耐药和耐火偏头痛:临床表现,病理生理学和管理
Raffaele Ornello1, Anna P Andreou2, Eleonora De Matteis1
1Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
EBioMedicine
|December 24, 2023
概括
偏头痛是导致残疾的主要原因. 耐药性和耐火性偏头痛是不同的疾病,耐火性偏头痛由于未知的机制而带来了重大治疗挑战.
科学领域:
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 偏头痛是全球残疾的主要原因之一.
- 偏头痛患者的一小部分患有耐药或耐火性疾病.
- 这些疾病的定义是经常出现令人虚弱的头痛和对预防性治疗的反应不佳.
研究的目的:
- 定义和区分耐药和耐火偏头痛.
- 讨论当前对其病理生理学和治疗的理解.
- 突出未来研究领域.
主要方法:
- 审查新出现的临床定义.
- 分析病理生理学和治疗反应.
- 识别偏头痛管理中的知识差距.
主要成果:
- 抗性偏头痛通常源于药物失败.
- 耐药偏头痛涉及复杂的,不太了解的机制,影响治疗疗效.
- 特定于偏头痛的药物可以治疗耐性偏头痛.
结论:
- 耐火性偏头痛的管理具有挑战性,并且通常需要结合药理和非药理方法.
- 未来的研究必须专注于识别有风险的个体,预防,理解折射性机制,并开发有效的治疗方法.
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