Chronic Migraine

Under the term chronic migraine, or transformed migraine, we propose to include all cases of chronic daily headache with features of a both migraine and tension-type headache that do not meet criteria for new daily persistent headache or hemicrania continua. Table V proposes criteria for chronic migraine. The typical patient is a woman with a past history of episodic migraine who develops a daily or almost daily headache that is mild to moderate in severity, with superimposed typical migraine attacks. The associated symptoms, such as phonophobia, photophobia, nausea, and vomiting, often become less severe and frequent.

Many patients with chronic migraine overuse analgesics, triptans, and ergots, leading to increased frequency of headaches, some of them in the context of "withdrawal" from acute medication—the so-called "rebound headache." Rebound headache leads to the consumption of more analgesics, creating a vicious cycle. Patients benefit from a detoxification treatment, thereby breaking the cycle, as either inpatients or outpatients. Chronic migraine may also develop from episodic mild pain without acute treatment overuse.

The Prevention and Treatment of Headaches

The Prevention and Treatment of Headaches

Are Constant Headaches Making Your Life Stressful? Discover Proven Methods For Eliminating Even The Most Powerful Of Headaches, It’s Easier Than You Think… Stop Chronic Migraine Pain and Tension Headaches From Destroying Your Life… Proven steps anyone can take to overcome even the worst chronic head pain…

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