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Diagnosis and management of migraine in ten steps

Anna K. Eigenbrodt, Hakan Ashina, Sabrina Khan, Hans-Christoph Diener, Dimos D. Mitsikostas, Alexandra J. Sinclair, Patricia Pozo-Rosich, Paolo Martelletti, Anne Ducros, Michel Lanteri-Minet, et al.
(2021) NATURE REVIEWS NEUROLOGY. 17(8). p.501-514
Author
Organization
Abstract
Migraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated. To support clinical decision-making, we convened a European panel of experts to develop a ten-step approach to the diagnosis and management of migraine. Each step was established by expert consensus and supported by a review of current literature, and the Consensus Statement is endorsed by the European Headache Federation and the European Academy of Neurology. In this Consensus Statement, we introduce typical clinical features, diagnostic criteria and differential diagnoses of migraine. We then emphasize the value of patient centricity and patient education to ensure treatment adherence and satisfaction with care provision. Further, we outline best practices for acute and preventive treatment of migraine in various patient populations, including adults, children and adolescents, pregnant and breastfeeding women, and older people. In addition, we provide recommendations for evaluating treatment response and managing treatment failure. Lastly, we discuss the management of complications and comorbidities as well as the importance of planning long-term follow-up. In this Consensus Statement, which is endorsed by the European Headache Federation and the European Academy of Neurology, an expert panel provides recommendations for the diagnosis and management of migraine to support clinical decision-making by general practitioners, neurologists and headache specialists.
Keywords
MEDICATION-OVERUSE HEADACHE, PLACEBO-CONTROLLED TRIAL, TENSION-TYPE, HEADACHE, DOUBLE-BLIND, EPISODIC MIGRAINE, PHARMACOLOGICAL-TREATMENT, PROPHYLACTIC TREATMENT, MENSTRUAL MIGRAINE, BRIEF INTERVENTION, POPULATION

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MLA
Eigenbrodt, Anna K., et al. “Diagnosis and Management of Migraine in Ten Steps.” NATURE REVIEWS NEUROLOGY, vol. 17, no. 8, 2021, pp. 501–14, doi:10.1038/s41582-021-00509-5.
APA
Eigenbrodt, A. K., Ashina, H., Khan, S., Diener, H.-C., Mitsikostas, D. D., Sinclair, A. J., … Ashina, M. (2021). Diagnosis and management of migraine in ten steps. NATURE REVIEWS NEUROLOGY, 17(8), 501–514. https://doi.org/10.1038/s41582-021-00509-5
Chicago author-date
Eigenbrodt, Anna K., Hakan Ashina, Sabrina Khan, Hans-Christoph Diener, Dimos D. Mitsikostas, Alexandra J. Sinclair, Patricia Pozo-Rosich, et al. 2021. “Diagnosis and Management of Migraine in Ten Steps.” NATURE REVIEWS NEUROLOGY 17 (8): 501–14. https://doi.org/10.1038/s41582-021-00509-5.
Chicago author-date (all authors)
Eigenbrodt, Anna K., Hakan Ashina, Sabrina Khan, Hans-Christoph Diener, Dimos D. Mitsikostas, Alexandra J. Sinclair, Patricia Pozo-Rosich, Paolo Martelletti, Anne Ducros, Michel Lanteri-Minet, Mark Braschinsky, Margarita Sanchez del Rio, Oved Daniel, Aynur Ozge, Ayten Mammadbayli, Mihails Arons, Kirill Skorobogatykh, Vladimir Romanenko, Gisela M. Terwindt, Koen Paemeleire, Simona Sacco, Uwe Reuter, Christian Lampl, Henrik W. Schytz, Zaza Katsarava, Timothy J. Steiner, and Messoud Ashina. 2021. “Diagnosis and Management of Migraine in Ten Steps.” NATURE REVIEWS NEUROLOGY 17 (8): 501–514. doi:10.1038/s41582-021-00509-5.
Vancouver
1.
Eigenbrodt AK, Ashina H, Khan S, Diener H-C, Mitsikostas DD, Sinclair AJ, et al. Diagnosis and management of migraine in ten steps. NATURE REVIEWS NEUROLOGY. 2021;17(8):501–14.
IEEE
[1]
A. K. Eigenbrodt et al., “Diagnosis and management of migraine in ten steps,” NATURE REVIEWS NEUROLOGY, vol. 17, no. 8, pp. 501–514, 2021.
@article{8717426,
  abstract     = {{Migraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated. To support clinical decision-making, we convened a European panel of experts to develop a ten-step approach to the diagnosis and management of migraine. Each step was established by expert consensus and supported by a review of current literature, and the Consensus Statement is endorsed by the European Headache Federation and the European Academy of Neurology. In this Consensus Statement, we introduce typical clinical features, diagnostic criteria and differential diagnoses of migraine. We then emphasize the value of patient centricity and patient education to ensure treatment adherence and satisfaction with care provision. Further, we outline best practices for acute and preventive treatment of migraine in various patient populations, including adults, children and adolescents, pregnant and breastfeeding women, and older people. In addition, we provide recommendations for evaluating treatment response and managing treatment failure. Lastly, we discuss the management of complications and comorbidities as well as the importance of planning long-term follow-up. In this Consensus Statement, which is endorsed by the European Headache Federation and the European Academy of Neurology, an expert panel provides recommendations for the diagnosis and management of migraine to support clinical decision-making by general practitioners, neurologists and headache specialists.}},
  author       = {{Eigenbrodt, Anna K. and Ashina, Hakan and Khan, Sabrina and Diener, Hans-Christoph and Mitsikostas, Dimos D. and Sinclair, Alexandra J. and Pozo-Rosich, Patricia and Martelletti, Paolo and Ducros, Anne and Lanteri-Minet, Michel and Braschinsky, Mark and Sanchez del Rio, Margarita and Daniel, Oved and Ozge, Aynur and Mammadbayli, Ayten and Arons, Mihails and Skorobogatykh, Kirill and Romanenko, Vladimir and Terwindt, Gisela M. and Paemeleire, Koen and Sacco, Simona and Reuter, Uwe and Lampl, Christian and Schytz, Henrik W. and Katsarava, Zaza and Steiner, Timothy J. and Ashina, Messoud}},
  issn         = {{1759-4758}},
  journal      = {{NATURE REVIEWS NEUROLOGY}},
  keywords     = {{MEDICATION-OVERUSE HEADACHE,PLACEBO-CONTROLLED TRIAL,TENSION-TYPE,HEADACHE,DOUBLE-BLIND,EPISODIC MIGRAINE,PHARMACOLOGICAL-TREATMENT,PROPHYLACTIC TREATMENT,MENSTRUAL MIGRAINE,BRIEF INTERVENTION,POPULATION}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{501--514}},
  title        = {{Diagnosis and management of migraine in ten steps}},
  url          = {{http://doi.org/10.1038/s41582-021-00509-5}},
  volume       = {{17}},
  year         = {{2021}},
}
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