Transformed Migraine (TM) is Migraine disease which began manifesting in episodic Migraine attacks, increasing in frequency and changing characteristics, and resulting in almost daily less severe headaches punctuated by severe and debilitating Migraine attacks.
Patients with TM often share these characteristics:
- A history of episodic Migraine beginning in their teens or twenties.
- Most are women, 90% of whom have a history of Migraine with aura.
- Medication overuse.
The process of transformation is often characterized by:
- Migraine attacks that became more frequent over a period of months or years.
- These attacks were accompanied by phonophobia, photophobia, and nausea, but these symptoms became less severe and less frequent.
Characteristics of TM:
- A pattern of daily or almost daily headaches that seem to be a mixture of tension-type headaches and Migraine attacks.
- Pain that drops in severity to mild to moderate.
- Pain isn't always accompanied by phonophobia, photophobia, or nausea.
- Other Migraine symptoms may persist including unilateral pain, gastrointestinal symptoms, and aggravation by other triggers.
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Resources:
Silberstein, Stephen D, M.D.; Burstein, Rami, Ph.D.; Dodick, David W., M.D.; Lipton, Richard B., M.D. "Understanding the Clinical Features, Biology, and Management of Transformed Migraine: The Evidence Base." Continuing Education. Annual Scientific Meeting of the American Headaches Society. Boston. June, 2005.
Goadsby, Silberstein, Dodick. "Chronic Daily Headache for
Clinicians." BC Decker, Inc. London. 2005.
