|
|
|||
| |||||||||||||||||||||||||||||||||||||||||||||||||
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 36-year-old woman with a long history of catamenial migraines had had a headache almost every day during the previous year. The background headache was mild but became severe and incapacitating at least twice a week, interfering with work and sleep. She took six to eight tablets containing a combination of aspirin, acetaminophen, and caffeine per day, with minimal relief. She had
The Clinical Problem
Strategies and Evidence
Diagnosis
Treatment
Nonpharmacologic Therapy
Preventive Medications
Withdrawal from Acute-Headache Medication
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Neurology, Mayo Clinic College of Medicine, Scottsdale, Ariz.
Address reprint requests to Dr. Dodick at the Department of Neurology, Mayo Clinic College of Medicine, 13400 E. Shea Blvd., Scottsdale, AZ 85259, or at dodick.david@mayo.edu.
Related Letters:
Chronic Daily Headache
Gerwin R. D., Dodick D. W.
Extract |
Full Text |
PDF
N Engl J Med 2006;
354:1958, May 4, 2006.
Correspondence
This article has been cited by other articles:
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |