Primary cephaleas, a revision of its diagnosis and therapeutic approach
This review focuses on primary headaches, its diagnosis aral treatment. Fbr the JHS specialists they are: migraine, tension-type headache (TTH), cluster and others. Migraine: the second in prevalence and the flrst in morbility, clinical features and differences between migraine with (Ma) and without...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26561 |
| Aporte de: |
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I10-R327-article-26561 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
primary headaches migraine tension-type headache cluster JHS criteria migraña cefalea tensional cefaleas primarias criterios IHS avances terapéuticos . |
| spellingShingle |
primary headaches migraine tension-type headache cluster JHS criteria migraña cefalea tensional cefaleas primarias criterios IHS avances terapéuticos . Monti , Ángel A Rapela, Francisco J Bacile Bacile, Elizabeth A Uberti, Diego Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| topic_facet |
primary headaches migraine tension-type headache cluster JHS criteria migraña cefalea tensional cefaleas primarias criterios IHS avances terapéuticos . |
| author |
Monti , Ángel A Rapela, Francisco J Bacile Bacile, Elizabeth A Uberti, Diego |
| author_facet |
Monti , Ángel A Rapela, Francisco J Bacile Bacile, Elizabeth A Uberti, Diego |
| author_sort |
Monti , Ángel A |
| title |
Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| title_short |
Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| title_full |
Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| title_fullStr |
Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| title_full_unstemmed |
Primary cephaleas, a revision of its diagnosis and therapeutic approach |
| title_sort |
primary cephaleas, a revision of its diagnosis and therapeutic approach |
| description |
This review focuses on primary headaches, its diagnosis aral treatment. Fbr the JHS specialists they are: migraine, tension-type headache (TTH), cluster and others. Migraine: the second in prevalence and the flrst in morbility, clinical features and differences between migraine with (Ma) and without aura (Mo). Epidemiology: 10% prevalence and 3:1 women to men proportion. Patophysiology: primary central nociception disorder with secondary vascular involvement. Treatment: specific and non-specffic, acule and preventive. Psychiatric disorders and migraine: there is evidence of clinical and pharmacological links, mainly hetween Ma and several psychiatric disorders.
Migraine in childrens: irnportant clinical and therapeutic differences from adult, importance of family approach. Migraine and hormones: the importance of estrogen drop, as trigger factor. treatment. Migraine and epilepsy: both shares neuronal hyperexcitability pattern. Migraine and stroke: vascular and ischemic factors involved. Evidence-based medicine: improves treatment's results and studies outcome evaluation. TTH: first in prevalence, still highly subdiagnosed. Main clinical presentations: episodic and chronic. Epidemiology: slight female preponderance. Patophysiology and trigger factors: the role of hmbic nociceptive system, sedentarism stress and muscular tension. Treatment: pharmacological and non-pharrnacoiogical. Cluster headache: low prevalence but high daily-living activities impact, effective treatment. Other primary headaches: variability of trigger factors and role of desensitization process. Conclusion: we remark the complexity of headache and the of physicians role: to relief patients suffering, throughout a precise diagnosis and treatment. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26561 |
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2024-09-03T21:01:33Z |
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I10-R327-article-265612024-08-27T18:27:04Z Primary cephaleas, a revision of its diagnosis and therapeutic approach Cefaleas primarias. Revisión de criterios diagnósticos y abordajes terapéuticos Monti , Ángel A Rapela, Francisco J Bacile Bacile, Elizabeth A Uberti, Diego primary headaches migraine tension-type headache cluster JHS criteria migraña cefalea tensional cefaleas primarias criterios IHS avances terapéuticos . This review focuses on primary headaches, its diagnosis aral treatment. Fbr the JHS specialists they are: migraine, tension-type headache (TTH), cluster and others. Migraine: the second in prevalence and the flrst in morbility, clinical features and differences between migraine with (Ma) and without aura (Mo). Epidemiology: 10% prevalence and 3:1 women to men proportion. Patophysiology: primary central nociception disorder with secondary vascular involvement. Treatment: specific and non-specffic, acule and preventive. Psychiatric disorders and migraine: there is evidence of clinical and pharmacological links, mainly hetween Ma and several psychiatric disorders. Migraine in childrens: irnportant clinical and therapeutic differences from adult, importance of family approach. Migraine and hormones: the importance of estrogen drop, as trigger factor. treatment. Migraine and epilepsy: both shares neuronal hyperexcitability pattern. Migraine and stroke: vascular and ischemic factors involved. Evidence-based medicine: improves treatment's results and studies outcome evaluation. TTH: first in prevalence, still highly subdiagnosed. Main clinical presentations: episodic and chronic. Epidemiology: slight female preponderance. Patophysiology and trigger factors: the role of hmbic nociceptive system, sedentarism stress and muscular tension. Treatment: pharmacological and non-pharrnacoiogical. Cluster headache: low prevalence but high daily-living activities impact, effective treatment. Other primary headaches: variability of trigger factors and role of desensitization process. Conclusion: we remark the complexity of headache and the of physicians role: to relief patients suffering, throughout a precise diagnosis and treatment. Esta revisión aborda las cefaleas primarias, su diagnóstico y tratamiento. Para la JHS son: migraña, cefalea tensional, cluster y otros. Migraña: La segunda en prevalencia y la de mayor morbilidad, el aura diferencia la migraña con aura (Mea) de la sin aura (Msa). Epidemiología: prevalencia 10% con una relación 3:1 mujer-hombre. Fisiopatología: es un trastorno nociceptivo central primario, con compromiso secundario vascular. Tratamiento: específico y no específico, tanto de las crisis como preventivo. Trastornos psiquiátricos y migraña: existe evidencia de correlación clinicopatológica y farmacológica mayormente entre Mea y diversas patologías psiquiátricas. Migraña en el niño: se presenta con diferencias clínicas responde a otra farmacoterapia y es de gran importancia el enfoque familiar. Migraña y hormonas: el principal factor hormonal relacionado a la migraña es la caída hormonal. Migraña y epilepsia: comparte la hiperexcitabilidad cerebral y medicación. Migraña y enfermedad cerebrovascular: factores vasculares e isquémicos comunes. Medicina basada en la evidencia: supone un importante avance en la medición de la efectividad de los tratamientos. Cefalea tensional: la más frecuente de todas las cefaleas, subdiagnosticada. Diferencias entre episódica y crónica. Epidemiología: leve preponderancia femenina. Fisiopatología y factores influyentes: destaca el rol del sistema nociceptivo, el sedentarismo, el estrés y la tensión muscular. Tratamiento: farmacológico y no farmacológico. Cefalea en racimo: de menor prevalencia pero con clínica frondosa, muy invalidante pero con tratamiento efectivo. Otras cefaleas primarias: es importante desensibilizar de los factores desencadenantes. Conclusión: rescatamos conceptos sobre la tarea del médico de aliviar el sufrimiento del paciente, a través de un diagnóstico y un tratamiento adecuados. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-11-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26561 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 63 No. 3 (2006); 53 - 64 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 63 Núm. 3 (2006); 53 - 64 Revista da Faculdade de Ciências Médicas de Córdoba; v. 63 n. 3 (2006); 53 - 64 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/26561/28274 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |