Transformed Migraine: A Proposal for the Modification of Its                     Diagnostic Criteria Based on Recent Epidemiological Data

Guitera, Victoria; Muñoz, Pilar Ezquerra; Castillo, J.; Pascual, Julio

doi:10.1046/j.1468-2982.1999.1910847.x

Cited by 26 publications

(14 citation statements)

References 15 publications

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“…Due to the evolution of CM, it previously has been referred to as a "transformed" migraine [12,13]. The differences between this concept of transformation and the ICHD-II criteria have been debated and tested, with controversy remaining [14][15][16].…”

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confidence: 99%

Chronic daily headache in the pediatric population

Hershey

Gladstein²,

Winner³

2007

Curr Treat Options Neurol

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Very limited long-term follow-up data exist for the population of children and adolescents with chronic daily headache (CDH). One abstracted report discusses short-term follow-up on 24 adolescents (peak age 13 years) with CDH; in a 6-month follow-up, more than 50% experienced a reduction of 75% or more in headache frequency, and one third showed an improvement of greater than 90% in headache frequency. A wide variety of preventive agents were used, but amitriptyline and topiramate provided the largest percentage of successful outcomes. With an improving classification scheme, we have the possibility of using multicenter studies to elucidate whether the clinical patterns seen by experienced observers translate into rational differentiation of treatment approaches. If the entities of CDH are, indeed, different, then therapeutic, prophylactic, and behavioral trials could guide us in offering a more evidence-based approach to the treatment of this fascinating, yet sometimes debilitating condition.

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confidence: 99%

Chronic daily headache in the pediatric population

Hershey

Gladstein²,

Winner³

2007

Curr Treat Options Neurol

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“…Frequently underrated, migraine can be a devastating disorder, especially in the group of patients with frequent attacks destroying their quality of life [2]. Around 2% of the general population fulfil criteria for the so-called transformed or chronic migraine, which requires migrainous headache to be present at least 15 days per month [3]. Management of these patients is extremely difficult.…”

Section: Discussionmentioning

confidence: 99%

A woman with daily headaches

Pascual

Leno

2005

J Headache Pain

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Headache, and migraine in particular, is the main neurological reason for consultation. We present the case of a 48–year–old woman who experienced a transformation of her episodic migraine attacks into daily headache episodes due to the ingestion of biscuits containing wheat as their main ingredient. This experience emphasises that a good clinical interview remains the most important point in the diagnosis and management of headache.

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“…Transformed migraine is a diagnosis not recognized by the IHS system. It is thought to be a distinct disorder by some 15,19,22‐25 and a combination of several IHS diagnoses by others 8,15,19,22‐25,27,28,36 . The finding that almost two‐thirds of the AHS members are using this diagnosis suggests that the current IHS system is not meeting those clinicians' needs.…”

Section: Commentsmentioning

confidence: 99%