Arquivos de Neuro-Psiquiatria (Jul 2013)

Latin American consensus on guidelines for chronic migraine treatment

  • Alex Rodrigo Espinoza Giacomozzi,
  • Alexander Parajeles Vindas,
  • Ariovaldo Alberto da Silva Junior,
  • Carlos Alberto Bordini,
  • Carlos Federico Buonanotte,
  • Celia Aparecida de Paula Roesler,
  • Claudio Manoel Brito,
  • Cristina Perez,
  • Deusvenir de Souza Carvalho,
  • Djacir Dantas Pereira de Macedo,
  • Elcio Juliato Piovesan,
  • Elder Machado Sarmento,
  • Eliana Meire Melhado,
  • Fabiola Dach Eckeli,
  • Fernando Kowacs,
  • Fidel Sobrino,
  • Getulio Dare Rabello,
  • Grisel Rada,
  • Jano Alves de Souza,
  • Juana Rosa Casanovas,
  • Juan Carlos Duran,
  • Leandro Cotoni Calia,
  • Luis Roberto Partida Medina,
  • Luiz Paulo de Queiroz,
  • Marcelo Cedrinho Ciciarelli,
  • Marcelo Moraes Valenca,
  • Maria Cusicanqui,
  • Maria Karina Velez Jimenez,
  • Maria Tereza Goycochea,
  • Mario Fernando Prieto Peres,
  • Mario Victor Fuentealba Sandoval,
  • Maurice Borges Vincent,
  • Michel Volcy Gomes,
  • Monica Diez,
  • Nayeska Aranaga,
  • Nelson Barrientos,
  • Pedro Andre Kowacs,
  • Pedro Ferreira Moreira Filho

DOI
https://doi.org/10.1590/0004-282X20130066
Journal volume & issue
Vol. 71, no. 7
pp. 478 – 486

Abstract

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Chronic migraine is a condition with significant prevalence all around the world and high socioeconomic impact, and its handling has been challenging neurologists. Developments for understanding its mechanisms and associated conditions, as well as that of new therapies, have been quick and important, a fact which has motivated the Latin American and Brazilian Headache Societies to prepare the present consensus. The treatment of chronic migraine should always be preceded by a careful diagnosis review; the detection of possible worsening factors and associated conditions; the stratification of seriousness/impossibility to treat; and monitoring establishment, with a pain diary. The present consensus deals with pharmacological and nonpharmacological forms of treatment to be used in chronic migraine.

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