Overview
Complicated migraine refers to migraine attacks that are severe, prolonged, or associated with neurological symptoms beyond typical headache, potentially increasing the risk of complications such as cerebrovascular events. 1262333Diagnosis
Management
Special Populations
Key Recommendations
References
Showing 100 most recent of 442 indexed papers.
1 Robblee J, Minen MT, Friedman BW, Cortel-LeBlanc MA, Cortel-LeBlanc A, Orr SL. 2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies. Headache 2026. link 2 Pan H, Lin S. A real-world adverse events study of rimegepant from the FAERS database. Expert opinion on drug safety 2026. link 3 Chen H, Li Y. Safety analysis of gepants for migraine treatment: A pharmacovigilance study using the FDA Adverse Event Reporting System (FAERS) database. Headache 2026. link 4 Lampl C, Suliman R, Tischler-Strasser V, MaassenVanDenBrink A, Alsaadi T. Migraine Patients Treated With Erenumab and the Risk of Hypertension: A Registry-Based Real-World Study. European journal of neurology 2026. link 5 Sarıkaya C, Salkın FÖ, Sarıkaya C. P-Wave dispersion and atrial conduction abnormalities in migraine: implications for cardiovascular risk. Acta neurologica Belgica 2026. link 6 Kalapura C, Lusk JB, Wilson LE, Moore C, Yarnell S, Choudhury A et al.. Triptan Initiation and Cerebrovascular Events in Patients With Migraine: A Nationwide Cohort Study. Journal of the American Heart Association 2026. link 7 Grodzka O, Borończyk M, Zduńska A, Węgrzynek-Gallina J, Domitrz I, Lasek-Bal A. Migraine and patent foramen ovale: correlation, coexistence, dependence. A narrative review. Headache 2026. link 8 Kern M, Wischmann HA, Müller A, Kurth T, Theuring S. Sex and gender effects on incidence of migraine and stroke: a longitudinal observational study based on the german socio-economic panel. Biology of sex differences 2026. link 9 Ornello R, Caponnetto V, Ahmed F, Al-Khazali HM, Ambrosini A, Ashina S et al.. Evidence-based guidelines for the pharmacological treatment of migraine, summary version. Cephalalgia : an international journal of headache 2025. link 10 Ornello R, Caponnetto V, Ahmed F, Al-Khazali HM, Ambrosini A, Ashina S et al.. Evidence-based guidelines for the pharmacological treatment of migraine. Cephalalgia : an international journal of headache 2025. link 11 Qaseem A, Cooney TG, Etxeandia-Ikobaltzeta I, Wilt TJ, Harrod CS, Tice JA et al.. Prevention of Episodic Migraine Headache Using Pharmacologic Treatments in Outpatient Settings: A Clinical Guideline From the American College of Physicians. Annals of internal medicine 2025. link 12 Kaytser V, Hakkinen I, Dave J, Zhang P. Estimating risk of reported versus theoretical drug-drug interactions in headaches medicine: an exhaustive comparison between DrugBank and FAERS database for abortive and preventive combinations. Journal of oral & facial pain and headache 2025. link 13 Cho J, Jo H, Park J, Lee K, Lee H, Kim S et al.. Disproportionality analysis from World Health Organization data on migraine-specific medications and cerebrovascular diseases. European journal of clinical pharmacology 2025. link 14 Kim Y, Yook Y, Rhee SJ. Evaluating the association between migraine treatments and tinnitus: Insights from the US Food and Drug Administration adverse event reporting system. PloS one 2025. link 15 Zhang Y, Sun S, Wang Y. Adverse events associated with Atogepant: a FAERS-based pharmacovigilance analysis. Expert opinion on drug safety 2025. link 16 Song Q, Gao S, Tan Y. Adverse events associated with gepants: a pharmacovigilance analysis based on the FDA adverse event reporting system. The journal of headache and pain 2025. link 17 Wan X, Zhang S, Jiang C, Zhang H. Safety profile of lasmiditan: a retrospective post-marketing pharmacovigilance study based on the real-world data of FAERS database. Expert opinion on drug safety 2025. link 18 Hokama H, Sakamoto Y, Yamamoto S, Takahashi M, Kodera H, Kutsuna A et al.. Migraine-Like Headache with Aura Induced by a Small Infarct in the Parieto-Occipital Cortex: A Case Report. Journal of Nippon Medical School = Nippon Ika Daigaku zasshi 2025. link 19 Cha YH, Randall L, Weber J, Ahn