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01-03-2015 | Consensus paper and Guideline

Diagnosis, pathophysiology and management of chronic migraine: a proposal of the Belgian Headache Society

Authors: Koen Paemeleire, Paul Louis, Delphine Magis, Michel Vandenheede, Jan Versijpt, Bart Vandersmissen, Jean Schoenen

Published in: Acta Neurologica Belgica | Issue 1/2015

Abstract

Chronic migraine (CM) is a disabling neurological condition affecting 0.5–2 % of the population. In the current third edition of the International Classification of Headache Disorders, medication overuse is no longer an exclusion criterion and CM is diagnosed in patients suffering from at least 15 headache days per month of which at least eight are related to migraine. CM is difficult to treat, and preventive treatment options are limited. We provide a pathogenetic model for CM, integrating the latest findings from neurophysiological and neuroimaging studies. On behalf of the Belgian Headache Society, we present a management algorithm for CM based on the international literature and adapted to the Belgian situation. Pharmacological treatment options are discussed, and recent data on transcranial and invasive neuromodulation studies in CM are reviewed. An integrated multimodal treatment programme may be beneficial to refractory patients, but at present, this approach is only supported by a limited number of observational studies and quite variable between centres.

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Title: Diagnosis, pathophysiology and management of chronic migraine: a proposal of the Belgian Headache Society
Authors: Koen Paemeleire
Paul Louis
Delphine Magis
Michel Vandenheede
Jan Versijpt
Bart Vandersmissen
Jean Schoenen
Publication date: 01-03-2015
Publisher: Springer Milan
Published in: Acta Neurologica Belgica / Issue 1/2015
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-014-0313-z

2024 ASCO Annual Meeting

Springer Medicine

Diagnosis, pathophysiology and management of chronic migraine: a proposal of the Belgian Headache Society

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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