Managing Chronic Headache Disorders

Forde, Grace; Duarte, Robert A.; Rosen, Noah

doi:10.1016/j.mcna.2015.09.006

Cited by 12 publications

(4 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients participating in the Med-Group received only prophylactic medications. The preventive compound was chosen on the basis of clinical history and medical comorbidities [ 49 – 52 ], such as done in routine care. Patients included in the MT-group, participated in a series of mindfulness training sessions and were not prescribed any form of prophylaxis.…”

Section: Methodsmentioning

confidence: 99%

Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up

Grazzi¹,

Sansone²,

Raggi³

et al. 2017

J Headache Pain

View full text Add to dashboard Cite

BackgroundChronic Migraine (CM) is a disabling condition, worsened when associated with Medication Overuse (MO). Mindfulness is an emerging technique, effective in different pain conditions, but it has yet to be explored for CM-MO. We report the results of a study assessing a one-year course of patients’ status, with the hypothesis that the effectiveness of a mindfulness-based approach would be similar to that of conventional prophylactic treatments.MethodsPatients with CM-MO (code 1.3 and 8.2 of the International Classification of Headache Disorders-3Beta) completed a withdrawal program in a day hospital setting. After withdrawal, patients were either treated with Prophylactic Medications (Med-Group), or participated in a Mindfulness-based Training (MT-Group). MT consisted of 6 weekly sessions of guided mindfulness, with patients invited to practice 7–10 min per day. Headache diaries, the headache impact test (HIT-6), the migraine disability assessment (MIDAS), state and trait anxiety (STAI Y1-Y2), and the Beck Depression Inventory (BDI) were administered before withdrawal and at each follow-up (3, 6, 12 after withdrawal) to patients from both groups. Outcome variables were analyzed in separate two-way mixed ANOVAs (Group: Mindfulness vs. Pharmacology x Time: Baseline, 3-, 6-, vs. 12-month follow-up).ResultsA total of 44 patients participated in the study, with the average age being 44.5, average headache frequency/month was 20.5, and average monthly medication intake was 18.4 pills. Data revealed a similar improvement over time in both groups for Headache Frequency (approximately 6–8 days reduction), use of Medication (approximately 7 intakes reduction), MIDAS, HIT-6 (but only for the MED-Group), and BDI; no changes on state and trait anxiety were found. Both groups revealed significant and equivalent improvement with respect to what has become a classical endpoint in this area of research, i.e. 50% or more reduction of headaches compared to baseline, and the majority of patients in each condition no longer satisfied current criteria for CM.ConclusionsTaken as a whole, our results suggest that the longitudinal course of patients in the MT-Group, that were not prescribed medical prophylaxis, was substantially similar to that of patients who were administered medical prophylaxis.

show abstract

Section: Methodsmentioning

confidence: 99%

Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up

Grazzi¹,

Sansone²,

Raggi³

et al. 2017

J Headache Pain

View full text Add to dashboard Cite

show abstract

“…Penting juga untuk mencari apakah ada tanda-tanda red flags pada pasien dengan nyeri kepala. Nyeri kepala perlu dicurigai suatu nyeri kepala sekunder apabila ditemukan red flags, antara lain : usia > 50 tahun, thunderclap headache, tanda dan gejala neurologis, meningismus, imunosupresi atau keganasan, mata merah dan adanya tanda glaukoma, gejala nyeri kepala yang makin memberat, ataupun gejala dari arteritis temporalis 8 . Pada pasien, gejala awal yang ditemukan memang hanya nyeri kepala.…”

Section: Pembahasanunclassified

Intractable Headache Akibat Fistula Karotis-Kavernosus Indirek Bilateral: Suatu Laporan Kasus

Hartono

Sani

2021

AKSONA : Aksona: Journal of Neurology and Neuroscience

View full text Add to dashboard Cite

Pendahuluan: Nyeri kepala hemikrania dengan presentasi menyerupai nyeri kepala primer namun tidak membaik dengan medikamentosa (intractable headache), perlu dicurigai suatu nyeri kepala sekunder. Etiologi nyeri kepala sekunder, ditegakan dengan melakukan pemeriksaan penunjang diagnostik lebih lanjut. Adanya kelainan yang ditemukan, akan menuntun pada terapi definitif. Kami melaporkan seorang pasien dengan intractable headache dan ditemukan etiologi berupa fistula karotis kavernosus indirek dan membaik dengan tindakan embolisasi. Kasus: Laki-laki 29 tahun dengan nyeri kepala selama 2 bulan terakhir dan tidak membaik dengan medikamentosa. Nyeri kepala berdenyut pada sisi kiri menyerupai nyeri kepala primer dan makin lama makin memberat. Skala NRS 9-10. Keluhan disusul dengan pandangan mata dobel dan ptosis mata kiri. Dari MRI kepala sekuen TOF didapatkan gambaran hiperintensitas area sinus kavernosus. Dilakukan konfirmasi dengan serebral DSA didapatkan fistula indirek dari cabang arteri karotis eksterna dan intra bilateral menuju ke sinus kavernosus. Dilakukan embolisasi pada cabang arteri karotis eksterna kiri. Post embolisasi nyeri kepala menghilang tanpa obat-obatan. Kesimpulan: Adanya anomali vaskuler, pada kasus ini fistula karotis kavernosus, perlu dipertimbangkan pada kasus nyeri kepala intraktabel. Tindakan embolisasi merupakan terapi kuratif yang dapat menghilangkan keluhan nyeri kepala

show abstract

“…The typical headache was bifrontal but worse ipsilaterally and headache was the worst symptom in 45% of patients [101]. Further workup is indicated including neurologic imaging in patients for whom the frequency, severity, or character of headache changes in the setting of a prior history of benign headaches [17,102]. Headache increasing in frequency or severity is considered a "red flag" [55].…”

Section: Variant 7: Chronic Headache New Features or Increasing Freqmentioning

confidence: 99%

ACR Appropriateness Criteria® Headache

Whitehead

Cardenas

Corey

et al. 2019

Journal of the American College of Radiology

View full text Add to dashboard Cite

Headache is one of the most common human afflictions. In most cases, headaches are benign and idiopathic, and resolve spontaneously or with minor therapeutic measures. Imaging is not required for many types of headaches. However, patients presenting with headaches in the setting of "red flags" such as head trauma, cancer, immunocompromised state, pregnancy, patients 50 years or older, related to activity or position, or with a corresponding neurological deficit, may benefit from CT, MRI, or noninvasive vascular imaging to identify a treatable cause. This publication addresses the initial imaging strategies for headaches associated with the following features: severe and sudden onset, optic disc edema, "red flags," migraine or tension-type, trigeminal autonomic origin, and chronic headaches with and without new or progressive features.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

show abstract

Managing Chronic Headache Disorders

Cited by 12 publications

References 33 publications

Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up

Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up

Intractable Headache Akibat Fistula Karotis-Kavernosus Indirek Bilateral: Suatu Laporan Kasus

ACR Appropriateness Criteria® Headache

Contact Info

Product

Resources

About