title: Chronic migraine: diagnosis and management strategy.
abstract: The case presented underscores the complexities encountered in diagnosing and managing patients with a long-standing history of headache and some of the difficulties in classifying patients according to the new International Headache Society (IHS) criteria. A 42-year-old nurse with 4 children whose headaches began at age 24 years developed continuous headaches of varying intensity, regularly so debilitating that she was unable to get out of bed and occasionally so disabling that she required an injection of meperidine from her physician. Management strategies are presented and the revised IHS criteria are discussed.
authors.affiliation: Department of Neurology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Silberstein
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage* / Q000009:adverse effects*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000139:chemically induced / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000700:Analgesics