Consensus of the Brazilian Headache Society on the treatment of chronic migraine

被引：3

作者：

Kowacs, Fernando ^{[1
,2
,3
]}

de Paulo Roesler, Celia Aparecida ^{[1
,4
]}

Piovesan, Elcio Juliato ^{[5
]}

Sarmento, Elder Machado ^{[6
,7
]}

de Campos, Henrique Carneiro ^{[8
]}

Maciel Jr, Jayme Antunes ^{[9
]}

Calia, Leandro Cortoni ^{[10
]}

Barea, Liselotte Menke ^{[2
]}

Ciciarelli, Marcelo Cedrinho ^{[11
]}

Valenca, Marcelo Moraes ^{[12
]}

Nobre de Magalhaes Costa, Maria Eduardo ^{[13
]}

Prieto Peres, Mario Fernando ^{[10
,14
]}

Kowacs, Pedro Andre ^{[5
,15
]}

Sampaio Rocha-Filho, Pedro Augusto ^{[12
,16
]}

da Silva-Neto, Raimundo Pereira ^{[1
,17
]}

Villa, Thais Rodrigues ^{[18
,19
]}

Jurno, Mauro Eduardo ^{[20
,21
]}

机构：

[1] Acad Brasileira Neurol, Dept Cient Cefaleia, Sao Paulo, SP, Brazil

[2] Univ Fed Ciencias Saude Porto Alegre, Irmandade Santa Casa Misericordia, Serv Neurol, Porto Alegre, RS, Brazil

[3] Hosp Moinhos Vento, Serv Neurol & Neurocirurgia, Porto Alegre, RS, Brazil

[4] Clin Cefaleia & Neurol Dr Edgard Raffaelli, Sao Paulo, SP, Brazil

[5] Univ Fed Parana, Hosp Clin, Dept Clin Med, Serv Neurol, Curitiba, Parana, Brazil

[6] Ctr Univ Volta Redonda, Volta Redonda, RJ, Brazil

[7] Fundacao Educ Dom Andre Arcoverde, Ctr Ensino Super Valenca, Valenca, RJ, Brazil

[8] Santa Casa Belo Horizonte, Belo Horizonte, MG, Brazil

[9] Univ Estadual Campinas, Fac Ciencias Med, Campinas, SP, Brazil

[10] Hosp Israelita Albert Einstein, Sao Paulo, SP, Brazil

[11] Ctr Univ Barao de Maua, Fac Med, Ribeirao Preto, SP, Brazil

[12] Univ Fed Pernambuco, Recife, PE, Brazil

[13] Clin Neurol Dra Maria Eduarda Nobre, Rio De Janeiro, RJ, Brazil

[14] Univ Sao Paulo, Fac Med, Hosp Clin, Inst Psiquiatria, Sao Paulo, SP, Brazil

[15] Inst Neurol Curitiba, Curitiba, Parana, Brazil

[16] Univ Pernambuco, Hosp Univ Oswaldo Cruz, Ambulatorio Cefaleias, Recife, PE, Brazil

[17] Univ Fed Piaui, Teresina, PI, Brazil

[18] Univ Fed Sao Paulo, Setor Cefaleias, Sao Paulo, SP, Brazil

[19] Headache Ctr Brasil, Sao Paulo, SP, Brazil

[20] Fac Med Barbacena, Barbacena, MG, Brazil

[21] Fundacao Hosp Estado Minas Gerais, Hosp Reg Barbacena Dr Jose Americo, Sao Paulo, SP, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2019年 / 77卷 / 07期

关键词：

Migraine disorders; headache; headache disorders; MEDICATION-OVERUSE HEADACHE; OCCIPITAL NERVE-STIMULATION; THERAPY PLUS AMITRIPTYLINE; PLACEBO-CONTROLLED TRIAL; QUALITY-OF-LIFE; DOUBLE-BLIND; PROPHYLACTIC TREATMENT; TRANSFORMED MIGRAINE; WITHDRAWAL HEADACHE; PHARMACOLOGICAL-TREATMENT;

D O I：

10.1590/0004-282X20190078

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Chronic migraine poses a significant personal, social and economic burden and is characterized by headache present on 15 or more days per month for at least three months, with at least eight days of migrainous headache per month. It is frequently associated with analgesic or acute migraine medication overuse and this should not be overlooked. The present consensus was elaborated upon by a group of members of the Brazilian Headache Society in order to describe current evidence and to provide recommendations related to chronic migraine pharmacological and nonpharmacological treatment. Withdrawal strategies in medication overuse headache are also described, as well as treatment risks during pregnancy and breastfeeding. Oral topiramate and onabotulinum toxin A injections are the only treatments granted Class A recommendation, while valproate, gabapentin, and tizanidine received Class B recommendation, along with acupuncture. biofeedback, and mindfulness. The anti-CGRP or anti-CGRPr monoclonal antibodies, still unavailable in Brazil, are promising new drugs already approved elsewhere for migraine prophylactic treatment, the efficacy of which in chronic migraine is still to be definitively proven.

引用

页码：509 / 520

页数：12

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