,
,
,
,
severity dependance scale" ,
Quel(s) traitement(s) prophylactique médicamenteux ,
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2.b.Le suivi après sevrage par le médecin généraliste ,
1.b.Un programme d'éducation thérapeutique peut être mis en place ,
Difficultés pour le médecin généraliste à la réalisation d'un diagnostic ,
Need for Analgesics/drugs of Abuse: A Comparison Between Headache Patients and Addicts by the Leeds Dependence Questionnaire (LDQ), Les seuils sont : ? <10 : faible dépendance ? 10-22 : dépendance intermédiaire ? >22 : dépendance importante source, vol.26, pp.187-93, 2006. ,
, Migraine chronique selon les critères IHS: (ICHD ?3)
Céphalée présente au moins 15 jours par mois depuis au moins 3 mois B. Céphalée survenant chez un patient ayant présenté au préalable au moins 5 crises de migraines avec ou sans aura C. Céphalée présente au moins 8 jours par mois et répondant aux critères C et D de la migraine sans aura ou aux critères B et C de la migraine avec aura et/ou répondant à un traitement ,
, Céphalée de tension chronique selon les critères IHS: (ICHD ?3)
Céphalée présente au moins 15 jours par mois depuis au moins 3 mois B. Céphalée durant des heures ou jours ou continue C. Au moins 2 caractéristiques suivantes: 1. localisation bilatérale 2 ,
, non aggravée par les activités physiques de routine D. Présence des deux éléments suivant: 1.pas plus d'un élément : photophobie
, Hemicrania Continua selon les critères IHS: (ICHD ?3)
Présente depuis au moins 3 mois avec des exacerbations avec intensité modérée à plus importante C ,
, Au moins un des symptomes ou signes suivant ipsilatéral à la céphalée: a. Larmoiement et/ou injection conjonctivale b. Congestion nasale et/ou rhinorrhée c. Oedème palpébral d. Sueur du front et du visage e. Rougeur du front et de la face f
, Céphalée chronique de novo selon les critères IHS: A. Céphalée persistante répondant aux critères B et C B. Début distinct et clairement mémorisé, avec une douleur devenant continue et sans rémission en 24h C.Présente depuis au moins 3 mois D. Céphalée non attribuable à une autre cause BIBLIOGRAPHIE : 1. Boes CJ, Capobianco DJ. Chronic migraine and medication-overuse headache through the ages, Cephalalgia, vol.25, issue.5, pp.378-390, 2005.
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