Treatment Update of Chronic Migraine
Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of...
Ausführliche Beschreibung
Autor*in: |
Cho, Soo-Jin [verfasserIn] Song, Tae-Jin [verfasserIn] Chu, Min Kyung [verfasserIn] |
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E-Artikel |
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Englisch |
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2017 |
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Übergeordnetes Werk: |
Enthalten in: Current Review of Pain - Current Medicine Group, 1998, 21(2017), 6 vom: 19. Apr. |
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Übergeordnetes Werk: |
volume:21 ; year:2017 ; number:6 ; day:19 ; month:04 |
Links: |
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DOI / URN: |
10.1007/s11916-017-0628-6 |
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SPR023012188 |
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520 | |a Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. | ||
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10.1007/s11916-017-0628-6 doi (DE-627)SPR023012188 (SPR)s11916-017-0628-6-e DE-627 ger DE-627 rakwb eng Cho, Soo-Jin verfasserin aut Treatment Update of Chronic Migraine 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. Behavioral treatment (dpeaa)DE-He213 Chronic daily headache (dpeaa)DE-He213 Chronic migraine (dpeaa)DE-He213 Headache (dpeaa)DE-He213 Migraine (dpeaa)DE-He213 Pharmacological treatment (dpeaa)DE-He213 Song, Tae-Jin verfasserin aut Chu, Min Kyung verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 21(2017), 6 vom: 19. Apr. (DE-627)SPR023001666 nnns volume:21 year:2017 number:6 day:19 month:04 https://dx.doi.org/10.1007/s11916-017-0628-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 21 2017 6 19 04 |
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10.1007/s11916-017-0628-6 doi (DE-627)SPR023012188 (SPR)s11916-017-0628-6-e DE-627 ger DE-627 rakwb eng Cho, Soo-Jin verfasserin aut Treatment Update of Chronic Migraine 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. Behavioral treatment (dpeaa)DE-He213 Chronic daily headache (dpeaa)DE-He213 Chronic migraine (dpeaa)DE-He213 Headache (dpeaa)DE-He213 Migraine (dpeaa)DE-He213 Pharmacological treatment (dpeaa)DE-He213 Song, Tae-Jin verfasserin aut Chu, Min Kyung verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 21(2017), 6 vom: 19. Apr. (DE-627)SPR023001666 nnns volume:21 year:2017 number:6 day:19 month:04 https://dx.doi.org/10.1007/s11916-017-0628-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 21 2017 6 19 04 |
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10.1007/s11916-017-0628-6 doi (DE-627)SPR023012188 (SPR)s11916-017-0628-6-e DE-627 ger DE-627 rakwb eng Cho, Soo-Jin verfasserin aut Treatment Update of Chronic Migraine 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. Behavioral treatment (dpeaa)DE-He213 Chronic daily headache (dpeaa)DE-He213 Chronic migraine (dpeaa)DE-He213 Headache (dpeaa)DE-He213 Migraine (dpeaa)DE-He213 Pharmacological treatment (dpeaa)DE-He213 Song, Tae-Jin verfasserin aut Chu, Min Kyung verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 21(2017), 6 vom: 19. Apr. (DE-627)SPR023001666 nnns volume:21 year:2017 number:6 day:19 month:04 https://dx.doi.org/10.1007/s11916-017-0628-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 21 2017 6 19 04 |
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10.1007/s11916-017-0628-6 doi (DE-627)SPR023012188 (SPR)s11916-017-0628-6-e DE-627 ger DE-627 rakwb eng Cho, Soo-Jin verfasserin aut Treatment Update of Chronic Migraine 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. Behavioral treatment (dpeaa)DE-He213 Chronic daily headache (dpeaa)DE-He213 Chronic migraine (dpeaa)DE-He213 Headache (dpeaa)DE-He213 Migraine (dpeaa)DE-He213 Pharmacological treatment (dpeaa)DE-He213 Song, Tae-Jin verfasserin aut Chu, Min Kyung verfasserin aut Enthalten in Current Review of Pain Current Medicine Group, 1998 21(2017), 6 vom: 19. Apr. (DE-627)SPR023001666 nnns volume:21 year:2017 number:6 day:19 month:04 https://dx.doi.org/10.1007/s11916-017-0628-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_73 GBV_ILN_252 AR 21 2017 6 19 04 |
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Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. |
abstractGer |
Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. |
abstract_unstemmed |
Purpose of Review Although chronic migraine (CM) is a common disorder that severely impacts patient functioning and quality of life, it is usually underdiagnosed, and treatment responses often remain poor even after diagnosis. In addition, effective treatment options are limited due to the rarity of randomized controlled trials (RCTs) involving patients with CM. In the present review, we discuss updated pharmacological, non-pharmacological, and neurostimulation treatment options for CM. Recent Findings Pharmacological treatments include both acute and preventive measures. While acute treatment options are similar between CM and episodic migraine (EM), preventive treatment with topiramate and botulinum toxin A exhibited efficacy in more than two RCTs. In addition, several studies have revealed that behavioral interventions such as cognitive behavioral therapy, biofeedback, and relaxation techniques are associated with significant improvements in symptoms. Thus, these treatment options are recommended for patients with CM, especially for refractory cases. Neurostimulation procedures, such as occipital stimulation, supraorbital transcutaneous stimulation, non-invasive vagal nerve stimulation, and transcranial direct current stimulation, have shown promising results in the treatment of CM. However, current studies on neurostimulation suffer from small sample size, no replication, or negative results. Summary Although CM is less responsive to treatment compared to EM, recent advance in pharmacological, non-pharmacological, and neurostimulation treatments may provide more chance for successful treatment of CM. |
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title_short |
Treatment Update of Chronic Migraine |
url |
https://dx.doi.org/10.1007/s11916-017-0628-6 |
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Song, Tae-Jin Chu, Min Kyung |
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Song, Tae-Jin Chu, Min Kyung |
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10.1007/s11916-017-0628-6 |
up_date |
2024-07-03T16:17:38.635Z |
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