S. Treatment of thoracic outlet syndrome to relieve chronic migraine. Clinical anatomy (New York, N.Y.) 2025. link 20 Yan L, Huang Y, Xie B, Liu Z, Luo L, He B et al.. Association of periodontitis and periodontal parameters with migraine and mortality in people with migraine disease: A nationally representative observational study. Headache 2025. link 21 Daghlas I, Rist PM, Chasman DI. Genetically proxied liability to migraine and risk of intracranial aneurysm and subarachnoid hemorrhage. Headache 2025. link 22 Xu T, Gao Q, Hu L, Deng B, Ren Q, Du G et al.. Causal influences of migraine on neuropsychiatric disorders: A 2-sample Mendelian randomization study. Medicine 2025. link 23 Majumdar R, Gautam P, Ghozy S, Saha R. Bilateral spontaneous vertebral artery dissection complicated by bilateral posterior cerebral artery occlusion in a migraine patient: a case report with systematic review. The International journal of neuroscience 2025. link 24 Puledda F, Sacco S, Diener HC, Ashina M, Al-Khazali HM, Ashina S et al.. International Headache Society global practice recommendations for the acute pharmacological treatment of migraine. Cephalalgia : an international journal of headache 2024. link 25 Moisset X, Demarquay G, de Gaalon S, Roos C, Donnet A, Giraud P et al.. Migraine treatment: Position paper of the French Headache Society. Revue neurologique 2024. link 26 Yeh EL, Yang CP, Lin SW, Wang HF. Feasibility of Fish Oil Supplementation on Headache Symptoms and Blood Lipids in Migraine Patients. Brain and behavior 2024. link 27 Noseda R, Bedussi F, Gobbi C, Ceschi A, Zecca C. Calcitonin gene-related peptide antagonists in pregnancy: a disproportionality analysis in VigiBase. The journal of headache and pain 2024. link 28 Cao B, Gu S, Shen Z, Zhang Y, Shen Y, Chen H. Evaluating Ubrogepant-related adverse events using the FDA adverse event reporting system. Expert opinion on drug safety 2024. link 29 Liu WH, Hu HM, Li C, Shi Q, Liu CH, Liu AX et al.. Real-world study of adverse events associated with triptan use in migraine treatment based on the U.S. Food and Drug Administration (FDA) adverse event reporting system (FAERS) database. The journal of headache and pain 2024. link 30 Hu JL, Wu JY, Xu S, Qian SY, Jiang C, Zheng GQ. Post-marketing safety concerns with rimegepant based on a pharmacovigilance study. The journal of headache and pain 2024. link 31 Guerzoni S, Castro FL, Brovia D, Baraldi C, Pani L. Evaluation of the risk of hypertension in patients treated with anti-CGRP monoclonal antibodies in a real-life study. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 2024. link 32 Betts JW, Still JM, Lasko TA. Cryptogenic Stroke and Migraine: Using Probabilistic Independence and Machine Learning to Uncover Latent Sources of Disease from the Electronic Health Record. AMIA ... Annual Symposium proceedings. AMIA Symposium 2024. link 33 Li Z, Dong J, Yan Y, Fang F, Wang C, Zhang F et al.. Study design and rationale of COMPETE: Comparison of the effect of medication therapy in alleviating migraine with patent foramen ovale. American heart journal 2024. link 34 Espanol A, Lerebours F, Calviere L, Bonneville F, Ducros A, Larrue V et al.. Silent brain infarct in migraine: Systematic review and meta-analysis. Revue neurologique 2024. link 35 Menyhárt Á, Bálint AR, Kozák P, Bari F, Farkas E. Nimodipine accelerates the restoration of functional hyperemia during spreading oligemia. Journal of neurochemistry 2024. link 36 Zhang Y, Li Y, He L. Correlation between migraine and cerebral small vessel disease: A case-control study. European journal of pain (London, England) 2024. link 37 Sezai T, Murphy MJ, Riddell N, Nguyen V, Crewther SG. Visual Processing During the Interictal Period Between Migraines: A Meta-Analysis. Neuropsychology review 2023. link 38 Haghdoost F, Puledda F, Garcia-Azorin D, Huessler EM, Messina R, Pozo-Rosich P. Evaluating the efficacy of CGRP mAbs and gepants for the preventive treatment of migraine: A systematic review and network meta-analysis of phase 3 randomised controlled trials. Cephalalgia : an international journal of headache 2023. link 39 Carcel C, Haghdoost F, Shen J, Nanda