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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
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[Chronic migraine treatment: multidisciplinary approach. Case report]
V A Golovacheva1, A A Golovacheva1, V A Parfenov1
1Sechenov First Moscow State Medical University (Sechenov University).
Terapevticheskii Arkhiv
|October 26, 2022
Summary
This case study shows a multidisciplinary approach effectively treated chronic migraine, insomnia, and panic disorder. The treatment led to sustained improvement in migraine frequency, sleep, and overall well-being.
Area of Science:
- Neurology
- Psychiatry
- Behavioral Science
Background:
- Chronic migraine is often comorbid with insomnia and panic disorder, complicating treatment.
- Painkiller overuse and anxiety can exacerbate migraine chronicity.
- Effective management requires addressing the interplay between these conditions.
Observation:
- A patient with chronic migraine, insomnia, and panic disorder was treated with a multidisciplinary program.
- The program included education, detoxification, cognitive-behavioral therapy (CBT), and pharmacotherapy.
- CBT was crucial for correcting misconceptions and teaching coping skills for pain, insomnia, and anxiety.
Findings:
- The patient experienced a transformation from chronic to episodic migraine within 3 months.
- Significant improvements were observed in sleep quality, emotional state, and functional activity.
- A 12-month follow-up confirmed the long-lasting positive effects of the integrated treatment.
Implications:
- A multidisciplinary approach is highly effective for complex cases of chronic migraine with comorbid conditions.
- Cognitive-behavioral therapy plays a vital role in patient education and skill development for managing chronic pain and related disorders.
- This case highlights the potential for sustained recovery and improved quality of life through integrated care models.
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