Neurol. pro Praxi, 2004; 2: 79-83

Migréna – nová mezinárodní klasifikace a moderní léčebné postupy

MUDr. Jiří Mastík
Neurologická klinika LF MU a FN u sv. Anny, Brno

Keywords: migréna, etiopatogeneza migrény, trigeminovaskulární komplex, klasifikace bolestí hlavy, profylaktická kúra, triptany.

Published: December 31, 2004  Show citation

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Mastík J. Migréna – nová mezinárodní klasifikace a moderní léčebné postupy. Neurol. praxi. 2004;7(2):79-83.

Migréna představuje odedávna závažný medicínský, ale i socioekonomický problém. Názory na etiopatogenezu migrény se postupně vyvíjejí a doplňují. V současné době se uznává komplexní neurogenní teorie s aktivací trigeminovaskulárního komplexu. V září 2003 byla zveřejněna nová Mezinárodní klasifikace bolestí hlavy. V práci jsou podrobně diskutována diag­nostická kritéria jednotlivých typů migrény. Strategie moderní léčby migrény využívá kombinace vhodné profylaktické kúry, která má zajistit 50% redukci migrenózních záchvatů, a účinné akutní léčby včetně skupiny specifických antimigrenik, triptanů, kterou přeléčíme zbývající ataky.

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