Migraine with aura in the locker room: three case reports |
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Authors: | Ilenia Corbelli Cataldo D’Amore Stefano Caproni Gabriela Cardaioli Paolo Calabresi Paola Sarchielli |
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Institution: | (1) Headache Centre, Neurologic Clinic, “Santa Maria della Misericordia” Hospital, University of Perugia, Sant’Andrea delle Fratte, 06158 San Sisto, Perugia, Italy |
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Abstract: | It is well known that physical activity can aggravate the intensity of the headache, but the pathophysiological relationship
between exertion and aura is still unknown. Anecdotal reports describe episodes of migraine preceded by head trauma and visual
symptoms, migraine prodrome symptoms after unusually strenuous running with no subsequent head pain or recurrent attacks of
hemiplegic migraine induced only by exertion. We describe the cases of three young men with recurrent episodes of migraine
with aura occurring in the locker room shortly after a football match. Since the symptoms could mimic important pathologies
in approximately 10% of these of headaches, it was mandatory to exclude a secondary form of headache in these patients. Several
theories exist regarding the cause of primary exertional headache, but the pathogenesis of migraine triggered by physical
activity has still not been identified. The present International Classification of Headache Disorders does not mention sport/exercise-induced
migraine with aura episodes as primary headache. Since there are many cases described in the literature of migraine with aura
triggered only by exercise, it may be helpful to specify, in the typical aura with migraine headache comments, that in some cases it can be exclusively triggered by sport/exercise. |
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Keywords: | Migraine with aura Physical activity Football match Exertion |
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