集群头痛的管理:治疗方法及其机制
1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Cephalalgia : an international journal of headache
|August 31, 2023
概括
集群头痛管理包括急性和预防性治疗. 虽然第一线选择仍然是一致的,但像神经调节这样的新疗法为患有这种神经疾病的患者提供了额外的选择.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 集群头痛管理与其他主要头痛疾病相似,利用急性和预防性策略.
- 急性治疗倾向于快速的非口服途径,而预防包括各种选择,如皮质类固醇,维拉帕米尔和加尔坎祖马布.
- 神经调节,包括迷走神经和部神经刺激,为耐火病例提供了新兴的治疗途径.
研究的目的:
- 对集群头痛的当前治疗方法进行审查.
- 通过对治疗方法的分析,提供有关疾病机制的见解.
主要方法:
- 独立的叙事文学评论是由两位作者进行的.
- 该审查包括指导方针建议,临床试验,现实世界数据和机制研究.
主要成果:
- 集群头痛治疗包括急性,桥梁和预防疗法.
- 第一线治疗包括皮下苏马特里普坦,高流氧,皮质类固醇和维拉帕米尔.
- 像非侵入性迷走神经刺激,加尔坎祖马布和部神经刺激等较新的选择对特定的患者群体显示出有前途.
结论:
- 已建立的集群头痛第一线治疗方法持续存在.
- 新的治疗方案扩大了患者的治疗选择.
相关概念视频
Open Angle Glaucoma: Treatment
477
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
477
Management of Insomnia
278
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
278
Angle Closure Glaucoma: Treatment
560
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
560
Analgesia and Pain Management
654
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
654
Asthma: Pathogenesis and Management
442
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
442
Direct-Acting Cholinergic Agonists: Therapeutic Uses
790
Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren...
790


