Primary cephaleas, a revision of its diagnosis and therapeutic approach

Authors

  • Ángel A Monti Instituto de Nurociencias Córdoba.
  • Francisco J Rapela Instituto de Nurociencias Córdoba.
  • Elizabeth A Bacile Bacile Instituto de Nurociencias Córdoba.
  • Diego Uberti Instituto de Nurociencias Córdoba.

Keywords:

primary headaches, migraine, tension-type headache, cluster, JHS criteria

Abstract

This review focuses on primary headaches, its diagnosis aral treatment. Fbr the JHS specialists they are: migraine, tension-type headache (TTH), cluster and others. Migraine: the second in prevalence and the flrst in morbility, clinical features and differences between migraine with (Ma) and without aura (Mo). Epidemiology: 10% prevalence and 3:1 women to men proportion. Patophysiology: primary central nociception disorder with secondary vascular involvement. Treatment: specific and non-specffic, acule and preventive. Psychiatric disorders and migraine: there is evidence of clinical and pharmacological links, mainly hetween Ma and several psychiatric disorders.

Migraine in childrens: irnportant clinical and therapeutic differences from adult, importance of family approach. Migraine and hormones: the importance of estrogen drop, as trigger factor. treatment. Migraine and epilepsy: both shares neuronal hyperexcitability pattern. Migraine and stroke: vascular and ischemic factors involved. Evidence-based medicine: improves treatment's results and studies outcome evaluation. TTH: first in prevalence, still highly subdiagnosed. Main clinical presentations: episodic and chronic. Epidemiology: slight female preponderance. Patophysiology and trigger factors: the role of hmbic nociceptive system, sedentarism stress and muscular tension. Treatment: pharmacological and non-pharrnacoiogical. Cluster headache: low prevalence but high daily-living activities impact, effective treatment. Other primary headaches: variability of trigger factors and role of desensitization process. Conclusion: we remark the complexity of headache and the of physicians role: to relief patients suffering, throughout a precise diagnosis and treatment.

Downloads

Download data is not yet available.

