期刊
NEUROLOGICAL SCIENCES
卷 31, 期 -, 页码 83-85出版社
SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10072-010-0294-5
关键词
Chronic migraine; Medication overuse headache; Refractory migraine
Patients with chronic migraine are difficult to treat and often analgesic overusers. In this article attention is focused on aspects considered important for producing a definition of refractory in relation to this headache form. I propose that a chronic migraine patient should be considered refractory to pharmacological prophylaxis when adequate trials of preventive therapies at adequate doses have failed to reduce headache frequency and improve headache-related disability and, in patients with medication overuse, also failed to reduce the consumption of symptomatic drugs.
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