Purpose of Review <p>In this narrative review, we discuss the current literature on status migrainosus (SM) in the context of the definition, epidemiology, management and prognosis.</p> Recent Findings <p>SM is associated with a substantial cost burden driven by health care utilization. Individuals with SM have higher rates of ED visits, hospitalizations and progression to chronic migraine. Early treatment and preventative strategies are key aspects of the management of SM. There are a wide variety of medications utilized for the acute treatment of SM. “Bridge strategies” are often employed in an attempt to alleviate refractory pain and prevent a trip to the Emergency Department. It is important that physicians identify patients with SM and prepare them for future attacks, due to the debilitating nature of these episodes and the disease burden.</p> Summary <p>Recent studies highlight the numerous approaches to managing SM. Clinicians should educate their patients about SM as a significant complication of migraine attacks, as well as develop a plan for preventative measures and early treatment of SM.</p>