[Prophylactic treatment with botulinum toxin type A].
Migraine is a common neurological disorder, characterized by recurrent attacks of severe headache. Its prevalence is estimated 8.4% of general population in Japan. Acute migraine treatment has dramatically improved with the development of a novel class of selective 5-HT1B/1D/1F receptor agonists, known as the triptans, but prophylactic treatment still remains limited. Botulinum toxin type A(BoNT-A) has recently been shown to be effective in randomized control trials, but no prospective study has been conducted yet in Japan. In this paper, we review the results of recently published controlled trials, touching on its methodology, optimal dose, patient selection, and possible mechanisms, as well as on going clinical trial in our university.
Suzuki
Kosuke
K
Department of Neurology, School of Medicine, Kitasato University.
Iizuka
Takahiro
T
Sakai
Fumihiko
F
D019274:Botulinum Toxins, Type A / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D008881:Migraine Disorders / Q000188:drug therapy / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic
D019274:Botulinum Toxins, Type A