Refractory Migraine : Mechanisms and Management

著者名：Schulman, FACP, MD, Elliot A./Levin, MD, Morris/Lake, III., PhD, Alvin E./Loder, MPH, MD, Elizabeth

Oxford University Press（2010/08/03発売）

• 言語：ENG
• ISBN：9780195394696
• eISBN：9780190453190

Description

A must-have book for any health professional who treats patients with headache disorders, Refractory Migraine is written by international experts from the world's top headache centers. It describes how they approach the treatment of migraine patients who continue to suffer despite appropriate medical treatment. First, it highlights current ideas about the definition and characterization of refractory migraine, and reviews underlying causes and contributing factors. Then, individual chapters cover every important aspect of migraine treatment with the focus entirely on refractory forms of the disorder. Its many features include detailed algorithms for outpatient and inpatient withdrawal from overused medications, innovative drug therapy and nonpharmacological treatments, a list of questions to ask before deciding to try hormonal therapies, and detailed descriptions of how to recognize and interact with patients who have challenging personality disorders or concomitant psychiatric problems. We're confident you'll often turn to this book for advice about challenges in migraine management. When you do, the bulleted lists and boxes that highlight and condense the main messages of each chapter put the information you need at your fingertips.If you treat patients with migraine, you will recognize many of the challenging situations and topics covered in this book - and you will be encouraged by the innovative and resourceful therapeutic strategies suggested by seasoned headache doctors with a wealth of clinical experience. Readable, comprehensive and up to date, this book gives you access to ingenious treatment approaches developed and refined in specialty headache clinics that regularly - and successfully - treat patients with refractory headache problems. When you meet the next migraine patient who says "I've tried it all, and nothing works", you will know where to go for practical advice about what to do next.

Table of Contents

ContributorsSection 1 - Epidemiology, Definition, Mechanisms and Diagnosis in Refractory Migraine1. Historical Overview of Refractory Headache - Elliott Schulman 2. Definition and Classification - Morris Levin & Elliott Schulman 3. Epidemiology & Environmental Risk Factors in RM - Richard Lipton 4. Mechanisms - Peter Goadsby 5. History Taking and Physical Exam - Tom Ward 6. Differential Diagnosis and Diagnostic Testing - Alan Purdy 7. Identifying Psychiatric Comorbidity - Don Penzien & Todd Smitherman Section II - Treatment of RM8. Preventive Pharmacotherapy - Ninan Mathew 9. Acute and Urgent Treatment - Brian McGeeney 10. MOH in RM and its Treatment - Stewart Tepper 11. Pharmacological Treatment of Psychiatric Comorbidity - Noah Rosen 12. Psychological Approaches in Treating RM - Al Lake 13. Non-pharmacological Treatment - Alex Mauskopp 14. Women, Lactation, and Pregnancy - Elizabeth Loder 15. Treatment of Refractory Headache in Children and Adolescents - Andrew Hershey16. Nerve Blocks, and Other Injections - Avi Ashkenazi and Morris Levin17. Physical Treatments - Steven Graff-Radford18. Inpatient Treatment - Joel SaperSection III - Special topics in RM19. Creating a Foundation for Successful Treatment: Improving Adherence, Fostering Doctor- Patient Relationships - Roger Cady, Kathy Farmer, Jeanetta Rains20. Emerging Therapies in Refractory Migraine - Nabih Ramadan 21. Other Refractory Headaches - NDPH, CTTH, Post-Traumatic, Cluster, TACs - Rigmoor Jensen 22. Physician and Practice Issues - Toll on the Treating Physician, Pitfalls, Practice Tips - John Rothrock 23. Assessing and Managing Disability in Refractory Migraine - Jon Borkum 24. Coding and Reimbursement - Stuart BlackIndex