Acute Effort Migraine

The acute effort migraine is precipitated by short periods of vigorous activity such as sprinting. It has been described following such sports as netball, hockey, cycling, swimming, and weightlifting. It is commonly unilateral, severe, usually preceded by an aura, and accompanied by nausea and often vomiting and neck stiffness. Acute effort migraines typically are throbbing or pounding in character, and recovery may require hours or even a full night’s sleep. A past or family history of migraine is often present. Treatment of the acute attack may include ergotamine preparations, oral or injected sumatriptan, analgesics and antinauseants.