TY - JOUR
T1 - Diagnosis and management of migraine in ten steps
T2 - consensus statement
AU - Eigenbrodt, Anna
AU - Ashina, Hakan
AU - Khan, Sabrina
AU - Diener, Hans-Christoph
AU - Mitsikostas, Dimos
AU - Sinclair, Alex
AU - Pozo-Rosich, Patricia
AU - Martelletti, Paolo
AU - Ducros, Anne
AU - Lanteri-Minet, Michel
AU - Braschinsky, Mark
AU - Sanchez Del Rio, Margarita
AU - Daniel, Oved
AU - Ozge, Anur
AU - Mammadbayli, Ayten
AU - Arons, Mihails
AU - Skorobogatykh, Kirill
AU - Romanenko, Vladmir
AU - Terwindt, Gisela
AU - Paemeleire, Koen
AU - Sacco, Simona
AU - Reuter, Uwe
AU - Lampl, Christian
AU - Schytz, Henrik Winther
AU - Katsarava, Zara
AU - Steiner, Timothy
AU - Ashina, Messoud
PY - 2021/6/18
Y1 - 2021/6/18
N2 - 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.
AB - 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.
U2 - 10.1038/s41582-021-00509-5
DO - 10.1038/s41582-021-00509-5
M3 - Review article
SN - 1759-4758
JO - Nature Reviews Neurology
JF - Nature Reviews Neurology
ER -