P, Bai Y, Atkins E et al.. The effect of blood pressure lowering medications on the prevention of episodic migraine: A systematic review and meta-analysis. Cephalalgia : an international journal of headache 2023. link 40 Wang Y, Du R, Cui H, Zhang L, Yuan H, Zheng S. Acupuncture for acute migraine attacks in adults: a systematic review and meta-analysis. BMJ evidence-based medicine 2023. link 41 Chanchlani R, Agrawal A, Janjua D, Hafsa SN. The Efficacy of Different Triptans for the Treatment of Acute Headache in Pediatric Migraine: A Systematic Review. Indian pediatrics 2023. link 42 Dodick DW, Goadsby PJ, Schwedt TJ, Lipton RB, Liu C, Lu K et al.. Ubrogepant for the treatment of migraine attacks during the prodrome: a phase 3, multicentre, randomised, double-blind, placebo-controlled, crossover trial in the USA. Lancet (London, England) 2023. link01683-5) 43 Mistry H, Naghdi S, Underwood M, Duncan C, Madan J, Matharu M. Competing treatments for migraine: a headache for decision-makers. The journal of headache and pain 2023. link 44 Evers S. Cephalalgia - The early history. Cephalalgia : an international journal of headache 2023. link 45 Tuttolomondo A, Simonetta I. Molecular Research on Migraine: From Pathogenesis to Treatment. International journal of molecular sciences 2023. link 46 Shibata M. In Search of More Leaps to Realize the Precision Medicine of Migraine. International journal of molecular sciences 2023. link 47 Bahtiri L, Thomsen AV, Ashina M, Hougaard A. Migraine aura-like episodes following sclerotherapy for varicose veins of the lower extremities-A systematic review. Headache 2023. link 48 Alipouri M, Amiri E, Hoseini R, Hezarkhani LA. Effects of eight weeks of aerobic exercise and vitamin D supplementation on psychiatric comorbidities in men with migraine and vitamin D insufficiency: A randomized controlled clinical trial. Journal of affective disorders 2023. link 49 Battini V, Carnovale C, Clementi E, Sessa M. Ubrogepant and rimegepant: signal detection using spontaneous reports of adverse events from the Food and Drug Administration Adverse Event Reporting System. Expert opinion on drug safety 2023. link 50 Hensel O, Burow P, Kraya T, Stoevesandt D, Naegel S. Vertebrobasilar artery elongation in migraine-a retrospective cross-sectional study. Acta neurologica Belgica 2023. link 51 Zhang J, Mao Y, Li Y, Zhao K, Xie Q, Wang K et al.. Association between migraine or severe headache and hypertension among US adults: A cross-sectional study. Nutrition, metabolism, and cardiovascular diseases : NMCD 2023. link 52 Zhang Y, Deng Y, Zhang S, Du X, Ji Y. Systematic review and meta-analysis of a variety of chemicals to treat migraine in the neurology department. Annals of palliative medicine 2022. link 53 Sacco S, Amin FM, Ashina M, Bendtsen L, Deligianni CI, Gil-Gouveia R et al.. European Headache Federation guideline on the use of monoclonal antibodies targeting the calcitonin gene related peptide pathway for migraine prevention - 2022 update. The journal of headache and pain 2022. link 54 Shaterian N, Shaterian N, Ghanaatpisheh A, Abbasi F, Daniali S, Jahromi MJ et al.. Botox (OnabotulinumtoxinA) for Treatment of Migraine Symptoms: A Systematic Review. Pain research & management 2022. link 55 Varangot-Reille C, Suso-Martí L, Romero-Palau M, Suárez-Pastor P, Cuenca-Martínez F. Effects of Different Therapeutic Exercise Modalities on Migraine or Tension-Type Headache: A Systematic Review and Meta-Analysis with a Replicability Analysis. The journal of pain 2022. link 56 Singh A, Balasundaram MK. Atogepant for Migraine Prevention: A Systematic Review of Efficacy and Safety. Clinical drug investigation 2022. link 57 Yang M, Du T, Long H, Sun M, Liang F, Lao L. Acupuncture for menstrual migraine: a systematic review. BMJ supportive & palliative care 2022. link 58 Tajti J, Szok D, Nyári A, Vécsei L. CGRP and CGRP-Receptor as Targets of Migraine Therapy: Brain Prize-2021. CNS & neurological disorders drug targets 2022. link 59 Ashina M, Lanteri-Minet M, Pozo-Rosich P, Ettrup A, Christoffersen CL, Josiassen MK et al.. Safety and efficacy of eptinezumab for migraine prevention in patients