慢性偏头痛和药物过度使用
Hans Christoph Diener1, Paul Rizzoli2
1Department of Neuroepidemiology, Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), Medical Faculty of the University Duisburg-Essen, Essen, Germany.
Handbook of clinical neurology
|December 3, 2023
概括
慢性偏头痛在全球范围内影响1-3%,并受到药物过量使用的影响. 治疗包括预防性药物和CGRP单克隆抗体,这些抗体对慢性偏头痛有或没有药物过量使用是有效的.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
背景情况:
- 自17世纪以来被公认的慢性偏头痛仍然是具有重大社会影响的重大诊断挑战.
- 慢性偏头痛在全球范围内影响1-3%,慢性偏头痛患者经常在情节性和慢性阶段之间过渡.
- 病变发生理论正在不断发展,最近的神经成像和临床发现的支持.
研究的目的:
- 审查当前对慢性偏头痛的理解,包括其患病率,病变发生和管理.
- 突出可修改的因素,有助于进发性偏头痛的慢性偏头痛的进展.
- 讨论慢性偏头痛的既定和新兴治疗策略.
主要方法:
- 关于慢性偏头痛患病率,病理生理学和治疗选择的文献综述.
- 分析导致偏头痛慢性化的因素,重点是药物过量使用.
- 评估各种预防治疗的疗效,包括CGRP单克隆抗体.
主要成果:
- 药物过度使用被确定为慢性偏头痛进展的关键可修改因素.
- 已确立的预防性治疗包括托皮拉玛酸,氨酸和甲毒素A.
- CGRP单克隆抗体在治疗慢性偏头痛方面表现出有效性,无论药物过量使用情况如何.
结论:
- 慢性偏头痛是一种复杂的神经系统疾病,在全球范围内具有显著的流行率.
- 解决药物过度使用对于治疗慢性偏头痛至关重要.
- CGRP单克隆抗体代表了慢性偏头痛管理的有前途的治疗进展.
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