TY - JOUR
T1 - New Daily Persistent Headache
T2 - a Diagnostic and Therapeutic Odyssey
AU - Riddle, Emily J.
AU - Smith, Jonathan H.
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Purpose of Review: New daily persistent headache (NDPH) is a rare primary headache disorder, which often has a refractory clinical course. This narrative review seeks to highlight what is known about the development of NDPH, to outline a diagnostic approach to a patient with new daily headache, and to explore management considerations and potential future therapies for patients diagnosed with NDPH. Recent Findings: Interval work at the level of case series and cohort studies has identified novel triggering factors (e.g., Valsalva), subgroups with unique temporal profiles (e.g., thunderclap onset), psychophysical profiles (e.g., increased pain catastrophizing), and potential treatment options. Summary: The approach to the diagnosis and treatment of NDPH remains individualized, driven by clinical features and challenging in most cases. Earlier identification of patients (e.g., prediction of patients with status migrainosus destined to develop NDPH) may allow for more effective treatment.
AB - Purpose of Review: New daily persistent headache (NDPH) is a rare primary headache disorder, which often has a refractory clinical course. This narrative review seeks to highlight what is known about the development of NDPH, to outline a diagnostic approach to a patient with new daily headache, and to explore management considerations and potential future therapies for patients diagnosed with NDPH. Recent Findings: Interval work at the level of case series and cohort studies has identified novel triggering factors (e.g., Valsalva), subgroups with unique temporal profiles (e.g., thunderclap onset), psychophysical profiles (e.g., increased pain catastrophizing), and potential treatment options. Summary: The approach to the diagnosis and treatment of NDPH remains individualized, driven by clinical features and challenging in most cases. Earlier identification of patients (e.g., prediction of patients with status migrainosus destined to develop NDPH) may allow for more effective treatment.
KW - Intractable headache
KW - Migraine
KW - New daily persistent headache
KW - Refractory headache
KW - Status migrainosus
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U2 - 10.1007/s11910-019-0936-9
DO - 10.1007/s11910-019-0936-9
M3 - Review article
C2 - 30888529
AN - SCOPUS:85063226407
SN - 1528-4042
VL - 19
JO - Current neurology and neuroscience reports
JF - Current neurology and neuroscience reports
IS - 5
M1 - 21
ER -