Abstract

Publisher Summary This chapter presents the diagnosis and treatment guidelines for migraine developed by the American Academy of Neurology (AAN). These guidelines are discussed and additional evidence is included based on the new studies that have become available since their initial publication. In addition, the European Consensus Conference recently established evidence-based treatment guidelines for the treatment of trigeminal autonomic cephalalgias. These guidelines are also discussed as they are the only evidence-based guidelines available for the treatment of these primary headache disorders. The therapeutic and diagnostic guidelines presented in this chapter represent the most exhaustive, rigorous, and recent in the field of headache. They represent a systematic evaluation of the evidence base for the acute and prophylactic treatment of migraine and trigeminal autonomic cephalalgias generated by international experts in the field of headache medicine. The variability in diagnosis and appropriate treatment of primary headache disorders is wide and it is the intention that these specific guidelines, if systematically and appropriately implemented in clinical practice, will improve the quality, appropriateness, and cost-effectiveness of the care of patients with headache.

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