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Published on: June 2, 2014
[Principles of interviewing in the diagnosis of chronic migraine]
Abstract:
Chronic migraine (CM) is the most prevalent disabling primary daily headache disorder, the prevalence of CM in Russia is 3 times as much as worldwide (6,8% vs 2% respectively). The diagnosis of CM is based on the International Classification of Headache Disorders 3rd edition (beta-version) dated 2013. (ICHD-III). Not all the physicians are fully aware and/or actively use the diagnostic criteria stated in the ICHD-III. Underdiagnosis of CM causes the inadequate treatment that is still the problem for both GPs and neurologists. This article reviews in detail the specific principles of clinical interview that is critically important to evaluate the status of the patient. The use of special clinical scales, questionnaires, diaries helps to diagnose CM and other co-morbid mental and somatic disorders, to evaluate disability and decreased migraine related quality of life. The interpretation of the findings remains the most important point to diagnose CM, to define the need of additional exams and to evaluate the efficacy of therapy.
Insights
Chronic migraine (CM) is a disabling headache disorder. This review details clinical interview principles and tools to improve CM diagnosis and treatment, addressing underdiagnosis issues.
Area of Science:
- Neurology
- Epidemiology
Context:
- Chronic migraine (CM) is a prevalent, disabling primary headache disorder.
- Russia exhibits a significantly higher CM prevalence (6.8%) compared to the global average (2%).
- Physician awareness and application of International Classification of Headache Disorders 3rd edition (ICHD-III) criteria remain suboptimal.
Purpose:
- To review essential clinical interview principles for accurate CM diagnosis.
- To highlight the utility of clinical scales, questionnaires, and diaries in CM assessment.
- To emphasize the importance of interpreting findings for diagnosis, further examination, and therapy evaluation.
Summary:
- The article details clinical interview techniques crucial for diagnosing chronic migraine (CM).
- It discusses the use of diagnostic tools like scales and diaries to assess CM, co-morbidities, and quality of life.
- Accurate interpretation of findings is presented as key for diagnosis, guiding further investigations, and monitoring treatment efficacy.
Impact:
- Improved diagnostic accuracy for chronic migraine.
- Enhanced understanding and application of ICHD-III criteria among healthcare providers.
- Optimized treatment strategies and improved patient outcomes in chronic migraine management.
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