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Identifying and managing refractory migraine: barriers and opportunities?
Linda D'Antona1, Manjit Matharu2
1Headache and Facial Pain Group, UCL Queen Square Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
The Journal of Headache and Pain
|August 25, 2019
Summary
Refractory migraine, a severe headache condition, impacts patients despite optimal treatment. This review examines existing criteria and proposes new definitions for this challenging neurological disorder.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Refractory migraine describes persistent headaches unresponsive to standard treatments.
- Patients with refractory migraine experience significant disability and reduced quality of life.
- Current definitions for refractory migraine lack universal acceptance.
Purpose of the Study:
- To review existing definitions and criteria for refractory migraine.
- To propose a new, unified set of criteria for refractory migraine.
- To discuss the epidemiology, pathophysiology, and management of refractory migraine.
Main Methods:
- Literature review of published criteria for refractory migraine.
- Analysis and synthesis of existing definitions.
- Proposal of novel diagnostic criteria.
Main Results:
- Multiple, varied definitions of refractory migraine exist.
- No single definition is widely accepted.
- A new set of proposed criteria is presented for consideration.
Conclusions:
- Establishing clear criteria for refractory migraine is crucial for accurate diagnosis and effective management.
- The proposed criteria aim to provide a standardized approach.
- Further research into the epidemiology, pathophysiology, and treatment of refractory migraine is warranted.
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