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status migrainosus

Etiology: - most frequent named triggers; - psychosocial stress (17%) - too much or too little sleep (11%) Epidemiology: - 27 per 100,000 population [2] - highes incidence in persons 40-49 years of age Clinical manifestations: - migraine lasting > 72 hours Management: - dihydroergotamine (DHE) 1 mg IV/IM (max: 3 mg/day) - repetitive IV administration for status migrainosus [1]

General

migraine headache

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
  2. VanderPluym JH et al. Incidence of status migrainosus in Olmsted County, Minnesota, United States: Characterization and predictors of recurrence. Neurology 2022 Sep 29; PMID: 36175145 https://n.neurology.org/content/early/2022/09/29/WNL.0000000000201382