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OnabotulinumtoxinA for hemicrania continua: open label experience in 9 patients

dc.contributor.authorMiller, S.
dc.contributor.authorCorreia, F.
dc.contributor.authorLagrata, S.
dc.contributor.authorMatharu, M.
dc.date.accessioned2016-07-26T11:07:06Z
dc.date.available2016-07-26T11:07:06Z
dc.date.issued2015
dc.description.abstractBACKGROUND: Hemicrania continua is a strictly unilateral, continuous headache, typically mild to moderate in severity, with severe exacerbations commonly accompanied by cranial autonomic features and migrainous symptoms. It is exquisitely responsive to Indomethacin. However, some patients cannot tolerate treatment, often due to gastrointestinal side effects. Therapeutic alternatives are limited and controlled evidence lacking. METHODS: We present our experience of nine patients treated with OnabotulinumtoxinA for hemicrania continua. All patients were injected using the PREEMPT (Phase 3 REsearch Evaluating Migraine Prophylaxis Therapy) protocol for migraine. RESULTS: Five of nine patients demonstrated a 50% or more reduction in moderate to severe headache days with OnabotulinumtoxinA with a median reduction in moderate to severe headache days of 80%. Patient estimate of response was 80% or more in five subjects. The median and mean duration of response in the five responders was 11 and 12 weeks (range 6-20 weeks). Improvements were also seen in headache-associated disability CONCLUSIONS: OnabotulinumtoxinA adds a potential option to the limited therapeutic alternatives available in hemicrania continua.pt_PT
dc.identifier.citationMiller et al. The Journal of Headache and Pain (2015) 16:19pt_PT
dc.identifier.doi10.1186/s10194-015-0502-zpt_PT
dc.identifier.issn1129-2369
dc.identifier.urihttp://hdl.handle.net/10400.16/1969
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlagpt_PT
dc.relation.publisherversionhttp://download.springer.com/static/pdf/522/art%253A10.1186%252Fs10194-015-0502-z.pdf?originUrl=http%3A%2F%2Fthejournalofheadacheandpain.springeropen.com%2Farticle%2F10.1186%2Fs10194-015-0502-z&token2=exp=1469530235~acl=%2Fstatic%2Fpdf%2F522%2Fart%25253A10.1186%25252Fs10194-015-0502-z.pdf*~hmac=489b7348decfe9820819d0de38d8787ef6e5595e17d57fb9182f2cc29223788ept_PT
dc.subjectBotulinum toxin-Apt_PT
dc.subjectHemicrania continuapt_PT
dc.subjectTreatmentpt_PT
dc.subjectIndomethacinpt_PT
dc.titleOnabotulinumtoxinA for hemicrania continua: open label experience in 9 patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceItalypt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage19pt_PT
oaire.citation.titleThe journal of headache and painpt_PT
oaire.citation.volume16pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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