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Related Experiment Videos

The patient with daily headaches.

Morris Maizels1

  • 1Department of Family Practice, Kaiser Permanente, Woodland Hills, California 91365, USA. Morris.Maizels@kp.org

American Family Physician
|December 25, 2004
PubMed
Summary

Chronic daily headache (CDH) encompasses various headache types, with chronic migraine being most frequent. Effective management involves trigger reduction, preventive medications, and addressing medication overuse for improved quality of life.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Chronic daily headache (CDH) is a disabling condition encompassing diverse headache types, notably chronic migraine.
  • Diagnosis and treatment of CDH can be challenging, with medication overuse headache (MOH) being a primary treatable cause of refractory cases.

Purpose of the Study:

  • To review the diagnosis and management of chronic daily headache.
  • To highlight the importance of identifying underlying causes and treating medication overuse.

Main Methods:

  • Literature review of chronic daily headache diagnosis and treatment strategies.
  • Discussion of pharmacologic and non-pharmacologic interventions.

Main Results:

  • Medication overuse headache is a key treatable cause of refractory CDH.
  • Preventive strategies include trigger reduction and medications like antidepressants, antiepileptics, and beta-blockers.
  • Co-existing anxiety and depression require identification and treatment.

Conclusions:

  • Appropriate management of CDH, including addressing medication overuse and co-morbidities, can significantly improve patient quality of life.
  • Early identification of underlying pathology is crucial for recent-onset or changing headache patterns.

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