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GUIDELINES FOR TREATMENT OF PRIMARY HEADACHES BY THE CROATIAN SOCIETY FOR NEUROVASCULAR DISORDERS OF THE CROATIAN MEDICAL ASSOCIATION AND CROATIAN SOCIETY FOR PAIN PREVENTION
VANJA BAŠIĆ KES
; Sestre milosrdnice Clinical Hospital Centre, Department of Neurology, Reference Centre for Headache of the Ministry of Health, Reference Centre for Diagnostic and Th erapy of Acute and Chronic Pain of Ministry of Health, Reference Center for Neurovascular
MARIJANA LISAK
; Sestre milosrdnice Clinical Hospital Centre, Department of Neurology, Reference Centre for Headache of the Ministry of Health, Reference Centre for Diagnostic and Th erapy of Acute and Chronic Pain of Ministry of Health, Reference Center for Neurovascular
NEVENA GRBIĆ
; Sestre milosrdnice Clinical Hospital Centre, Department of Neurology, Reference Centre for Headache of the Ministry of Health, Reference Centre for Diagnostic and Th erapy of Acute and Chronic Pain of Ministry of Health, Reference Center for Neurovascular
IRIS ZAVOREO
; Sestre milosrdnice Clinical Hospital Centre, Department of Neurology, Reference Centre for Headache of the Ministry of Health, Reference Centre for Diagnostic and Th erapy of Acute and Chronic Pain of Ministry of Health, Reference Center for Neurovascular
MILJENKA JELENA JURAŠIĆ
; Sestre milosrdnice Clinical Hospital Centre, Department of Neurology, Reference Centre for Headache of the Ministry of Health, Reference Centre for Diagnostic and Th erapy of Acute and Chronic Pain of Ministry of Health, Reference Center for Neurovascular
Abstract
Introduction: Headache is one of the most common neurologic conditions, which means that there is a great need for medications and other methods of headache treatment for acute pain relief and chronic prevention of headache. Aim: Knowing that headache is one of the most common conditions, we wanted to summarize its treatment. Methods: We performed MEDLINE search about treatment of primary headaches. We also explored HRČAK, the Croatian scientifi c base. Results: We found articles in both scientifi c bases, but we chose only the most systematized ones. Discussion: According to the International Headache Classifi cation, there are two main types of headaches: primary headaches (migraine ant its subtypes, tension type headache ant its subtypes, trigeminal autonomic cephalgias) and secondary headaches (attributed to infection, head or neck trauma, cranial or cervical vascular disorders, non-vascular intracranial disorders, substance withdrawal, psychiatric conditions, pain attributed to disorders of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structures). When managing diagnosis of primary headache, it is important to make a difference between primary and secondary headache, manage the right diagnosis of primary headache, and decide on the right treatment for acute or preventive phase of headache. The most widely used medications in headache treatment are nonspecifi c analgesics, which can treat headache but also other pain disorders. Specifi c headache medications include those that can treat only a specifi c type of headache. Besides these, there are other methods in headache treatment, which include lifestyle modifi cation, avoiding provocative factors, acupuncture, and treatment with botulinum toxin. Conclusion:For primary headache treatment, it is important to establish the accurate diagnosis and act fast in treatment of acute headache attack. For some patients, it is important to start prophylactic treatment but also try to prevent medication overuse headache. When treating a headache of any kind, it is also important to take the whole picture of a patient and his/hercomorbidities and think of the possible side effects. Lifestyle modifi cation and some complementary methods can help us in treating chronic headaches.
Keywords
primary headache; treatment; migraine; tension headache; cluster headache
Hrčak ID:
216554
URI
Publication date:
30.1.2019.
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