Chronic Migraine: Diagnosis and Management

Doris Kung; Gage Rodriguez; Randolph Evans

doi:10.1016/j.ncl.2022.05.005

Chronic Migraine: Diagnosis and Management

Neurol Clin. 2023 Feb;41(1):141-159. doi: 10.1016/j.ncl.2022.05.005. Epub 2022 Oct 31.

Authors

Doris Kung¹, Gage Rodriguez², Randolph Evans³

Affiliations

¹ Neurology Department, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX 77030, USA. Electronic address: kung@bcm.edu.
² Neurology Department, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX 77030, USA.
³ Department of Neurology, Baylor College of Medicine, 1200 Binz Street Suite 1370, Houston, TX 77004, USA.

PMID: 36400552
DOI: 10.1016/j.ncl.2022.05.005

Abstract

Migraine is the second leading cause of years lived with disability. Patients with chronic migraine (CM) face enormous barriers in accessing care and in receiving an accurate diagnosis and appropriate treatment. This article reviews the following: epidemiology, definition, pathophysiology, medication overuse, and acute and preventive treatment.

Keywords: CGRP antagonists; Chronic migraine; Headache; Migraine; OnabotulinumtoxinA; Preventive treatment.

Publication types

Review

MeSH terms

Humans
Migraine Disorders* / drug therapy
Migraine Disorders* / therapy