Web of Science: 162 cites, Scopus: 191 cites, Google Scholar: cites,
Diagnosis and management of migraine in ten steps
Eigenbrodt, Anna K. (University of Copenhagen)
Ashina, Håkan (University of Copenhagen)
Khan, Sabrina (University of Copenhagen)
Diener, Hans-Christoph (University Duisburg-Essen)
Mitsikostas, Dimos D. (Aeginition Hospital)
Sinclair, Alexandra J. (Birmingham Women's and Children's Hospital (Regne Unit))
Pozo-Rosich, Patricia (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Martelletti, Paolo (Sant'Andrea Hospital)
Ducros, Anne (University Hospital of Montpellier (França))
Lantéri-Minet, Michel (Centre Hospitalo-Universitaire de Nice)
Braschinsky, Mark (Tartu University Hospital (Tartu, Estònia))
Del Rio, Margarita Sanchez (Clínica Universidad de Navarra)
Daniel, Oved (Headache & Facial Pain Clinic)
Özge, Aynur (Mersin University Medical Faculty)
Mammadbayli, Ayten (Azerbaijan State Medical University, Baku, Azerbaijan)
Arons, Mihails (eStradins University)
Skorobogatykh, Kirill (University Headache Clinic, Moscow, Russia)
Romanenko, Vladimir (Ukrainian Institute of Family Medicine)
Terwindt, Gisela M. (Leiden University Medical Center)
Paemeleire, Koen (Universitair Ziekenhuis Gent)
Sacco, Simona (University of L'Aquila)
Reuter, Uwe (Charité - Universitätsmedizin Berlin)
Lampl, Christian (Ordensklinikum Linz)
Schytz, Henrik W. (University of Copenhagen)
Katsarava, Zaza (IM Sechenov First Moscow State Medical University)
Steiner, Timothy J. (Imperial College London)
Ashina, Messoud (Azerbaijan Medical University)

Data: 2021
Resum: 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. In this Consensus Statement, which is endorsed by the European Headache Federation and the European Academy of Neurology, an expert panel provides recommendations for the diagnosis and management of migraine to support clinical decision-making by general practitioners, neurologists and headache specialists.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Migraine
Publicat a: Nature Reviews. Neurology, Vol. 17 (june 2021) , p. 501-514, ISSN 1759-4766

DOI: 10.1038/s41582-021-00509-5
PMID: 34145431


14 p, 1.3 MB

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