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Chronic daily headache: a rational approach to a challenging problem
Jonathan Gladstone1, Eric Eross, David Dodick
1Department of Neurology, Mayo Clinic, Scottsdale, Arizona 85259, USA.
Seminars in Neurology
|January 15, 2004
Summary
Chronic daily headache (CDH) affects millions globally, presenting diagnostic and management challenges. Effective treatment requires understanding specific CDH types and medication overuse strategies for improved patient outcomes.
Area of Science:
- Neurology
- Public Health
Background:
- Chronic daily headache (CDH) affects 3-5% of the global population.
- CDH poses significant clinical challenges requiring systematic management approaches.
Observation:
- The 2004 International Headache Society Classification provides criteria for CDH disorders.
- Common CDH disorders include chronic migraine, medication overuse headache, and SUNCT syndrome.
Findings:
- Medication overuse is prevalent in patients with CDH presenting for medical care.
- Effective management involves drug-withdrawal and detoxification protocols.
Implications:
- Clinicians need expertise in managing CDH, including chronic migraine and cluster headaches.
- Successful management of CDH significantly improves patient quality of life and reduces disability.