Aging with Migraine: Changes and Long Term Effects

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Key Questions
  • When are we most at risk of migraine in our life?
  • What is the biggest factor that pulls people into chronic migraine?
  • Does the chance of stoke change as you age with migraine?
  • What are the telltale signs between a stroke and a migraine attack?
  • What are “late-life migraine accompaniments”?
  • What free and natural remedy is a recognized treatment for pain in migraine (antinociceptive)?
  • How can migraine change as we age?
  • Why might migraine disappear in older people?
  • Why does migraine persist in others?
  • What age does migraine persist until?
  • How are blood vessels related to other serious conditions?
  • What are white matter lesions?
  • What does it mean if you have white matter lesions show up in a scan?
  • Is migraine a self-limiting disorder?
  • What happens to our brain after hundreds or even thousands of attacks?
  • What impact could a lifetime of treatments and painkillers have?
  • What treatment alternatives are there?
  • How concerned should we be about damage to the esophagus or tooth enamel from frequent vomiting or acid reflux?
  • Can migraine cause permanent cognitive difficulties or brain fog?
  • In what scenario should you start low and go slow?
  • What common mistake do patients make with successful treatments?
  • Is complete remission from migraine possible?
  • What perspective is helpful to take as we age?
Interview Notes

Find more about Allan Purdy, MD and his work here:


Allan Purdy, MD

Professor of Neurology
Dalhousie University, Canada

Dr. Allan Purdy is a neurologist and a professor at Dalhousie University in Nova Scotia, Canada. Dr. Purdy is currently President of the American Headache Society. He has also served as president of the Canadian Headache Society and on the Board of Directors for the International Headache Society.

Dr. Purdy is regarded as one of the most gifted teachers in the field, developing educational programs for physicians around the world who care for patients with headache diseases. In addition to his research and education work, Dr. Purdy continues to see headache patients in his Canadian clinic on a part-time basis.

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