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Papers of the Week

2022 Dec 08

Am J Nurs

Diagnosing and Managing Migraine.


Goetz A, McCormick S, Phillips R, Friedman D
Am J Nurs. 2022 Dec 08.
PMID: 34882585.


Roughly 90% of the U.S. population will develop a headache within their lifetime, and headache disorders account for more disability-adjusted life-years than all other neurologic disorders combined. Among primary headache disorders, the two most common are tension-type headache and migraine, with migraine identified as the most disabling. Here, the authors describe the importance of differentiating primary and secondary headache disorders and discuss the pathophysiology; clinical assessment; and outpatient management of the debilitating migraine headache, summarizing both acute and prophylactic treatment strategies that can substantially reduce associated disability.