Migraine and Headache

Overview

Headache pain is widespread: 70% of Americans report suffering from headaches; 12% of those experience migraine pain. Aiming to supply clinicians with the information they need to care for headache patients, this second edition covers the most current information on headache classification, diagnostic procedures, and the treatment and management of chronic headache pain, including botulinum toxin for headache and zolmitriptan. The author discusses all common headache conditions: migraine, chronic migraine, status...

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Overview

Headache pain is widespread: 70% of Americans report suffering from headaches; 12% of those experience migraine pain. Aiming to supply clinicians with the information they need to care for headache patients, this second edition covers the most current information on headache classification, diagnostic procedures, and the treatment and management of chronic headache pain, including botulinum toxin for headache and zolmitriptan. The author discusses all common headache conditions: migraine, chronic migraine, status migraine, cluster and related headaches, tension headaches, sinus headaches, cervicogenic headaches, secondary headaches, and neuralgias. Part of the Oxford American Pain Library, this concise handbook aims to provide clinicians with practical information about the diagnosis and management of headache patients. Treating migraine and headache care holistically, the author includes a thorough review of both pharmacological medicines, such as anticonvulsants, antidepressants, and triptans as well as non- pharmacological alternatives, such as botanical remedies, acupuncture, and behavioral therapy. The book concludes with a collection of representative cases to help the physician integrate factual knowledge with evidence from real-life clinical situations. Compact and affordable, this volume is accessible, fact-filled, readable, and clinically pertinent.

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Editorial Reviews

Doody's Review Service
Reviewer: Andrea M Harriott, M.D., Ph.D.(Mayo Clinic Florida)
Description: This concise book on migraine and other headache disorders covers diagnosis to management and treatment strategies, and includes case presentations.
Purpose: In the introduction, the author makes clear the prevalence of migraine, disability associated with it, and its under-recognition and undertreatment. These simple observations are the impetus for providing information to help clinicians in diagnosing and managing the disease. The significance of a concise book about headache disorders that can be easily read by general neurologists or primary care physicians is summed up in the last paragraph of the introduction - it can change the life of the patient and increase the job satisfaction of the clinician.
Audience: The basic nature of the book and the explanation of the pathogenesis make the book most suitable for neurology residents, neurologists outside of the field of headache, and emergency room or primary care physicians with an interest in being able to recognize and initiate treatment for migraine.
Features: The nine chapters focus on treatments of various kinds, including alternative, pharmacological, nonpharmacological, and interventional approaches. There are few illustrations or algorithms, among other shortcomings. There is a brief and simplified discussion of pathogenesis/mechanism following a description of classification and diagnosis that does not take into account the heterogeneity of the disease or the current debate about mechanisms involved in the initiation or maintenance of migraine. There is even less pathogenic explanation for the other headache disorders. The mechanism of action of the therapies, particularly of the triptans, which may be more widely used than some of the other therapies mentioned, is not tackled much. The book provides a broad overview of the material without highlighting some of the elegant preclinical experiments that have been performed. Some key factors may have benefited from being consolidated in one chapter (migraine mimics, red flags to another underlying disease, etc.). That being said, the information is presented in a way that is easy to read and retain. The book's major strength is the focus on therapy, with clinical cases at the end that provide take-home pearls.
Assessment: This is a concise, somewhat simplified, but well-written overview of headaches, focusing on migraine recognition and treatment.
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Product Details

  • ISBN-13: 9780199862047
  • Publisher: Oxford University Press
  • Publication date: 12/12/2012
  • Series: Oxford American Pain Library Series
  • Edition number: 2
  • Pages: 104
  • Product dimensions: 7.70 (w) x 4.90 (h) x 0.40 (d)

Meet the Author

Director, New York Headache Center, Associate Professor of Clinical Neurology, State University of New York Downstate Medical Center, Brooklyn, New York

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Table of Contents

1. Classification and diagnosis of primary headaches
2. Pathophysiology of migraine and other headaches
3. Diagnostic procedures
4. Nonpharmacological/alternative approaches
Cognitive techniques
Physical Methods
Acupuncture
Magnesium
?-Lipoic acid
Coenzyme Q10
Riboflavin
Herbal remedies
5. Pharmacological Therapies
General guidelines for the use of abortive agents
Nonsteroidal anti-inflammatory drugs
Triptans
Antiemetics
Corticosteroids
Ergots
Opioid analgesics
Combinations and miscellaneous drugs
Parenteral agents
Prophylactic agents
Antihypertensive drugs
Antiepileptic drugs
Antidepressants
Miscellaneous agents
6. Interventional therapies
Botulinum toxin
Nerve blocks and trigger point injections
7. Management of common conditions
Migraine
Eliminating triggers
Nondrug approaches
Medications
Chronic migraine and medication-overuse headaches
Status migraine and other severe attacks
Cluster and related headaches
Tension-type headaches
Rhinogenic headaches
Cervicogenic headaches
Benign exertional headache
Sex-induced headaches
Benign intracranial hypertension
Secondary headaches
Neuralgias
8. Special Populations
Headaches in pregnancy and menstrual migraines
Headaches in children
Headaches in the elderly
Headaches in patients with comorbid conditions
9. Typical Cases
A "plain" migraine
"Complicated" migraine
Too old for migraines
A man who banged his head against the wall
Pregnant with headache
"Sinus" headache
A headache that would not go away
"Hormonal" headache
"Nothing ever worked for me"
"Numb" headache

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