Recent Advances in Primary and Secondary Headaches

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 2615

Special Issue Editor


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Guest Editor
1. Department of Neurology, Lisbon Faculty of Medicine, University of Lisbon, Lisbon, Portugal
2. Department of Neurosciences and Mental Health, Neurology, Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal
Interests: migraine; cognitive disorders

Special Issue Information

Dear Colleagues,

Nowadays, headaches are among the most exciting fields for those in clinical practice or in brain research. Advances undertaken in the last 10–15 years have significantly improved the understanding of these disorders.

This movement began with the publication of the international classification of headache disorders, which boosted epidemiological and clinical studies that revealed the high frequency, impact and socio-economic costs of headache. Migraine alone is the main cause of disability in individuals below 50 years of age.

Brain imaging has allowed us to visualize dynamic headache disorders, from migraine and cluster headache to vascular and structural diseases such as reversive cerebral vasoconstriction, intracranial hypotension and hypertension, and neurovascular contacts.

The conceptualization of the trigemino vascular system and the identification of its molecular signaling led to the development of drugs specifically targeting migraine.

Altogether these developments transformed the social perception of disease, which moved from a stigmatized complaint into brain disorder with biomarkers and treatment.

In this Special Issue of Medicina we want to gather innovative or review data on Recent Advances in Primary and Secondary Headaches, including diagnosis, treatment, behavioral and social aspects.

It is our pleasure to invite you to join us in this Special Issue.

Dr. Isabel Pavao Martins
Guest Editor

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Keywords

  • migraine
  • cluster headache
  • intracranial hypotension
  • trigeminal neuralgia

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Published Papers (1 paper)

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Research

9 pages, 299 KiB  
Article
A Survey of Greek Primary Care Physicians on Their Likeability in Treating Migraines and Other Common Diseases
by Michail Vikelis, Andreas A. Argyriou, Anastasia Antoniou, Konstantinos C. Spingos, Athanasios E. Skliros, Konstantinos Bilias, Aikaterini Kouroudi, Emmanouil V. Dermitzakis and Efstathios A. Skliros
Medicina 2023, 59(4), 734; https://doi.org/10.3390/medicina59040734 - 9 Apr 2023
Cited by 2 | Viewed by 2322
Abstract
Background and objectives: Migraine is considered the most clinically important primary headache due to its high prevalence and significant burden. Although globally categorized as one of the leading causes of disability, it is still largely underdiagnosed and undertreated. Worldwide, migraine care is [...] Read more.
Background and objectives: Migraine is considered the most clinically important primary headache due to its high prevalence and significant burden. Although globally categorized as one of the leading causes of disability, it is still largely underdiagnosed and undertreated. Worldwide, migraine care is in most cases provided by primary care physicians. The aim of our study was to assess the attitudes of Greek primary care physicians toward treating migraine compared to other common neurological and general medical disorders. Methods: We surveyed 182 primary care physicians with the use of a 5-point questionnaire regarding their preference in treating ten common medical conditions, including migraine, hypertension, hyperlipidemia, upper respiratory tract infections, diabetes mellitus, lower back pain, dizziness, transient ischemic attack, diabetic peripheral neuropathy, and fibromyalgia. Results: Overall, with regards to preference to treat, migraine scored very low (3.6 ± 1.0), next to diabetic peripheral neuropathy (3.6 ± 1.0), and third from the bottom to fibromyalgia (3.25 ± 1.06). In contrast, physicians reported a much higher preference to treat hypertension (4.66 ± 0.60) and hyperlipidemia (4.6 ± 1.0). Conclusions: Our results indicate that Greek primary care physicians dislike treating migraines but also other neurological diseases. Topics for further investigation include the reasons for this dislike, any associations with poor patient satisfaction, treatment results, or both. Full article
(This article belongs to the Special Issue Recent Advances in Primary and Secondary Headaches)
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