• Headache · Nov 1991

    The hospital management of severe migrainous headache.

    • P Jauslin, P J Goadsby, and J W Lance.
    • Institute of Neurological Sciences, Prince Henry Hospital, Sydney, Australia.
    • Headache. 1991 Nov 1; 31 (10): 658-60.

    AbstractIn a two year period, 47 patients with migraine were hospitalized for the management of severe headache; 18 had acute migraine (duration less than 72 hours), 17 had status migrainosus (duration by definition more than 72 hours), and 12 had chronic daily headaches qualitatively of a migraine type. Treatment in all comprised cessation of all previous medication, plus one of the following: intravenous DHE, intravenous lidocaine, a combination of lidocaine + DHE, or subcutaneous sumatriptan. Improvement from DHE, lidocaine, or both was slow and often incomplete. Sumatriptan was not used in patients with chronic daily headaches; in the 8 cases of acute migraine or status migrainosus in which it was used, improvement was rapid and complete in seven.

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