Migraine in special populations

Migraine is more common in women. Female migraineurs outnumber their male counterparts three to one. Migraine is most prevalent between 25 and 55 years of age; prevalence rates start to decrease in men and women in their early 40s. The incidence of late-onset migraine is low. The epidemiologic trends associated with this disease indicate that clinicians must be aware of typical and atypical manifestations of migraine, especially in the subpopulations of women and the elderly, to properly diagnose primary migraine, exclude secondary causes, and treat and manage this disease properly.