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Updated: Mar 5, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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[Headache Treatment].

Hans Christoph Diener, Dagny Holle-Lee, Steffen Nägel

    Deutsche Medizinische Wochenschrift (1946)
    |March 23, 2017
    PubMed
    Summary

    Accurate headache diagnosis is key for effective treatment. This review covers acute and preventive therapies for common headache types like migraine, tension-type, and cluster headaches.

    Area of Science:

    • Neurology
    • Pharmacology

    Background:

    • Correct headache diagnosis is essential for successful treatment.
    • Different headache syndromes require distinct therapeutic approaches.

    Purpose of the Study:

    • To review current acute and prophylactic treatment strategies for common headache syndromes.
    • To highlight effective treatments for migraine, tension-type headache, and cluster headache.

    Main Methods:

    • Literature review of current treatment guidelines and evidence.
    • Focus on pharmacological interventions for acute attacks and prevention.

    Main Results:

    • Triptans are effective for acute migraine and cluster headache, but not tension-type headache.
    • Preventive treatments for frequent episodic migraine include betablockers, flunarizine, topiramate, and amitriptyline.

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  • OnabotulinumtoxinA and topiramate are recommended for chronic migraine prevention; tricyclic antidepressants for tension-type headaches; and verapamil for cluster headaches.

    • Conclusions:

    • Treatment selection must be based on accurate headache diagnosis.
    • A range of effective acute and preventive therapies are available for common headache syndromes.