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[Chronic daily headache--history, epidemiology, clinic and future]

Aleksandra Katarzyńska1, Izabela Domitrz

  • 1Katedra i Klinika Neurologii, Warszawski Uniwersytet Medyczny, ul. Banacha 1a, 02-097 Warszawa.

Neurologia I Neurochirurgia Polska
|June 2, 2009
PubMed

Insights

Chronic daily headache (CDH) affects 3-5% of the population and encompasses various primary and secondary headache disorders. Treatment involves trigger reduction and preventive medications, with antidepressants being most common.

Area of Science:

  • Neurology
  • Pain Medicine

Context:

  • Chronic daily headache (CDH) is a prevalent condition affecting 3-5% globally.
  • It encompasses diverse primary and secondary headache disorders, not a single diagnosis.
  • Common forms include transformed migraine and medication-overuse headaches.

Purpose:

  • To define and categorize chronic daily headaches.
  • To outline common types and challenges in CDH management.
  • To highlight key therapeutic strategies and their underlying mechanisms.

Summary:

  • CDH is defined by headache frequency (≥15 days/month for ≥3 months).
  • Primary CDH includes transformed migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua.
  • Treatment focuses on trigger reduction and preventive medications like antidepressants, antiepileptics, and beta-blockers.

Impact:

  • Antidepressants are frequently used, suggesting central serotonergic pathways are key in CDH pathophysiology.
  • Understanding CDH subtypes is crucial for effective management.
  • This research underscores the importance of targeted preventive therapies for chronic headache sufferers.

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