Synopses & Reviews
A must-have book for any health professional who treats patients with headache disorders, Refractory Migraine is written by international experts from the world's top headache centers. It describes how they approach the treatment of migraine patients who continue to suffer despite appropriate medical treatment. First, it highlights current ideas about the definition and characterization of refractory migraine, and reviews underlying causes and contributing factors. Then, individual chapters cover every important aspect of migraine treatment with the focus entirely on refractory forms of the disorder. Its many features include detailed algorithms for outpatient and inpatient withdrawal from overused medications, innovative drug therapy and nonpharmacological treatments, a list of questions to ask before deciding to try hormonal therapies, and detailed descriptions of how to recognize and interact with patients who have challenging personality disorders or concomitant psychiatric problems. We're confident you'll often turn to this book for advice about challenges in migraine management. When you do, the bulleted lists and boxes that highlight and condense the main messages of each chapter put the information you need at your fingertips.
If you treat patients with migraine, you will recognize many of the challenging situations and topics covered in this book - and you will be encouraged by the innovative and resourceful therapeutic strategies suggested by seasoned headache doctors with a wealth of clinical experience. Readable, comprehensive and up to date, this book gives you access to ingenious treatment approaches developed and refined in specialty headache clinics that regularly - and successfully - treat patients with refractory headache problems. When you meet the next migraine patient who says "I've tried it all, and nothing works", you will know where to go for practical advice about what to do next.
Review
"This is a welcome addition to the headache books currently available. It is the first devoted to refractory migraine and an important tool for stimulating further research and clinical trials on treatment." --Doody's
Synopsis
This is the first comprehensive book devoted to Refractory Headaches. Contains up-to-date information that is clinically applicable to all those who treat headaches.
About the Author
Dr. Schulman is in the Department of Headache Management and General Neurology at Lankenau Hospital in Wynnewood, PA. He is also an Adjunct Clinical Professor of Neurology at Jefferson School of Medicine in Philadelphia, PA.
Dr. Levin is an Associate Professor of Medicine in the Section of Neurology at Dartmouth Medical School, in Hanover, New Hampshire, USA. He is also Associate Professor of Psychiatry at Dartmouth Medical School. He is the Co-Director of the Dartmouth Headache Clinic. He is director of the Dartmouth Neurology Residency Training Program. He also directs the Dartmouth Headache Fellowship training program and is the director of the Dartmouth Medical School student clerkship in neurology.
Dr. Lake, III is the Division Director for Behavioral Medicine at the Michigan Head-Pain and Neurological Institute in Ann Arbor, MI.
Dr. Loder is the Chief, Division of Headache and Pain, for the Department of Neurology at Brigham and Women's Hospital in Boston, MA.
Table of Contents
Contributors
Section 1 - Epidemiology, Definition, Mechanisms and Diagnosis in Refractory Migraine
1. Historical Overview of Refractory Headache - Elliott Schulman
2. Definition and Classification - Morris Levin and Elliott Schulman
3. Epidemiology and Environmental Risk Factors in RM - Richard Lipton
4. Mechanisms - Peter Goadsby
5. History Taking and Physical Exam - Tom Ward
6. Differential Diagnosis and Diagnostic Testing - Alan Purdy
7. Identifying Psychiatric Comorbidity - Don Penzien and Todd Smitherman
Section II - Treatment of RM
8. Preventive Pharmacotherapy - Ninan Mathew
9. Acute and Urgent Treatment - Brian McGeeney
10. MOH in RM and its Treatment - Stewart Tepper
11. Pharmacological Treatment of Psychiatric Comorbidity - Noah Rosen
12. Psychological Approaches in Treating RM - Al Lake
13. Non-pharmacological Treatment - Alex Mauskopp
14. Women, Lactation, and Pregnancy - Elizabeth Loder
15. Treatment of Refractory Headache in Children and Adolescents - Andrew Hershey
16. Nerve Blocks, and Other Injections - Avi Ashkenazi and Morris Levin
17. Physical Treatments - Steven Graff-Radford
18. Inpatient Treatment - Joel Saper
Section III - Special topics in RM
19. Creating a Foundation for Successful Treatment: Improving Adherence, Fostering Doctor- Patient Relationships - Roger Cady, Kathy Farmer, Jeanetta Rains
20. Emerging Therapies in Refractory Migraine - Nabih Ramadan
21. Other Refractory Headaches - NDPH, CTTH, Post-Traumatic, Cluster, TACs - Rigmoor Jensen
22. Physician and Practice Issues - Toll on the Treating Physician, Pitfalls, Practice Tips - John Rothrock
23. Assessing and Managing Disability in Refractory Migraine - Jon Borkum
24. Coding and Reimbursement - Stuart Black
Index