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Chronic daily headache.

S D Silberstein1, R B Lipton

  • 1Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.

Current Opinion in Neurology
|June 28, 2000
PubMed
Summary
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Primary chronic daily headache affects 4-5% of the population and includes long-duration disorders like chronic migraine. Most patients overuse medication, highlighting the need for effective treatment strategies.

Area of Science:

  • Neurology
  • Headache Medicine
  • Clinical Neuroscience

Background:

  • Primary chronic daily headache (PCDH) is a prevalent neurological condition.
  • PCDH encompasses disorders with varying attack durations, including long-duration types.
  • Analgesic and ergot overuse is common among PCDH patients.

Purpose of the Study:

  • To review recent advancements in understanding PCDH disorders.
  • To explore psychiatric comorbidities associated with PCDH.
  • To discuss the epidemiology, pathophysiology, and treatment of PCDH.

Main Methods:

  • Literature review of recent insights into PCDH.
  • Analysis of epidemiological data on PCDH prevalence.
  • Examination of pathophysiological mechanisms and treatment options.

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Main Results:

  • PCDH is subclassified into short (<4h) and long (>=4h) duration disorders.
  • Long-duration PCDH includes chronic tension-type headache, chronic migraine, new daily persistent headache, and hemicrania continua.
  • A significant portion of patients with PCDH engage in medication overuse.

Conclusions:

  • Understanding the specific PCDH subtypes is crucial for effective management.
  • Psychiatric comorbidity, epidemiology, pathophysiology, and treatment require further investigation.
  • Addressing medication overuse is a key aspect of PCDH treatment.