Diagnosis and management of migraine in ten steps

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 ap...

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Vydané v:	Nature reviews. Neurology Ročník 17; číslo 8; s. 501 - 514
Hlavní autori:	Eigenbrodt, Anna K, Ashina, Håkan, Khan, Sabrina, Diener, Hans-Christoph, Mitsikostas, Dimos D, Sinclair, Alexandra J, Pozo-Rosich, Patricia, Martelletti, Paolo, Ducros, Anne, Lantéri-Minet, Michel, Braschinsky, Mark, Del Rio, Margarita Sanchez, Daniel, Oved, Özge, Aynur, Mammadbayli, Ayten, Arons, Mihails, Skorobogatykh, Kirill, Romanenko, Vladimir, Terwindt, Gisela M, Paemeleire, Koen, Sacco, Simona, Reuter, Uwe, Lampl, Christian, Schytz, Henrik W, Katsarava, Zaza, Steiner, Timothy J, Ashina, Messoud
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Nature Publishing Group 01.08.2021
Predmet:	Clinical decision making Clinical Decision-Making - methods Consensus Denmark - epidemiology Disease Management Headaches Humans Migraine Migraine Disorders - diagnosis Migraine Disorders - epidemiology Migraine Disorders - therapy Practice Guidelines as Topic - standards Societies, Medical - standards Denmark
ISSN:	1759-4758, 1759-4766, 1759-4766
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Popis
Shrnutí:	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.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ISSN:	1759-4758 1759-4766 1759-4766
DOI:	10.1038/s41582-021-00509-5