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Chronic migraine: history, imaging and patient characteristics, and controversies

Published on January 31, 2024   48 min

Other Talks in the Series: Toward a Deeper Understanding of Headache and Migraine

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0:00
Hello, I'm Stewart Tepper, Vice President of The New England Institute for Neurology and Headache in Stamford, Connecticut. I'm going to talk about chronic migraine; history, imaging, patient characteristics, and controversies.
0:20
These are my disclosures. I work extensively with the industry to try to bring new therapies for patients, so please bear that in mind.
0:31
What I'd like to talk about today is the entire arc of how we got to where we are with respect to chronic migraine in terms of both diagnosis and treatment. In so doing, I'm going to discuss chronic daily headache, chronic migraine, transformed migraine, medication overuse headache, and chronic tension-type headache. Because there is a history of confused taxonomy and problems with the diagnosis of these various forms. So, I would like to go into the clinical issues of phenotype diagnosis and treatment versus primary and secondary divisions with insights into chronic migraine by patient reported outcomes, imaging, and studies. I would like to end up on the relationship between diagnosis and acute medication overuse and an approach in terms of clinical treatment in the 21st century.
1:34
We'll start with diagnosis. The evolution of the term chronic migraine from chronic daily headache.
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Chronic migraine: history, imaging and patient characteristics, and controversies

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