What are prodromal symptoms of migraine headache?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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About 60% of people who experience migraines report premonitory symptoms that occur hours to days before headache onset. Although the prodromal features vary, they tend to be consistent for a given individual and may include the following:

  • Heightened sensitivity to light, sound, and odors

  • Lethargy or uncontrollable yawning

  • Food cravings

  • Mental and mood changes (eg, depression, anger, euphoria)

  • Excessive thirst and polyuria

  • Fluid retention

  • Anorexia

  • Constipation or diarrhea

These symptoms may be difficult to diagnose as part of the migraine complex if they occur in isolation from the headache or if they are mild. The prodrome of migraine has yet to receive significant investigational attention.

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