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Diagnosis and treatment of migraine: Russian experts' recommendations
- Source :
- Nevrologiâ, Nejropsihiatriâ, Psihosomatika, Vol 12, Iss 4, Pp 4-14 (2020)
- Publication Year :
- 2020
- Publisher :
- IMA Press, LLC, 2020.
-
Abstract
- Migraine is one of the most common types of headache, which can lead to a significant decrease in quality of life. Researchers identify migraine with aura, migraine without aura, and chronic migraine that substantially reduces the ability of patients to work and is frequently concurrent with mental disorders and drug-induced headache. The complications of migraine include status migrainosus, persistent aura without infarction, migrainous infarction (stroke), and a migraine aura-induced seizure. The diagnosis of migraine is based on complaints, past medical history, objective examination data, and the diagnostic criteria as laid down in the International Classification of Headache Disorders, 3 rd edition. Add-on trials are recommended only in the presence of red flags, such as the symptoms warning about the secondary nature of headache. Migraine treatment is aimed at reducing the frequency and intensity of attacks and the amount of analgesics taken. It includes three main approaches: behavioral therapy, seizure relief therapy, and preventive therapy. Behavioral therapy focuses on lifestyle modification. Nonsteroidal anti-inflammatory drugs, simple and combined analgesics, triptans, and antiemetic drugs for severe nausea or vomiting are recommended for seizure relief. Preventive therapy which includes antidepressants, anticonvulsants, beta-blockers, angiotensin II receptor antagonists, botulinum toxin type A-hemagglutinin complex and monoclonal antibodies to calcitonin gene-related peptide or its receptors, is indicated for frequent or severe migraine attacks and for chronic migraine. Pharmacotherapy is recommended to be combined with non-drug methods that involves cognitive behavioral therapy; progressive muscle relaxation; mindfulness; biofeedback; post-isometric relaxation; acupuncture; therapeutic exercises; greater occipital nerve block; non-invasive high-frequency repetitive transcranial magnetic stimulation; external stimulation of first trigeminal branch; and electrical stimulation of the occipital nerves (neurostimulation).
- Subjects :
- medicine.medical_specialty
diagnosis
medicine.medical_treatment
non-drug methods
Chronic Migraine
Internal medicine
medicine
preventive therapy
migraine
seizure relief therapy
Migraine treatment
RC346-429
Stroke
Neurostimulation
treatment
business.industry
medicine.disease
Persistent aura without infarction
Migraine with aura
Psychiatry and Mental health
Clinical Psychology
clinical guidelines
Migraine
International Classification of Headache Disorders
Neurology. Diseases of the nervous system
Neurology (clinical)
medicine.symptom
business
Subjects
Details
- ISSN :
- 23101342 and 20742711
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Neurology, Neuropsychiatry, Psychosomatics
- Accession number :
- edsair.doi.dedup.....431e497c810e8f67f86150c19710bc99
- Full Text :
- https://doi.org/10.14412/2074-2711-2020-4-4-14