Fast Five Quiz: Migraine Variants

Jasvinder P. Chawla, MD, MBA


October 12, 2020

Abdominal migraine symptoms are usually relieved with sleep, and antiemetic agents may help to abort an acute attack.

Acute treatment options for patients with hemiplegic migraine include antiemetic agents, nonsteroidal anti-inflammatory drugs, and non-narcotic pain relievers. Due to the potential for vasoconstrictive effects, triptans and ergotamine preparations are contraindicated for patients with hemiplegic migraine.

Early use of intravenous fluids containing an adequate amount of glucose (which can prevent a catabolic state) and analgesic agents may abort an attack of cyclic vomiting syndrome.

Prophylaxis with tricyclic antidepressants, beta blockers, calcium channel blockers, or antiepileptic drugs is recommended for patients with migrainous infarctions. Triptans, ergots, and dihydroergotamine are contraindicated in these patients. Nonsteroidal anti-inflammatory drugs, antiemetic agents, and non-narcotic pain relievers may be helpful for some patients. Long-term antiplatelet therapy is indicated.

Learn more about the treatment of migraine variants.

Editor's Recommendations


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.