Advanced Headache Therapy Outpatient Strategies
This cutting-edge guide covers treating migraine and cluster headaches while providing practical clinical advice on approaching challenging patients of all ages.Unique features include: &nbs
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Lawrence Robbins
Advanced Headache Therapy Outpatient Strategies
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Lawrence Robbins Robbins Headache Clinic Riverwoods Illinois USA
ISBN 978-3-319-13898-5 ISBN 978-3-319-13899-2 (eBook) DOI 10.1007/978-3-319-13899-2 Library of Congress Control Number: 2015930452 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
This book fills a need for a practical guide to advanced headache management. Headache patients are complicated, often with medical and/or psychiatric comorbidities. I provide an in-depth analysis of options for refractory “difficult-to-treat” patients. Management of the routine in easier headache patient is also included. Most of this book was written in late 2014; there are a few older articles that did not require an update. I wrote this for physicians and patients who have an interest in headache. The style is simple, so that patients find the material to be understandable. Physicians specializing in headache will find this material practical and cutting-edge. Patients with refractory, difficult headaches will learn about strategies for when “nothing has worked.” Chapter 1 is a complete guide to migraine management. Non-medicine strategies are outlined, along with an extensive discussion of the medications. The chapter is infused with my philosophies on treating headache such as “comorbidities drive where we go with medications.” An extensive clinical pearls section gives many practical tips not found elsewhere. I then focus on refractory topics, including a complete guide to outpatient management of refractory headache. Opioids, stimulants, the use of daily triptans, SPG and occipital blocks, Botox, and MAOI’s are among the topics analyzed. Chapter 3 provides a blueprint for treating children and adolescents. There is a discourse on approaches
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