References

Ashkenazi A, Silberstein SD. Headache management for the pain specialist. Reg Anest and pain med 2004:29(5):462-75.
Headache Classification Cornmiltee of the International Headache Society. Classification and cliagnoslic criteria for headache disorders, cranial neuralgia. and facial pain. Cephalalgia 1988:8 (Suppl 7):1-96.
The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24( Suppl 1) :9-160.
Hall N. Bringing chronic daily headache into focus. Practical Neurology 2005:40:36-8.
Lestón J. Migraña. En: Micheli F y Col. Tratado de Neurologia Clínica, Ed. Med, Panamericana 2002:8-11.
Ferrari M, Migranie. Lancet 1998:351(9108):1043-51.
Lipton RB, Stewart WF, Liberman JN. Self-awareness of migraine: interpreting the labeis that headache sufferers apply to their headaches. Neurology 2002;58(9 Suppl 6):S21-6.
Giffin NJ, Rug,giero L, Lipton RB, Silberstein SD, Tvedskov JE Olesen J, Altman J, Goadsby PJ, Macrae A. Premonitory symptoms in migraine: an eleclronic diary study. Neurology 2003;60(6):935-40.
lCD-10. Guide for headaches. International Headache Classification Committee. Cephalalgia 1997; 17(Suppl 19)1-82.
Holzhammer J, Wober C. Alimeritary trigger factors that provoke migraine and tension-type headache. Schmerz 2005 Apr 2. (Artículo original en Alemán)
Silberstein SD. Practice parameter: evidence-based guidelines for migraine headache (an evidence based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2000;55:754-763.
Goadsby PJ. Patophysiology of Headache. In: Silberstein SD, Lipton RB, Dalessio DJ, eds. Wo![fs Headache and other head pain. 7th ed. New York. Oxfford University Press 2001:57-72.
Moskowitz MA, The neurobiology of vascular head pain. Ann Neurol 1984; 16:157-68.
Elrington G. Migraine: diagnosis aral management. Journal of Neurology, Neurosurgery and Psychiatry. 2002;72(Supp12):iil0-ii15.
Elrington G. Migraine: diagnosis aral management. Journal of Neurology, Neurosurgery and Psychiatry. 2002;72(Supp12):iil0-ii15.
Burstein R, Yarrnisky D, GoorAryeh 1, Ransil VJ, Bajwa ZH. An association between migraine and cutaneous allodynia. Annals of Neurology 2000;47:614-624.
Leaó AP Spreading depression of activity in cerebral cortex. Journal of Neurophisiology 1944;7:359-390.
Gervil M, Ulrich y, Kapiro J, Olesen J, Russell MB. The relative role of genetic and environmental factors in migraine without aura. Neurology 1999;53(5) :995- 9.
Gretchen ET The relationship of Migraine and Stroke. Neuroepidemiology 2000; 19( 1): 13-19.
Lipton RB, Stwart WE Stone AM et al. Stratified care vs step care strategies for migraine. JAMA 2000; 284:2599-605.
Neil HR. Acute and prophylactic treatment of migraine: Practical approaches and pharmacologic rationale. Neurology 1993;43(suppl 3)S39-S42.
Tansey MA. A neurobiological treatment for migraine: The response of four cases of migraine to EEG biofeedback training. Headache Quarterly: Current Treatment & Research 1991: 90-96.
MonU AA, Bacile EA, Diaz H. Migraña: implicancias neuropsiquiá1ricas (revisión y opinión). Archivos de Neurología, Neurocirugía y Neuropsiquiatría 2001;5(2):68-72.
Radat E, Swendsen J. Psychiatric comorbidity in migraine: a review. Cephalalgia 2005; 25(3):165-78.
Ozyalcin SN, Talu GK y col. The efficacy and safety of venlafaxine in the prophylaxis of migraine. Headache 2005;45(2):144-52.
Lewis DW. Thoward the definition of chilhood migralne.Current Opiniori in Pediatrics 2004; 16(6):628-36.
Lewis D. Ashwal S, HersheyA, Hirtz D, Yonker M, Silberstein S. Practice paran-ieter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. Neurology 2004; 2215:2224.
Miller GS. Efficacy and safety of levetíracetam in pediatric migraine. Headache 2004;440:238-243.
Vaisleib II, Neft RA, Schor NE Children's Hospital of Pittsburgh, University of Pittsburgh, Pennsylvania, USA. 2005.
Mac Gregor EA. Oestrogen and attacks of migraine wlth and without aura. Laricet Neurology 2004;3:354-361.
Recober A., Geweke LO. Menstrual migraine. Current Neurology and Neuroscierice Reports 2005;50:93-8.
Boyle CA. Management of menstrual migraine. Neurology 1999:53(4 Suppl 1):S14-8.
Silberstein 5, Merriam G. Sex hormones and headache 1999 (menstrual migraine). Neurology 1999;53(4 Suppl 1):S3-13.
Purdy RA. Evidence-based migraine therapy: learning needs and knowledge assessment. Cephalalg la 2000; 20( Suppl 2):5-9.
Stewart WF Lipton MD, Whyte J, Dowson A, Kolodner K, Liberman JN, Sawyer J. An international stucly to assess the reliability of the Migraine Disability Assessment Score (MIDAS). Neurology 1999:53:988-994.
Andermann E, Andermann FA. Migraine-epilcpsy relationship: epidemiological and genetic aspects. In: Anderman FA, Lligarresi E. eds. Migrairte and epilepsy. Boston; Butherworths, 1987:281-291.
Welch KMA. Relashionship of stroke and migraine. Neurology 1994;44(Suppl 7):33-36.
Ninan TM. Chronic refractory headache. Neurology 1993;43(suppl 3):S26-33.
Jensen R. Diagnosis, epidemiology and impact of tensión-type headache. Curr Pata Heasdache Rep 2003: 7:455-459.
Guitra V, Pascual J. Cefalea tensional. Medicine 1998;7(89):4145- 4148.
Olsen J, Schiienen J. eds. Tension type headache, New York: Rayen Press; 1993. Schbenen J, Wang W. Tension type headache. In: Garsby PJ, Silberstein SD, eds. Headache. Boston: ButterworthHeinemaim; 1997:177-200.
Malhew NT, Frishberg BM, Gawel M, Dimitrova R, Gibson J, Turkel C: Botox CDH Study Group. Botulinum toxin type A for the prophylactic trcatment of chronic daily headache: a randomized, doublc-blind, placebo-controlled trial. Headache 2005:45(4):293-307.
Finkel AG. Epidemiology of cluster headache. Curr Pain Headache Rep 2003:7:144-149.
Fabre N. Treatement of cluster headache. Rey Neurol (Paris) 2005:161(6- 7):696-9. (Artículo original en francés)
Marcus H. A prospective follow up of thunderclap headache. Journal of Neurol, Neuros and Psych 1991(54):1117- 25.

Downloads

Published

2019-11-26

How to Cite

1.
Monti Ángel A, Rapela FJ, Bacile Bacile EA, Uberti D. Primary cephaleas, a revision of its diagnosis and therapeutic approach. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2019 Nov. 26 [cited 2024 Jul. 6];63(3):53-64. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/26561

Issue

Vol. 63 No. 3 (2006)

Section

Literature Reviews

License

The Faculty of Medical Sciences Journal (RFCM) subscribes to the Open Access policy and does not charge authors fees for publishing, nor does it charge readers fees for accessing published articles (APC).