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June 1982

Cyclical Migraine Headache-Reply

Author Affiliations

5252 N Western Ave Chicago, IL 60625

Arch Neurol. 1982;39(6):386. doi:10.1001/archneur.1982.00510180064026

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In Reply.—  Dr Medina and I defined cyclical migraine specifically as a migraine attack that occurs daily or almost daily for several weeks, and then is followed by a headache-free period. The patient described by Dr Peatfield did not fit these criteria. In our group of patients, the headaches occurred daily, every other day, or every third day: hence the 25.5-hour mean. These headaches were easily differentiated by the location and duration of the headaches and by premonitory signs experienced by many of the patients. In response to the question regarding effect of lithium carbonate and shorter-duration headaches, most of our patients experienced headaches that lasted six or more hours, and responded well to lithium carbonate.

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