Management of migraine headache in the emergency department.
Headache is one of the more common reasons for adults to visit an emergency department. Most of these visits are for primary headache disorders, most commonly migraine headache. The authors discuss management options for patients presenting to the emergency department with prolonged, severe, or refractory migraine headaches. Particular attention is given to parenteral treatments and protocols that would not be options as an outpatient. The epidemiology, investigation, and outpatient management of migraine headache are discussed in other articles in this issue.
Robertson
Carrie E
CE
Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Black
David F
DF
Swanson
Jerry W
JW
D000698:Analgesia / Q000379:methods*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D015740:Calcitonin Gene-Related Peptide / Q000037:antagonists & inhibitors; D018492:Dopamine Antagonists / Q000627:therapeutic use; D004632:Emergency Medical Services / Q000379:methods* / Q000592:standards; D004878:Ergotamine / Q000819:agonists / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000494:pharmacology; D008881:Migraine Disorders / Q000188:drug therapy* / Q000378:metabolism / Q000503:physiopathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy / Q000503:physiopathology; D014363:Tryptamines / Q000627:therapeutic use
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000927:Anticonvulsants; D014150:Antipsychotic Agents; D018492:Dopamine Antagonists; D014363:Tryptamines; D008278:Magnesium Sulfate; D015740:Calcitonin Gene-Related Peptide; D004878:Ergotamine