Comment on: Martelletti et al. Refractory chronic migraine: a consensus statement on clinical definition from the European Headache Federation

The Journal of Headache and Pain

Letter to the Editor

Christian Wöber¹  Peter Wessely² 

[1] Department of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria;Neurological Office, Vienna, Austria;

关键词: Candesartan;    Chronic Migraine;    Medication Overuse;    Flunarizine;    Medication Overuse Headache;   

DOI  :  10.1186/1129-2377-15-77

 received in 2014-10-18, accepted in 2014-11-10,  发布年份 2014

来源: Springer

【 摘 要 】

In this letter, we present the Austrian proposal for diagnostic criteria of refractory chronic migraine and we discuss the consensensus statement of the European Headache Feaderation. We focus in particular on the definition of adequate prophylactic treatment, the management of medication overuse and the requirement for CSF analyses in patients with refractory chronic migraine. In our proposal, the criteria for adequate treatment and recommendations for dealing with medication overuse are more explicit than in the EHF proposal, whereas the requirements for CSF analyses and measurement of CSF pressure are not as strict.

【 授权许可】

CC BY   
© Wöber and Wessely; licensee Springer. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.