Hausärztliches Vorgehen bei Migräne
摘要
Migraine is one of the most common diseases in humans and often leads to impairments in daily living and decreased quality of life. Therefore, it is a relevant clinical picture for general practice. Migraine often remains underdiagnosed, and often results in nonguideline-based therapy. It typically peaks during working age and causes indirect health care costs primarily arising from loss of productivity for the patients. Diagnosis is made clinically on the basis of criteria relating to typical migraine symptoms (International Classification of Headache Disorders [ICHD 3] criteria), after excluding other primary and secondary types of headaches. In the vast majority of cases, no neuroimaging is necessary. Patient education is particularly important and effective in the initial stages of treatment. Effective acute therapy is usually possible with nonsteroidal anti-inflammatory drugs (NSAIDs) or triptans. Nonpharmacological and pharmacological approaches are available for prophylaxis. A headache diary is a useful tool for documenting the course of the condition and treatment response before, during, and after the initiation of therapeutic options.