Closing remarks: what future prospects can we expect in migraine management?

Abstract

The future prospects that we can expect in migraine management are both exciting and challenging. Obviously, the future cannot be predicted fully; however, the science related to migraine pathogenesis, diagnosis and treatment has increased exponentially over the past two decades and continues to direct future research and clinical care. More than any time in the recent past, it now may be more possible to define better what migraine is and how it relates to other neurological disorders and other diseases. This overview will look at future prospects for management of migraine and how they relate to the migraine diathesis, and ways that might provide a better understanding of how it might be possible to calm the excitable brain. This meeting examined potential future developments in the management of migraine patients, with emphasis on disability, quality of life, and the role of patient personality in episodic and chronic migraine with substance/analgesic overuse. This meeting precedes the main theme of the seminar, which explores the relationships between pain, emotion and headache in light of recent findings, which show that pain and emotion are closely interrelated and contribute to the pathophysiology of headache. Thus, it is important to understand about future migraine management prospects in terms of known migraine pathophysiology, as current data provide support for the concept that migraine is a brain disorder.

Medication overuse and chronic migraine: a critical review according to clinical pharmacology

“…There are few comparison trials among prophylactic drugs of the same line and therefore no rational usage strategies and we do not know the optimum duration of prophylaxis. Migraine treatment is still defined as an art [98]. Even if physicians may feel flattered feeling that they are artists, this metaphor implies that migraine treatment is not a rigorous and replicable process.…”