85 patients with migraine without aura and 20 healthy individuals were exam
ined between the attacks, before the attack, during and after it (1-2 days)
. The examination included clinical-neurological analysis; psychological Sp
ilberger's and Beck's tests, scale of alexithymia and complex algesic quest
ionnaire; recording of the conditional negative wave; determination of noci
ceptive flexor reflex; recording of trigeminal evoked potentials; spectral
analysis of the heart's rhythms; polysomnographic study. Psychcphysiologic
pattern characteristic for all the patients was established. Psychological
and neurophysiological parameters changed synchronously in the periods befo
re the attack, during and after it. Before the migraineous attack a specifi
c pathologic integration increased and presented maximally (the activity of
antinociceptive system weakens anxiety increased, tension of catecholamine
rgic systems grew, hyperactivity in trigeninal sphere elevated, tolerance t
o the pain decreased). A clear tendency to the reversibility of these chang
es was observed after an attack. A dynamics revealed in the psychophysiolog
ical pattern could serve as a predictor of a migraineous attack and open so
me perspectives for prophylaxis of the algesic attack.