الفهرس 
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Abstract
Background: Migraine is the second most common cause of headache, affecting approximately 15% of women and 6% of men. Also, it is one of the most ten disabling diseases in the world.
Objectives: To study the triggers of migraine headache in a group of Migraine patients attending Headache clinic at Ain Shams University Hospitals.
Methods: A descriptive study was carried out among 292 migraine cases from different parts of Cairo governorate from December 2019 to March 2020. The types and criteria of migraine headache were registered and tabulated to be compared with others. Case definition of migraine was based on the International Headache Society (IHS) criteria.
Results: 85.6% were females. 41.8% of the patients were aged between 30-39 years. Stress or anxiety or family problems was the commonest trigger (89%), followed by fatigue (86.3%), too little sleep (staying up late) (82.2%), loud noises (77.7%), Hunger, fasting and missing meals (75.3%), Bright lights or and sun exposure (75%), and in relation to females menstruation (61.9%), hot weather (61.3%), too much sleep (46.9%), odors (46.2%), while the least triggers were physical exercise, caffeinated drinks, smoking, chocolate and dairy products, and ice-cream to be 28.8%, 26%, 24.7%, 23.3%, 16.1% respectively. 40.1% of the study population had positive family history of migraine, 30.1% of them reported major stresses (transportation, marriage, or death of a close relative) in the last year.
Conclusion: Stress, anxiety, family problems, fatigue, too little sleep (staying up late), and loud noises were the commonest triggers of migraine headache. Family history was present in 41.1% of migraine patients.