in women undergoing peri-menopause.
Peri-menopause is a phase of transitioning menopause. It could begin several months to years before actual menopause and is characterized by the woman experiencing some or all of symptoms such as irregular periods, fatigue, hot flashes, memory lapses, dry vagina, loss of libido, thinning of bones, incontinence, mood swings and breast tenderness etc. (2) All this is caused primarily due to the drop in the levels of female reproductive hormones such as estrogen and progesterone.
It was seen that headache instances rose during both peri-menopause and menopause when compared to pre-menopause. Pre-menopause was characterized by regular periods. As per Vincent T. Martin, M.D who is a professor of Medicine in the Department of Internal Medicine, University of Cincinnati, “Ours is the first study to demonstrate that the frequency of migraine attacks increases during the menopausal transition. The results of our study validate the belief by many women that their headaches worsen during the transition into menopause” (3)
Summary of the research study is as follows:
|Total Women studied
|Age range (women)
||35 -65 years
- High Frequency >10 episodes a month
- Low-Mod frequency < 10 attacks a month
- 34% – premenopausal
- 35% – perimenopausal
- 30% – menopausal
- High Freq was 50-60% more common in perimenpausal and menopausal women
According to Richard B. Lipton, M.D., professor of Neurology and director of the Montefiore Headache Center at the Albert Einstein College of Medicine, “Given that migraines tend to worsen during menstruation, it may seem paradoxical that when periods become irregular during the peri-menopause or absent during menopause that headache become more frequent. We believe that both declining estrogen levels that occur at the time of menstruation as well as low estrogen levels that are encountered during the menopause are triggers of migraine in some women.” (3)
- Young Woman Suffering From Headache By Stock Images; FreeDigitalPhotos; Web August 2014; http://www.freedigitalphotos.net/images/young-woman-suffering-from-headache-photo-p171720
- Menopause Health Center – Perimenopause; Web MD; Web August 2014; http://www.webmd.com/menopause/guide/guide-perimenopause
- Women with Migraines Experience More Headaches During The Menopausal Transition; Science Daily News; Web August 2014; sciencedaily.com/releases/2014/06/140624215851.htm
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Eyelid Nerve Decompression Surgery Benefits Some Migraineurs (1)
What some migraineurs are willing to risk to shut off that pain. Turns out that getting under a knife that works on your eyelid is a risk well worth taking for them. This is not a procedure recommended for every migraineur. To be eligible for this eyelid cosmetic surgery, you need to meet certain criteria and thus screened to check if you should do this. The surgery essentially decompresses the nerves in the eyelid that trigger migraine episodes in many.
Dr. Oren Tessler, Assistant Professor of Clinical Surgery at LSU Health Sciences Center New Orleans School of Medicine, have seen that more than 90% of the patients who underwent this surgery experienced relief and also got a bonus cosmetic eyelid surgery. The study and it’s findings have been published in the medical journal Plastic and Reconstructive Surgery.
The study examined 35 patients all of whom suffered from chronic nerve decompression triggering migrainous episodes. All of them had used some sort of nerve blocking treatment earlier or Botox at some point of time trying to tackle the pain.
As per Dr. Oren, “Surgery is a valid treatment for migraines in certain patients. We believe that these patients should have ready access to migraine trigger site decompression surgery. Although larger studies are needed, we have shown that we can restore these patients to full and productive lives.” (2)
The eyelid nerve decompression surgery is an alternative to the much done endoscopic approach where sensors are passed under scalp skin. However, this latter method makes it unsuitable for many depending on their anatomy. Also endoscopes are not available with every team and neither is it safe to assume endoscopy expertise in ever surgeon. However, in the eyelid cosmetic surgery for the screened and selected patients simply involved making a minor slit in their upper eyelid resulting in release of the decompressed nerve and subsequent deactivation of the nerve involved in the migraine episodes. (3)
The team involved in the study also included surgeons from Massachusetts General Hospital and Harvard Medical School.
Some statistics on the surgery:
- An overall positive response of 90.7%
- Complete elimination of migraines in 51% of the patients.
- 33% of the patients had between 50 and 80% of their symptoms resolved.
- Caucasian Girl’s Blue Eye; Image Credit – Serge Bertasius Photography; Free Digital Photos; Web August 2014; http://www.freedigitalphotos.net/images/Younger_Women_g57-Caucasian_Girls_Blue_Eye_p154783.html
- Surgeons report significant migraine relief from cosmetic eyelid surgery technique; Eureka Alert; Web August 2014; http://www.eurekalert.org/pub_releases/2014-07/lsuh-srs073114.php
- Cosmetic eyelid surgery technique can help cure migraine: Study; Business Standard; Web August 2014; http://www.business-standard.com/article/news-ani/cosmetic-eyelid-surgery-technique-can-help-cure-migraine-study-114080101045_1.html
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