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Related Experiment Video

Updated: May 22, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

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Published on: June 2, 2014

[Chronic migraine: treatment].

Julio Pascual1

  • 1Servicio de Neurología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España. juliopascual@telefonica.net

Revista De Neurologia
|April 26, 2012
PubMed
Summary
This summary is machine-generated.

Chronic migraine, defined as 15+ monthly attacks, requires careful management. Current treatments focus on avoiding triggers, managing comorbidities, and using specific medications like topiramate or Onabotulinumtoxin A for prevention.

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Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Chronic migraine significantly impacts patients' quality of life.
  • Historically, patients with chronic migraine were often excluded from clinical trials.

Purpose of the Study:

  • To review the current treatment strategies for chronic migraine.
  • To provide an evidence-based approach to managing chronic migraine.

Main Methods:

  • Review of current literature on chronic migraine treatment.
  • Analysis of recommended symptomatic and preventive therapies.

Main Results:

  • Initial management involves avoiding precipitating factors like analgesic overuse and treating comorbid conditions (anxiety, depression).
  • Symptomatic treatment includes NSAIDs and triptans (used sparingly). Combined analgesics, opioids, and ergotamines should be avoided.
  • Preventive strategies include transitional treatments (NSAIDs, steroids) and evidence-based options like topiramate and Onabotulinumtoxin A.

Conclusions:

  • Effective chronic migraine management requires a multi-faceted approach.
  • Topiramate and Onabotulinumtoxin A are the primary evidence-based preventive treatments for chronic migraine.