title: [Treatment of prolonged migraine attack (status migrenosus)].
abstract: If a migraine attack takes more than 72 hours it is called status migrenosus (SM). The most important contributing factor in SM is prolonged excessive use of anti-migraine drugs. Before starting any treatments for SM, severe causes underlying the prolonged pain should be excluded. The cornerstones of pharmacological therapy for SM are parenterally administered anti-inflammatory drugs and triptans as well as valproate and dopamine antagonists. With regard to long-term prognosis, the recognition and treatment of medication overuse headache is essential.
authors.affiliation: HYKS, neurologian klinikka.
authors.forename: Ville
authors.initials: V
authors.lastname: Artto
authors.forename: Mikko
authors.initials: M
authors.lastname: Kallela
mesh_terms: D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D018492:Dopamine Antagonists / Q000008:administration & dosage; D004791:Enzyme Inhibitors / Q000008:administration & dosage; D006801:Humans; D008881:Migraine Disorders / Q000188:drug therapy*; D011379:Prognosis; D012307:Risk Factors; D014363:Tryptamines / Q000008:administration & dosage; D014635:Valproic Acid / Q000008:administration & dosage
chemical_list: D000893:Anti-Inflammatory Agents; D018492:Dopamine Antagonists; D004791:Enzyme Inhibitors; D014363:Tryptamines; D014635:Valproic Acid