with two-to-four previous preventive treatment failures (DELIVER): a multi-arm, randomised, double-blind, placebo-controlled, phase 3b trial. The Lancet. Neurology 2022. link00185-5) 60 Richer LP, Ali S, Johnson DW, Rosychuk RJ, Newton AS, Rowe BH. A randomized trial of ketorolac and metoclopramide for migraine in the emergency department. Headache 2022. link 61 Thuraiaiyah J, Kokoti L, Al-Karagholi MA, Ashina M. Involvement of adenosine signaling pathway in migraine pathophysiology: A systematic review of clinical studies. Cephalalgia : an international journal of headache 2022. link 62 Velásquez-Rimachi V, Chachaima-Mar J, Cárdenas-Baltazar EC, Loayza-Vidalon A, Morán-Mariños C, Pacheco-Barrios K et al.. Greater occipital nerve block for chronic migraine patients: A meta-analysis. Acta neurologica Scandinavica 2022. link 63 Argyriou AA, Mantovani E, Mitsikostas DD, Vikelis M, Tamburin S. A systematic review with expert opinion on the role of gepants for the preventive and abortive treatment of migraine. Expert review of neurotherapeutics 2022. link 64 Krimmel SR, Keaser ML, Speis D, Haythornthwaite JA, Seminowicz DA. Migraine disability, pain catastrophizing, and headache severity are associated with evoked pain and targeted by mind-body therapy. Pain 2022. link 65 Canpolat M, Topcu A, Kardas F, Ipekten F, Per H, Gumus H et al.. An assessment of the relation between vitamin D levels and electroencephalogram (EEG) changes in migraine patients. Bratislavske lekarske listy 2022. link 66 Liang D, Sessa M. Post-marketing safety surveillance of erenumab: new insight from Eudravigilance. Expert opinion on drug safety 2022. link 67 Arab A, Khorvash F, Kazemi M, Heidari Z, Askari G. Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on clinical, quality of life and mental health outcomes in women with migraine: a randomised controlled trial. The British journal of nutrition 2022. link 68 Rodrigues SG, Gouveia RG. Persistent monocular visual loss in migraine patients. Acta neurologica Belgica 2022. link 69 Bakırhan H, Yıldıran H, Uyar Cankay T. Associations between diet quality, DASH and Mediterranean dietary patterns and migraine characteristics. Nutritional neuroscience 2022. link 70 Khandelwal S, Meeta M, Tanvir T. Menopause hormone therapy, migraines, and thromboembolism. Best practice & research. Clinical obstetrics & gynaecology 2022. link 71 Arab A, Khorvash F, Karimi E, Heidari Z, Askari G. The effects of the dietary approaches to stop hypertension (DASH) diet on oxidative stress and clinical indices of migraine patients: a randomized controlled trial. Nutritional neuroscience 2022. link 72 Bajaj J, Doddamani R, Chandra SP, Ratre S, Parihar V, Yadav Y et al.. Comparison of Peripheral Neurectomy vs. Medical Treatment for Migraine: A Randomized Controlled Trial. Neurology India 2021. link 73 Ailani J. Updates on management of headache in women and transgender women. Current opinion in neurology 2021. link 74 Rosenblum RK, Manion A. An update on practice guidelines for primary care treatment of pediatric migraine. The Nurse practitioner 2021. link 75 Wood ME, Burch RC, Hernandez-Diaz S. Polypharmacy and comorbidities during pregnancy in a cohort of women with migraine. Cephalalgia : an international journal of headache 2021. link 76 Sessa M, Andersen M. New Insight on the Safety of Erenumab: An Analysis of Spontaneous Reports of Adverse Events Recorded in the US Food and Drug Administration Adverse Event Reporting System Database. BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy 2021. link 77 Noseda R, Bedussi F, Gobbi C, Zecca C, Ceschi A. Safety profile of erenumab, galcanezumab and fremanezumab in pregnancy and lactation: Analysis of the WHO pharmacovigilance database. Cephalalgia : an international journal of headache 2021. link 78 Al-Moujahed A, Tran EM, Azad A, Vail D, Ludwig CA, Pasricha MV et al.. Risk of Retinal Artery Occlusion in Patients with Migraine. American journal of ophthalmology 2021. link 79 Dzator JS, Howe PR, Wong RH. Profiling cerebrovascular function in migraine: A systematic review and meta-analysis. Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism 2021. link 80 Schramm S, Tenhagen I, Schmidt B, Holle-Lee D, Naegel S, Katsarava Z et al.. Prevalence and risk factors of migraine and non-migraine headache in older people - results of the Heinz Nixdorf Recall study. Cephalalgia : an international journal of headache 2021. link 81 Hawa K, Gupta S, Saps M. Abdominal migraines: Variations in diagnosis and care between pediatric gastroenterologists and neurologists. Revista chilena de pediatria 2020. link 82 Mitra B, Roman C, Mercier E, Moloney J, Yip G, Khullar K et al.. Propofol for migraine in the emergency department: A pilot randomised controlled trial. Emergency medicine Australasia : EMA 2020. link 83 Urits I, Yilmaz M, Bahrun E, Merley C, Scoon L, Lassiter G et al.. Utilization of B12 for the treatment of chronic migraine. Best practice & research. Clinical anaesthesiology 2020. link 84 Liampas I, Siokas V, Brotis A, Dardiotis E. Vitamin D serum levels in patients with migraine: A meta-analysis. Revue neurologique 2020. link 85 Daghlas I, Guo Y, Chasman DI. Effect of genetic liability to migraine on coronary artery disease and atrial fibrillation: a Mendelian randomization study. European journal of neurology 2020. link 86 Chen D, Willis-Parker M, Lundberg GP. Migraine headache: Is it only a neurological disorder? Links between migraine and cardiovascular disorders. Trends in cardiovascular medicine 2020. link 87 Kudrow D, Pascual J, Winner PK, Dodick DW, Tepper SJ, Reuter U et al.. Vascular safety of erenumab for migraine prevention. Neurology 2020. link 88 Richmond L, Schneider RP, Steffel J, Sandor PS, Tarnutzer AA. Case Report: New-Onset Retinal Migraine After Transseptal Catheterization. Headache 2020. link 89 Major S, Huo S, Lemale CL, Siebert E, Milakara D, Woitzik J et al.. Direct electrophysiological evidence that spreading depolarization-induced spreading depression is the pathophysiological correlate of the migraine aura and a review of the spreading depolarization continuum of acute neuronal mass injury. GeroScience 2020. link 90 Ghanshani S, Chen C, Lin B, Duan L, Shen YA, Lee MS. Risk of Acute Myocardial Infarction, Heart Failure, and Death in Migraine Patients Treated with Triptans. Headache 2020. link 91 Cyrańska-Chyrek E, Szczepanek-Parulska E, Ostałowska A, Antosik P, Jedliński R, Ruchała M. An adult female with headache and bilateral shank ache. Endokrynologia Polska 2019. link 92 Lucas S. Migraine and Other Headache Disorders: ACOG Clinical Updates In Women's Health Care Primary and Preventive Care Review Summary Volume XVIII, Number 4. Obstetrics and gynecology 2019. link 93 Smith SV. Neuro-Ophthalmic Symptoms of Primary Headache Disorders: Why the Patient With Headache May Present to Neuro-Ophthalmology. Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2019. link 94 Elbadawi A, Barssoum K, Abuzaid AS, Rezq A, Biniwale N, Alotaki E et al.. Meta-analysis of randomized trials on percutaneous patent foramen ovale closure for prevention of migraine. Acta cardiologica 2019. link 95 Öztürk M, Turan OE, Karaman K, Bilge N, Ceyhun G, Aksu U et al.. Evaluation of ventricular repolarization parameters during migraine attacks. Journal of electrocardiology 2019. link 96 Terrin A, Mainardi F, Maggioni F. The pathological spectrum behind migraine aura status: a case series. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 2019. link 97 Schulz KA, Esmati E, Godley FA, Hill CL, Monfared A, Teixido M et al.. Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2018. link 98 Loder EW, Rayhill M, Burch RC. Safety Problems With a Transdermal Patch for Migraine: Lessons From the Development, Approval, and Marketing Process. Headache 2018. link 99 Tietjen GE, Khubchandani J, Herial N, Palm-Meinders IH, Koppen H, Terwindt GM et al.. Migraine and vascular disease biomarkers: A population-based case-control study. Cephalalgia : an international journal of headache 2018. link 100 Wang SB, Liu KD, Yang Y, Li YJ, Hu MY, Lin P et al.. Prevalence and extent of right-to-left shunt on contrast-enhanced transcranial Doppler in Chinese patients with migraine in a multicentre case-control study. Cephalalgia : an international journal of headache 2018. link