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Papers of the Week

Papers: 2 Feb 2019 - 8 Feb 2019


2019 Mar

Med Clin North Am



Migraine and Tension-Type Headache: Diagnosis and Treatment.


Burch R
Med Clin North Am. 2019 Mar; 103(2):215-233.
PMID: 30704678.


Migraine and tension-type headache are highly prevalent. Migraine is associated with significant work- and family-related disability. Migraine is underdiagnosed; it reasonable to err on the side of migraine when choosing between primary headaches. Barriers to appropriate treatment of migraine include lack of access to providers, misdiagnosis, and acute and preventive therapies not being prescribed. Acute, rescue, and preventive treatment options are extensive, and new classes of treatments are either available or in development. This review addresses diagnostic challenges including recognizing migraine with aura. It also summarizes nonpharmacologic, acute, rescue, and preventive treatment options for migraine and treatment of tension-type headache.