Planet pain: focus on chronic migraine
Autor: | Federigo Sicuteri, Maria Nicoladi |
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Jazyk: | angličtina |
Rok vydání: | 2000 |
Předmět: |
Pain syndrome
medicine.medical_specialty Neurology Central sensitization business.industry Mechanism (biology) Pain medicine General Medicine Key words Visceral sensory innervation NMDA receptor Article Anesthesiology and Pain Medicine Chronic Migraine Genetic hyperalgesia Hyperalgesia medicine Somatic sensory innervation Neurology (clinical) Differential diagnosis medicine.symptom Intensive care medicine Psychiatry business Chronic migraine |
Zdroj: | The Journal of Headache and Pain |
ISSN: | 1129-2377 1129-2369 |
Popis: | Chronic headache is often described but pooly understood regarding its mechanisms. We discuss the clinical presentation, differential diagnosis of chronic headache syndromes and treatment options. Patients presenting these pain syndromes are best assessed using a multidisciplinary approach. Our purpose was to investigate these types of chronic primary pain by using an internal medicine, neurological as well as a pain-specialist approach. We developed a model for estimating the entity of central sensitization, which seems to be the pivotal feature in these painful syndromes. Our approach allowed us to gain further insight into the mechanism of central sensitization and neuronal changes in the central nervous system. The findings run counter to the possibility that these primary pain syndromes, especially chronic migraine, are refractory to specific treatments. |
Databáze: | OpenAIRE |
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