Publicaciones científicas
Diagnosis and management of migraine in ten steps
Anna K Eigenbrodt # 1 , Håkan Ashina # 1 , Sabrina Khan 1 , Hans-Christoph Diener 2 , Dimos D Mitsikostas 3 , Alexandra J Sinclair 4 5 6 7 , Patricia Pozo-Rosich 8 9 , Paolo Martelletti 10 11 , Anne Ducros 12 , Michel Lantéri-Minet 13 , Mark Braschinsky 14 , Margarita Sanchez Del Rio 15 , Oved Daniel 16 , Aynur Özge 17 , Ayten Mammadbayli 18 , Mihails Arons 19 , Kirill Skorobogatykh 20 , Vladimir Romanenko 21 , Gisela M Terwindt 22 , Koen Paemeleire 23 , Simona Sacco 24 , Uwe Reuter 25 , Christian Lampl 26 27 , Henrik W Schytz 1 , Zaza Katsarava 28 29 30 31 , Timothy J Steiner 32 33 , Messoud Ashina 34 35 36 37
Abstract
Migraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated.
To support clinical decision-making, we convened a European panel of experts to develop a ten-step approach to the diagnosis and management of migraine.
Each step was established by expert consensus and supported by a review of current literature, and the Consensus Statement is endorsed by the European Headache Federation and the European Academy of Neurology.
In this Consensus Statement, we introduce typical clinical features, diagnostic criteria and differential diagnoses of migraine. We then emphasize the value of patient centricity and patient education to ensure treatment adherence and satisfaction with care provision.
Further, we outline best practices for acute and preventive treatment of migraine in various patient populations, including adults, children and adolescents, pregnant and breastfeeding women, and older people.
In addition, we provide recommendations for evaluating treatment response and managing treatment failure. Lastly, we discuss the management of complications and comorbidities as well as the importance of planning long-term follow-up.
CITA DEL ARTÍCULO Nat Rev Neurol. 2021 Aug;17(8):501-514. doi: 10.1038/s41582-021-00509-5. Epub 2021 Jun 18.
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