Cefaleias: Diagnóstico Diferencial e Abordagens Terapêuticas: Um estudo das diferentes tipos de cefaleias, incluindo enxaqueca e cefaleia tensional, e suas opções de tratamento.

Authors

  • Naiara Oliveira Figueiredo Graduando em medicina - Faculdade Ciências Médicas de Minas Gerais
  • Luísa Prado Guimarães Graduando em medicina Faculdade Ciências Médicas de Minas Gerais
  • Ana Luisa Mendes Pinheiro Costa Academica do 10º período da Faculdade Ciências Médicas de Minas Gerais
  • Bernardo Viegas Coelho Graduando em medicina - Faculdade Ciências Medicas de Minas Gerais
  • João Pedro Sobreira Mendonça GRADUANDO EM MEDICINA - FCMMG

DOI:

https://doi.org/10.36557/2674-8169.2023v5n5p262-277

Keywords:

Cefaleia, Enxaqueca, Cefaleia Tensional, Tratamento, Diagnóstico Diferencial

Abstract

Headaches, including migraine and tension-type headache, represent one of the most common medical complaints worldwide, significantly impacting the quality of life of patients. This review article examines therapeutic approaches to these conditions, emphasizing the importance of differential diagnosis and individualized treatment. The findings from the reviewed studies reveal that individualization of treatment is crucial as each patient presents a unique combination of symptoms, triggers, and treatment response. This necessitates a personalized approach that takes individual characteristics into account. Furthermore, non-pharmacological therapies such as cognitive-behavioral therapy and acupuncture have shown efficacy in headache treatment. These therapies provide valuable alternatives to pharmacological interventions, highlighting the importance of a multidisciplinary approach. Identifying and eliminating triggers is another crucial aspect of headache management. Patients with migraines can benefit from identifying specific triggers, while reducing chronic stress plays a fundamental role in tension-type headache prevention. However, the reviewed studies also point out limitations, including the lack of longer follow-up periods and individual variability in treatment response. In summary, the treatment of headaches is a complex area that requires a holistic and personalized approach. Ongoing research is essential to enhance the understanding of these conditions and the effectiveness of therapeutic approaches, aiming to improve the quality of life of patients.

Downloads

Download data is not yet available.

References

BENDTSEN, L., EVERS, S., LINDE, M., MITSIKOSTAS, D. D., SANDRINI, G., & SCHOENEN, J. (2020). EFNS guideline on the treatment of tension-type headache – report of an EFNS task force. European Journal of Neurology, 17(11), 1318-1325.

DODICK, D. W. (2018). A phase-by-phase review of migraine pathophysiology. Headache: The Journal of Head and Face Pain, 58(Suppl 1), 4-16.

DODICK, D. W., LIPTON, R. B., MARTIN, V., PAPADEMETRIOU, V., & ROSAMOND, W. (2016). Triptan Cardiovascular Safety Expert Panel. Consensus statement: Cardiovascular safety profile of triptans (5-HT agonists) in the acute treatment of migraine. Headache: The Journal of Head and Face Pain, 56(6), 913-928.

ESPÍ-LÓPEZ, G. V., ZURRIAGA-LLORENS, R., MONZANI, L., FALLA, D., FALLA, D., & LÓPEZ-DE-URALDE-VILLANUEVA, I. (2020). Manual therapy, therapeutic patient education, and therapeutic exercise, an effective multimodal treatment of nonspecific chronic neck pain: A randomized controlled trial. American Journal of Physical Medicine & Rehabilitation, 99(9), 818-828.

FERNÁNDEZ-DE-LAS-PEÑAS, C., ORTEGA-SANTIAGO, R., CUADRADO, M. L., LÓPEZ-DE-SILANES, C., PAREJA, J. A., & DEL ROSARIO GUEITA-RODRIGUEZ, J. (2016). Manual therapies in myofascial trigger point treatment: A systematic review. Journal of Bodywork and Movement Therapies, 17(2), 317-329.

GAUL, C., DIENER, H. C., & SOLBACH, K. (2013). [Treatment of tension-type headache: Review of current research]. Der Schmerz, 27(3), 229-236.

GAUL, C., LIESERING-LATTA, E., SCHÄFER, B., & FRITSCHE, G. (2011). Diagnosis and therapy of tension-type headache: Practical management. Cephalalgia, 31(16), 1669-1677.

GOADSBY, P. J., HOLLAND, P. R., MARTINS-OLIVEIRA, M., HOFFMANN, J., SCHANKIN, C., & AKERMAN, S. (2017). Pathophysiology of migraine: A disorder of sensory processing. Physiological Reviews, 97(2), 553-622.

HOLROYD, K. A., et al. (2019). Psychological treatments for tension-type headache: A systematic review and meta-analysis. JAMA Intern Med, 179(6), 813-824.

KANIECKI, R. G. (2015). Diagnosis of chronic migraine. Current pain and headache reports, 19(5), 22.

LIPTON, R. B., & SILBERSTEIN, S. D. (2015). Episodic and chronic migraine headache: Breaking down barriers to optimal treatment and prevention. Headache: The Journal of Head and Face Pain, 55(s2), 103-122.

LIPTON, R. B., BIGAL, M. E., DIAMOND, M., FREITAG, F., REED, M. L., & STEWART, W. F. (2015). Migraine prevalence, disease burden, and the need for preventive therapy. Neurology, 68(5), 343-349.

LINDE, K., ALLAIS, G., BRINKHAUS, B., MANHEIMER, E., VICKERS, A., & WHITE, A. R. (2016). Acupuncture for the prevention of tension-type headache. Cochrane Database of Systematic Reviews, (4).

RIZZOLI, P., et al. (2019). Acute and preventive treatment of migraine. Continuum (Minneap Minn), 25(4), 1032-1051.

SMITH, J., SURENTHIRAN, S., & DOHERTY, P. (2019). Diagnosis and management of migraine. BMJ, 366, l4605.

Published

2023-10-03

How to Cite

Figueiredo , N. O., Guimarães , L. P., Costa , A. L. M. P., Coelho , B. V., & Mendonça , J. P. S. (2023). Cefaleias: Diagnóstico Diferencial e Abordagens Terapêuticas: Um estudo das diferentes tipos de cefaleias, incluindo enxaqueca e cefaleia tensional, e suas opções de tratamento. Brazilian Journal of Implantology and Health Sciences, 5(5), 262–277. https://doi.org/10.36557/2674-8169.2023v5n5p262-277

Issue

Section

Literature Review