Migraine Bibliographical review
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Abstract
Migraine is one of the most common reasons of consult in the emergency rooms and in the first level of attention in our country, affecting more women than men, migraine has a multifactorial origin, genetic factors, vasoactive substances and neurological impulses work together to produce the pathophysiology of this disease.
Our primary goal is to discard in the physical examination the signs and symptoms of an intracranial condition, which could be lethal for the person, the next step is to decide if the patient needs the imaging studies or any other procedure and in the final relieve the pain.
It is important to make a correct diagnosis of the migraine and make the difference among other cephalalgias such as tension type headache, the cluster headache and the trigeminal neuralgia.
About the pharmacology in this condition, it has been some important changes, for instance: the opioids are no longer recommended, but other groups like the old ß-blockers were and still be the first election in the prophylaxis of migraine, and other new medication like topiromate and the toxin botulinum-A are used to prevent the crisis in other countries, as an effort to step forward in the treatment of this disease.
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References
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