Protocolo diagnóstico y terapéutico de la cefalea crónica diaria

  1. Portocarrero, L. 1
  2. Sánchez Boyero, M. 1
  3. González García, N. 1
  4. Porta Etessam, J. 2
  1. 1 Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España
  2. 2 Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2023

Título do exemplar: Enfermedades del sistema nervioso (II): Cefaleas

Serie: 13

Número: 71

Páxinas: 4195-4199

Tipo: Artigo

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Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumo

Chronic daily headache is a term in disuse that encompasses an extensive group of primary and secondary headaches whose common characteristic is the persistence of pain over time. The diagnosis is based on an adequate medical history and detailed systems and neurological examination. Based on these data, a differential diagnosis, additional tests, and treatment proposal are established. Most patients will have primary headaches, especially chronic migraine, hemicrania continua, and persistent chronic headache. Among secondary headaches, abnormalities in intracranial pressure, headache due to excessive treatment for episodes, and, in older adults, temporal arthritis must be evaluated. From a therapeutic point of view, adequate treatment for the pain must be indicated. Establishing adequate preventive treatment will be fundamental in primary headaches and establishing etiology is fundamental in secondary headaches.

Referencias bibliográficas

  • Burish MJ, Rozen TD. Trigeminal autonomic cephalalgias. Neurol Clin. 2019;37(4):847-69.
  • Dobrocky T, Nicholson P, Häni L, Mordasini P, Krings T, Brinjikji W. Spontaneous intracranial hypotension: searching for the CSF leak. Lancet Neurol. 2022;21(4):369-80.
  • Santos S, Pozo P. Manual de práctica clínica en cefalea. Madrid: Luzán 5; 2020.
  • Santoro JD, Moon PK, Han M, McKenna ES, Tong E, MacEachern SJ. Early onset diffusion abnormalities in refractory headache disorders. Front Neurol. 2022;13:898219.
  • Smith JH. Other primary headache disorders. Continuum (Minneap Minn). 2021;27(3):652-64.
  • Wang MTM, Bhatti MT, Danesh Meyer HV. Idiopathic intracranial hypertension: Pathophysiology, diagnosis and management. J Clin Neurosci. 2022;95:172-9.
Fonte de datos: Dialnet