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Efficacy of Frontal Migraine Headache Surgical Deactivation in Elimination of Triggers and Associated Symptoms (Site I)
Punjabi A, Kurlander DE, Liu MT, Sattar A, Guyuron B.
University
2013-03-10
Presenter: Ayesha Punjabi
Affidavit:
The material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The entire project is original work of the medical student in collaboration with Dr. Guyuron.
Director Name: Bahman Guyuron
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Purpose:
The objective of this study is to examine the effect of surgical deactivation of frontal (site I) triggered migraine headaches (FMH) on migraine triggers and associated symptoms.
Methods:
Charts of 260 patients receiving surgery for FMH by a single surgeon over a 10-year period who were followed at least 1 year were analyzed. Median regression adjusted for age, sex, and follow-up time was used to determine post-operative reduction in frontal-specific Migraine Headache Index (FMHI), which is the product of migraine frequency, severity, and duration. The association between individual symptom or trigger resolution and FMHI reduction was studied by logistic regression.
Results:
Benefit of site I surgery includes significant (p<0.01) reduction in FMHI from the pre- to post-operative period regardless of age, sex, and follow-up time. Additionally, symptoms resolving with successful site I surgery include blurry vision (p<0.05) and visual aura (p<0.05). Triggers resolving with successful site I surgery include missed meals (p<0.05), fatigue (p<0.05), and weather change (p<0.05).
Conclusions:
Surgical deactivation of FMH is effective regardless of age, sex, or follow-up time. Successful site I surgery is associated with changes in specific symptoms and triggers. This information can assist in trigger avoidance and contribute to constellations used for FMH trigger-site identification.
