Medication-overuse headache: a widely recognized entity amidst ongoing debate
One article on PainSci cites Vandenbussche 2018: The Complete Guide to Chronic Tension Headaches
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
Medication overuse in primary headache disorders is a worldwide phenomenon and has a role in the chronification of headache disorders. The burden of disease on individuals and societies is significant due to high costs and comorbidities. In the Third Edition of the International Classification of Headache Disorders, medication-overuse headache is recognized as a separate secondary entity next to mostly primary headache disorders, although many clinicians see the disease as a sole complication of primary headache disorders. In this review, we explore the historical background of medication-overuse headache, its epidemiology, phenomenology, pathophysiology and treatment options. The review explores relevant unanswered questions and summarizes the current debates in medication-overuse headache.
related content
- “Medication-overuse headache: risk factors, pathophysiology and management,” Diener et al, Nature Reviews Neurology, 2016.
- “Medication overuse headache: An entrenched idea in need of scrutiny,” Scher et al, Neurology, 2017.
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