الفهرس 
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Abstract
Summary & Conclusion
Migraine is one of the most common types of headache. The high frequency and accompanying morbidities of migraine significantly impair social and work activity. The Global Burden of Disease Survey in 2010 estimated that migraine is the third most common disease and the seventh cause of years lived with disability. Migraine affects one in ten people worldwide featuring recent rise. Higher prevalence was found among females and students. Despite its high prevalence and disabling nature, migraine has continued to be under-recognized and under-treated, even in developed countries.
University students, in particular medical students are an important specific population who need more attentions regarding their health and quality of life which will reflect on their academic performance and their sharing in different activities in the society, moreover their future role in different aspects of life.
This study is cross sectional, questionnaire based study conducted at the Faculty of medicine, Beni-Suef University, during the academic year 2017-2018 to detect the prevalence and characteristics of migraine among medical students, measure the degree of disability of migraine and study the attitude of medical students towards their migraine.
The study included 631 medical students from all educational years who were asked to fill the questionnaire. This questionnaire consisted of three main parts; First part, contained the questions which assessed the migraine prevalence, associated symptoms, migraine triggers and relievers. Second part, contained the The MIDAS scoring items that assessed migraine disability. Third part, contained questions that assessed the attitudes of medical students towards their migraine.
The results of this study can be summarized in these points:
Migraine prevalence was 17.9% (migraine without aura was 7.3% and migraine with aura 10.6%, with visual aura prevalence of 83.6% followed by sensory aura 28.4%)
Chronic migraine prevalence was 2.1%
The mean frequency of attacks was 5.96/month
The most common associated symptoms were mood changes, photophobia, nausea and visual symptoms
The most common migraine triggers were irregular sleep, stress during exams and studying followed by sun exposure and and fasting. Menstruation was a trigger in 41.9% of females with migraine
Sixty percent of medical students with migraine had moderate to severe disability
Medical students with migraine who consulted a physician for migraine were 35.4% while those who administered self-medications were 58.4%.
Migraineurs with positive family history of headache were 67.3%
Migraine was more prevalent significantly among female students, students with positive family history of headache and married students compared to students with non migraine headache (P values were 0.0369, 0.0005 and 0.0436 respectively
Migraine was more common among females significantly than males (P value 0.0006)
Commonly associated characters and symptoms with migraine, e.g. pulsating headache, nausea, photophobia, visual and sensory aura, were more prevalent among female than male students
Female students showed higher mean attacks frequency 6.3/month compared to 5.4/month for male students, also females had significant high moderate to severe migraine disability compared to male (P value 0.0013)
Female students reported higher rates of consultation due to migraine while male students reported higher self medications use
Preclinic section students showed higher migraine prevalence with significant high chronic migraine prevalence students (P value 0.0032) and higher mean pain intensity on visual analogue scale (VAS) compared to the clinic section, also they reported more moderate to severe disability (P value 0.22)
Migraine predictors; females, married students and those with positive family history of headache had (2.3, 2.3 and 3.3 folds respectively) to develop migraine
Migraine chronification predictors; females, students from rural areas, smokers and those with chronic diseases were at higher risks to develop chronic migraine (2.1, 3.4, 1.8 and 3.3 folds respectively)
Ages of students had significant negative correlations with migraine frequency and disability (P values were 0.006 and 0.044 respectively), also there was significant positive correlation between migraine frequency and disability (P value < 0.001)
Migraine severity and frequency had significant positive correlations with low academic achievement (P values were 0.005 and 0.001 respectively), also chronic migraine had significant positive correlation with disability (P value < 0.001).