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Migraine and Tension-Type Headache: Diagnosis and Treatment.
Med Clin North Am. 2019 Mar; 103(2):215-233.MC

Abstract

Migraine and tension-type headache are highly prevalent. Migraine is associated with significant work- and family-related disability. Migraine is underdiagnosed; it reasonable to err on the side of migraine when choosing between primary headaches. Barriers to appropriate treatment of migraine include lack of access to providers, misdiagnosis, and acute and preventive therapies not being prescribed. Acute, rescue, and preventive treatment options are extensive, and new classes of treatments are either available or in development. This review addresses diagnostic challenges including recognizing migraine with aura. It also summarizes nonpharmacologic, acute, rescue, and preventive treatment options for migraine and treatment of tension-type headache.

Authors+Show Affiliations

Department of Neurology, John R. Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, 1153 Centre Street, Suite 4H, Jamaica Plain, MA 02130, USA. Electronic address: rburch@partners.org.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30704678

Citation

Burch, Rebecca. "Migraine and Tension-Type Headache: Diagnosis and Treatment." The Medical Clinics of North America, vol. 103, no. 2, 2019, pp. 215-233.
Burch R. Migraine and Tension-Type Headache: Diagnosis and Treatment. Med Clin North Am. 2019;103(2):215-233.
Burch, R. (2019). Migraine and Tension-Type Headache: Diagnosis and Treatment. The Medical Clinics of North America, 103(2), 215-233. https://doi.org/10.1016/j.mcna.2018.10.003
Burch R. Migraine and Tension-Type Headache: Diagnosis and Treatment. Med Clin North Am. 2019;103(2):215-233. PubMed PMID: 30704678.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Migraine and Tension-Type Headache: Diagnosis and Treatment. A1 - Burch,Rebecca, Y1 - 2018/12/03/ PY - 2019/2/2/entrez PY - 2019/2/2/pubmed PY - 2019/2/12/medline KW - Headache KW - Migraine KW - Migraine with aura KW - Nonpharmacologic treatment KW - Prevention KW - Rescue treatment KW - Tension-type headache KW - Treatment SP - 215 EP - 233 JF - The Medical clinics of North America JO - Med Clin North Am VL - 103 IS - 2 N2 - Migraine and tension-type headache are highly prevalent. Migraine is associated with significant work- and family-related disability. Migraine is underdiagnosed; it reasonable to err on the side of migraine when choosing between primary headaches. Barriers to appropriate treatment of migraine include lack of access to providers, misdiagnosis, and acute and preventive therapies not being prescribed. Acute, rescue, and preventive treatment options are extensive, and new classes of treatments are either available or in development. This review addresses diagnostic challenges including recognizing migraine with aura. It also summarizes nonpharmacologic, acute, rescue, and preventive treatment options for migraine and treatment of tension-type headache. SN - 1557-9859 UR - https://www.unboundmedicine.com/medline/citation/30704678/Migraine_and_Tension_Type_Headache:_Diagnosis_and_Treatment_ DB - PRIME DP - Unbound Medicine ER -