Abstract
Headache syndromes are very common in pain practices. Despite the advocacy for diagnosis, treatment of headache disorders is still far from optimal (Kolodner et al., J Clin Epidemiol 57(9):962–72, 2004; Lipton et al., Headache 41(7):638–45, 2001; Lipton et al., Neurology 68(5):343–9, 2007). Headache can present as a single pain problem or can occur in the presence of other pain syndromes such as fibromyalgia, back pain, chronic abdominal pain, irritable bowel syndrome (IBS), and cervical radiculopathy (Kucuksen et al., Clin Rheumatol 32(7):983–90, 2013; Park et al., Gut Liver 7(6):668–74, 2013). According to American Headache Society estimates, there are about 36 million people with migraine in the USA. As with any other chronic pain condition, headaches are very expensive disorders and amount to about $29 billion per year in direct medical costs and indirect costs from lost productivity, absenteeism, and presenteeism. Furthermore, chronic headache disorders (Igarashi, Rinsho shinkeigaku, Clin Neurol 53(11):1225–7, 2013) and even the mere presence of headache (Arslantas et al., Turk Neurosurg 23(4):498–504, 2013) have both been shown to negatively affect the quality of life for patients. The clinical approach to diagnosis and management of headache disorders should involve a careful and exhaustive methodology and should be accompanied by understanding of relevant neuroanatomy, neurophysiology, and headache pharmacology.
References
Kolodner K, Lipton RB, Lafata JE, Leotta C, Liberman JN, Chee E, et al. Pharmacy and medical claims data identified migraine sufferers with high specificity but modest sensitivity. J Clin Epidemiol. 2004;57(9):962–72.
Lipton RB, Diamond S, Reed M, Diamond ML, Stewart WF. Migraine diagnosis and treatment: results from the American migraine study II. Headache. 2001;41(7):638–45.
Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF, et al. Migraine prevalence, disease burden, and the need for preventive therapy. Neurology. 2007;68(5):343–9.
Kucuksen S, Genc E, Yilmaz H, Salli A, Gezer IA, Karahan AY, et al. The prevalence of fibromyalgia and its relation with headache characteristics in episodic migraine. Clin Rheumatol. 2013;32(7):983–90.
Park JW, Cho YS, Lee SY, Kim ES, Cho H, Shin HE, et al. Concomitant functional gastrointestinal symptoms influence psychological status in Korean migraine patients. Gut Liver. 2013;7(6):668–74.
Igarashi H. Societal impact of migraine chronification. Rinsho shinkeigaku. Clin Neurol. 2013;53(11):1225–7.
Arslantas D, Tozun M, Unsal A, Ozbek Z. Headache and its effects on health-related quality of life among adults. Turk Neurosurg. 2013;23(4):498–504.
Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorder, 3rd edition, Beta version. Cephalalgia. 2013;33:629–808.
Tepper SJ, Dahlof CG, Dowson A, Newman L, Mansbach H, Jones M, et al. Prevalence and diagnosis of migraine in patients consulting their physician with a complaint of headache: data from the landmark study. Headache. 2004;44(9):856–64.
Kaniecki R, Ruoff G, Smith T, Barrett PS, Ames MH, Byrd S, et al. Prevalence of migraine and response to sumatriptan in patients self-reporting tension/stress headache. Curr Med Res Opin. 2006;22(8):1535–44.
Schurks M, Rist PM, Bigal ME, Buring JE, Lipton RB, Kurth T. Migraine and cardiovascular disease: systematic review and meta-analysis. Br Med J. 2009;339:b3914.
Russell MB, Rasmussen BK, Thorvaldsen P, Olesen J. Prevalence and sex-ratio of the subtypes of migraine. Int J Epidemiol. 1995;24(3):612–8.
Kelman L. The aura: a tertiary care study of 952 migraine patients. Cephalalgia. 2004;24(9):728–34.
Russell MB, Olesen J. A nosographic analysis of the migraine aura in a general population. Brain. 1996;119(Pt 2):355–61.
Schwartz BS, Stewart WF, Simon D, Lipton RB. Epidemiology of tension-type headache. JAMA. 1998;279(5):381–3.
Aurora SK, Dodick DW, Diener HC, Degryse RE, Turkel CC, Lipton RB, et al. OnabotulinumtoxinA for chronic migraine: efficacy, safety, and tolerability in patients who received all five treatment cycles in the PREEMPT clinical program. Acta Neurol Scand. 2014;129(1):61–70.
Aurora SK, Winner P, Freeman MC, Spierings EL, Heiring JO, DeGryse RE, et al. OnabotulinumtoxinA for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache. 2011;51(9):1358–73.
Loder E, Burch R, Rizzoli P. The 2012 AHS/AAN guidelines for prevention of episodic migraine: a summary and comparison with other recent clinical practice guidelines. Headache. 2012;52(6):930–45.
Stovner LJ, Linde M, Gravdahl GB, Tronvik E, Aamolt AH, Sand T, Hagen K. A comparative study of candesartan versus propranolol for migraine prophylaxis: a randomised, triple-blind, placebo-controlled, double cross-over study. Cephalalgia 2013.; Published online before print December 11, 2013, doi:https://doi.org/10.1177/0333102413515348.
Silberstein SD. Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2000;55(6):754–62.
Clarke CE, Edwards J, Nicholl DJ, Sivaguru A. Imaging results in a consecutive series of 530 new patients in the Birmingham Headache Service. J Neurol. 2010;257(8):1274–8.
Martelletti P, Jensen RH, Antal A, Arcioni R, Brighina F, de Tommaso M, et al. Neuromodulation of chronic headaches: position statement from the European Headache Federation. J Headache Pain. 2013;14(1):86.
Saracco MG, Valfre W, Cavallini M, Aguggia M. Greater occipital nerve block in chronic migraine. Neurol Sci. 2010;31(Suppl 1):S179–80.
Baron EP, Tepper SJ, Mays M, Cherian N. Acute treatment of basilar-type migraine with greater occipital nerve blockade. Headache. 2010;50(6):1057–9.
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Vij, B., Tepper, S.J. (2018). Primary Headaches. In: Cheng, J., Rosenquist, R. (eds) Fundamentals of Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-64922-1_31
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