臨床神経学

<シンポジウム(1)―7―3>片頭痛治療Update

慢性片頭痛および薬物乱用頭痛の治療

濱田 潤一

北里大学神経内科学・北里研究所病院神経内科〔〒108―8542 港区白金5―9―1〕

Evidence has accumulated recently indicating biochemical, physiologic, pathophysiological alterations in the brain of patients with chronic migraine. Another type of the refractory headache for treatment is medication overuse headache. Both headaches are severely disabling and difficult to manage, as affected patients experience substantially more-frequent headaches, comorbid pain and affective disorders, and fewer pain-free intervals, than do those with episodic migraine. One principle for treatment is to stop medication of acute treatment (triptans, NSAIDs etc). Then preventive treatment must be started.
Full Text of this Article in Japanese PDF (160K)

(臨床神経, 52:976−977, 2012)
key words:慢性片頭痛,薬物乱用頭痛,難治性頭痛,治療

(受付日:2012年5月23日)