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Review
. 2013 Aug;50(Suppl 1):S21-S25.
doi: 10.4274/npa.y7244. Epub 2013 Aug 1.

The Face of Chronic Migraine Which Has Started to be Clarified

Zeynep Aydin Özemir  1 , Betül Baykan  2
Affiliations
Review

The Face of Chronic Migraine Which Has Started to be Clarified

Zeynep Aydin Özemir et al. Noro Psikiyatr Ars. 2013 Aug.

Abstract
in English, Turkish

Recently, information about migraine which is generally characterized with attacks has gradually increased. In some patients with migraine, progression may be observed such that the frequency and time of the attacks are increased and an attack lasts for days. This condition is called chronic migraine (CM). According to the last classification, chronic migraine is defined as headache which occurs 15 days a month or more frequently at least 8 of which show the characteristic properties of migraine or response to migraine-specific treatment. The diagnostic cirteria of chronic migraine, its differences from other chronic daily headaches and the question if it is a migraine form with a high frequency which transforms from episodic migraine or a completely different pathophysiological picture are still contradictory. Clarifying these issues is possible with clinical studies as well as increasing the studies directed to investigate the pathophysiological mechanisms.

Genellikle ataklarla seyreden migren hakkında bilinenler son zamanlarda giderek artmaktadır. Bazı migrenlilerin ataklarının sıklığında, süresinde artma ve günlerce devam etmesi şeklinde progresyon olabilir ve bu durum kronik migren (KM) olarak adlandırılmaktadır. Son sınıflamaya göre; kronik migren ayda 15 gün veya daha sık ortaya çıkan ve bunların en azından 8’inin migrenin karakteristik özelliklerini taşıdığı veya migrene özgü tedaviye yanıtlı başağrısı şeklinde tanımlanmıştır. Kronik migrenin tanı ölçütleri, diğer kronik günlük başağrılarından farkları, epizodik migrenden dönüşen sık frekanslı bir migren formu mu, yoksa tamamen bağımsız bir patofizyolojik tablo mu olduğu halen tartışmalıdır. Bunların aydınlatılması, klinik çalışmaların yanı sıra patofizyolojik mekanizmaların araştırılmasına yönelik çalışmaların artması ile mümkündür.

Keywords: Chronic migraine; chronic daily headache; headache.

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Conflict of interest statement

Conflict of interest: The authors reported no conflict of interest related to this article. Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir.

Figures

Figure 1
Figure 1
White matter changes with unclear etiology observed in MRI of a patient with chronic migraine.
See this image and copyright information in PMC

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