Case Studies in Migraine

Migraine is a major neurological disease that affects more than 36 million men, women and children in the United States. The disease impacts 1 in 4 households, 1 in 5 women, 1 in 16 men, and 1 in 11 children in the United States. There is no cure for migraine. Most current treatments aim to reduce headache frequency and stop individual headaches when they occur.

Pharmacologic interventions in the treatment of migraine headaches include acute therapy, with the goal of terminating and aborting attacks, and daily preventive therapy. Treatment of migraine symptoms during an attack should be individualized, with the intensity of care linked to the level of disability, and the treatment formulation matched to patient or migraine attack characteristics.

Treatment choice depends on the frequency and severity of attacks, the presence and degree of temporary disability, and associated symptoms such as nausea and vomiting.

Patients who seek medical care for migraine most often present to their primary care providers. Ideally, the patient and the provider will work together to develop a comprehensive plan that defines treatment goals and strategies, including acute treatment for immediate relief during an attack.  Preventive strategies, such as education, lifestyle modification, and medication to reduce the frequency and effects of future attacks should also be included in developing a comprehensive plan.

How do you treat headaches in your practice?

Join us for a review of 3 case presentations exploring questions to be considered when managing a patient with migraines.

	Episodic Migraine CME, CPE Contributing Author: Susan L. Hutchinson, MD
	Release Date: May 10, 2017 Expiration Date: May 10, 2018
	This is a case of a 40-year-old white female with previous history of recurrent headaches, originally diagnosed 12 months earlier as migraine without aura. Provided by MediCom Worldwide, Inc. This activity is supported by an educational grant from Teva Pharmaceuticals.
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	High Frequency Episodic Migraine CME, CPE Contributing Author: Susan L. Hutchinson, MD
	Release Date: May 10, 2017 Expiration Date: May 10, 2018
	JT is a 30-year-old while female who presents complaining of frequent headaches. Provided by MediCom Worldwide, Inc. This activity is supported by an educational grant from Teva Pharmaceuticals.
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	Preventive Therapy, Chronic Migraine CME, CPE Contributing Author: Susan L. Hutchinson, MD
	Release Date: May 10, 2017 Expiration Date: May 10, 2018
	This case is a 48-year-old female with a 6-year headache history initially diagnosed as low episodic migraine without aura. Provided by MediCom Worldwide, Inc. This activity is supported by an educational grant from Teva Pharmaceuticals.
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