Adaptation of the management of chronic migraine patients with medication overuse to the suspension of treatment protocols during the COVID‐19 pandemic: Lessons from a tertiary headache center in Milan—6‐month results

2021 ◽  
Author(s):  
Paul B. Rizzoli ◽  
Licia Grazzi
Keyword(s):  
Chronic Migraine ◽  
Medication Overuse ◽  
Treatment Protocols ◽  
Headache Center

Disability in Chronic Migraine Patients With Medication Overuse: Treatment Effects at 1‐Year Follow‐up

2004 ◽  
Vol 44 (7) ◽  
pp. 678-683 ◽  
Author(s):  
Licia Grazzi ◽  
Frank Andrasik ◽  
Domenico D'Amico ◽  
Susanna Usai ◽  
Steven Kass ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Treatment Effects ◽  
Medication Overuse

scholarly journals Migraine

2021 ◽  
Vol 9 (12) ◽  
pp. 1407-1427
Author(s):  
Mr. Ghene Mauli Ganesh
Keyword(s):  
Chronic Migraine ◽  
Medication Overuse ◽  
Treatment Options ◽  
Preventive Treatment ◽  
Primary Headaches ◽  
Brain Disorder ◽  
Current State ◽  
The Common ◽  
Chronic Headaches ◽  
Migrainous Headache

Abstract: Migraine is the most common disabling brain disorder. Chronic migraine, a condition characterized by the experience of migrainous headache on at least 15 days per month, is highly disabling. Patients with chronic migraine present to primary care, are often referred for management to secondary care, and make up a large proportion of patients in specialist headache clinics. Many patients with chronic migraine also have medication overuse, defined as using a compound analgesic, opioid, triptan or ergot derivative on at least 10 days per month. All doctors will encounter patients with chronic headaches. A basic working knowledge of the common primary headaches, and a rational manner of approaching the patient with these conditions, allows a specific diagnosis of chronic migraine to be made quickly and safely, and by making this diagnosis one opens up a substantial number of acute and preventive treatment options. This article discusses the current state of management of chronic migraine.

scholarly journals Orbitofrontal dysfunction predicts poor prognosis in chronic migraine with medication overuse

2011 ◽  
Vol 12 (4) ◽  
pp. 459-466 ◽  
Author(s):  
Marian Gómez-Beldarrain ◽  
María Carrasco ◽  
Amaia Bilbao ◽  
Juan C. García-Moncó
Keyword(s):  
Chronic Migraine ◽  
Poor Prognosis ◽  
Medication Overuse

Study of arginine metabolism in medication overuse chronic migraine: possible defect in NO synthesis

2021 ◽  
Author(s):  
Giovanni D’Andrea ◽  
Antonina Gucciardi ◽  
Giuseppe Giordano ◽  
Gennaro Bussone ◽  
Alberta Leon
Keyword(s):  
Chronic Migraine ◽  
Medication Overuse ◽  
Arginine Metabolism

Neck Pain and Other Location Patterns in Episodic and Chronic Migraine: A Cross-Sectional Study

2020 ◽  
Author(s):  
Marco Antonio Takashi Utiumi ◽  
João Guilherme Bochnia Küster ◽  
Keryn Sporh Godk ◽  
Nikolai José Eustátios Kotsifas ◽  
Pedro André Kowacs ◽  
...  
Keyword(s):  
Neck Pain ◽  
Chronic Migraine ◽  
Medication Overuse ◽  
Diagnostic Value ◽  
Multivariate Logistic Regression Model ◽  
Tactile Allodynia ◽  
Cross Sectional ◽  
Pain Location ◽  
Significant Difference ◽  
Location Patterns

Abstract Background: The pain location of migraine has limited diagnostic value and has usually been assessed using non-standard verbal descriptors.Methods: This study uses non-verbal descriptors of pain location in episodic and chronic migraineurs seen at 3 centers of different complexities (tertiary-level hospital and outpatient clinics) and from different sectors (public and private). The explicit pain location was recorded by asking patients to indicate in an electronic form 3 points on the anterolateral side and 3 points on the posterolateral side of the head and neck. A multivariate logistic regression model was fitted to assess the association of different pain location patterns with demographic and clinical variables.Results: Ninety-seven episodic migraine and 113 chronic migraine patients were included, with the most commonly affected sites being the frontal (73% and 65%, respectively), temporal (67% and 73%, respectively) and parietal (27% and 34%, respectively) regions. The posterior cervical site was most often involved in the chronic migraine group (21% vs. 33%, p=0.034). No other locations showed a significant difference. The adjusted model showed that diffuse pain (OR=13.74, CI=4.89-49.85) and the presence of medication overuse associated with tactile allodynia (OR=2.65, CI=1.05-6.87) were associated with increased odds of neck pain. Disease duration was marginally relevant (p=0.078).Conclusions: The migraine attacks most commonly involve the fronto-temporal regions, although neck pain can be more often found in chronic migraine. Some features commonly found in this group such as more diffuse pain, tactile allodynia, and medication overuse are associated with this extratrigeminal site of pain.

scholarly journals Reply: OnabotulinumtoxinA should be considered in medication overuse withdrawal in patients with chronic migraine

Brain ◽  
2019 ◽  
Vol 143 (1) ◽  
pp. e6-e6 ◽  
Author(s):  
Judith A Pijpers ◽  
Michel D Ferrari ◽  
Gisela M Terwindt
Keyword(s):  
Chronic Migraine ◽  
Medication Overuse

Clinic-based characterization of continuous headache in children and adolescents: Comparing youth with chronic migraine to those with new daily persistent headache

Cephalalgia ◽  
2020 ◽  
Vol 40 (10) ◽  
pp. 1063-1069 ◽  
Author(s):  
Brooke L Reidy ◽  
Emily J Riddle ◽  
Scott W Powers ◽  
Shalonda K Slater ◽  
Joanne Kacperski ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Functional Disability ◽  
Medication Overuse ◽  
Clinical Information ◽  
Large Data ◽  
Data Repository ◽  
New Daily Persistent Headache ◽  
Headache Patient ◽  
Headache Onset ◽  
Persistent Headache

Objective To describe the headache characteristics and functional disability of a large sample of treatment-seeking youth with continuous headache and compare these factors across diagnostic subgroups of chronic migraine and new daily persistent headache. Methods This retrospective study utilized clinical information (e.g. diagnosis, headache features, medication overuse, functional disability) from a large data repository of patients initially presenting to a multidisciplinary headache center with continuous headache. Patient inclusion in subgroup analyses for chronic migraine and new daily persistent headache was based on clinician diagnosis using International Classification of Headache Disorders (ICHD) criteria. Results The current sample included 1170 youth (mean age = 13.95 years, 78.8% female) with continuous headache. The overwhelming majority of these youth had headaches with migrainous features, regardless of their clinical diagnosis. Youth with chronic migraine reported a longer history of continuous headache symptoms and earlier age of headache onset than youth with new daily persistent headache and were more likely to have medication overuse. Most youth with continuous headache experienced severe migraine-related functional disability, regardless of diagnostic subgroup. Conclusions Overall, youth with continuous chronic migraine and new daily persistent headache did not have clinically meaningful differences in headache features and associated disability. Findings suggest that chronic migraine and new daily persistent headache may be variants of the same underlying disease.

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