Περίληψη:
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. © 2021, The Author(s).
Συγγραφείς:
Eigenbrodt, A.K.
Ashina, H.
Khan, S.
Diener, H.-C.
Mitsikostas, D.D.
Sinclair, A.J.
Pozo-Rosich, P.
Martelletti, P.
Ducros, A.
Lantéri-Minet, M.
Braschinsky, M.
del Rio, M.S.
Daniel, O.
Özge, A.
Mammadbayli, A.
Arons, M.
Skorobogatykh, K.
Romanenko, V.
Terwindt, G.M.
Paemeleire, K.
Sacco, S.
Reuter, U.
Lampl, C.
Schytz, H.W.
Katsarava, Z.
Steiner, T.J.
Ashina, M.
Λέξεις-κλειδιά:
breast feeding; clinical decision making; clinical feature; comorbidity; consensus development; cost benefit analysis; diagnostic procedure; diagnostic test; differential diagnosis; disease assessment; disease classification; disease predisposition; family history; follow up; health education; human; medical history; medical literature; medication overuse; medication therapy management; menstrual migraine; migraine; neuroimaging; patient attitude; patient care; patient compliance; patient education; patient information; patient referral; patient satisfaction; personalized medicine; population group; practice guideline; pregnant woman; preventive medicine; primary health care; reimbursement; Review; secondary health care; tertiary health care; therapy effect; transformed migraine; treatment failure; treatment response; consensus; Denmark; disease management; medical society; migraine; procedures, Clinical Decision-Making; Consensus; Denmark; Disease Management; Humans; Migraine Disorders; Practice Guidelines as Topic; Societies, Medical
