Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press12110.17650/2222-8721-2015-5-3-31-36LECTURES AND REVIEWSЛЕКЦИИ И ОБЗОРЫPractical issues of management of patients with chronic migraine. Recommendations from Russian expertsПрактические вопросы ведения пациентов с хронической мигренью. Рекомендации российских экспертовLatyshevaN. V.ЛатышеваН. В.
Russian Federation
ninalat@gmail.comFilatovaE. G.ФилатоваЕ. Г.
Russian Federation
TabeevaG. R.ТабееваГ. Р.
Russian Federation
OsipovaV. V.ОсиповаВ. В.
Russian Federation
ArtemenkoA. R.АртеменкоА. Р.
Russian Federation
TarasovaS. V.ТарасоваС. В.
Russian Federation
AzimovaY. E.АзимоваЮ. Э.
Russian Federation
KatsaravaZ.КацараваЗ.
Russian Federation
SBEI HPE “I.M. Sechenov First Moscow State Medical University” of the Ministry of Health of RussiaГБОУ ВПО «Первый Московский государственный медицинский университет им. И. М. Сеченова» Минздрава России4 bldg, 2 B. Pirogovskaya St., Moscow, 119991, Russia Alexander Vein’s Headache ClinicРоссия, 119991, Москва, ул. Б. Пироговская, 2, стр. 4 Клиника головной боли академика Александра Вейна10b Staropetrovsky proezd, Moscow, 125130, RussiaРоссия, 125130, Москва, Старопетровский пр-д, 10б4 bldg, 2 B. Pirogovskaya St., Moscow, 119991, RussiaРоссия, 119991, Москва, ул. Б. Пироговская, 2, стр. 4V.D. Seredavin Samara Regional Clinical HospitalСамарская областная клиническая больница им. В. Д. Середавина159 Tashkentskaya St., Samara, 443095, RussiaРоссия, 443095, Самара, ул. Ташкентская, 159University Headache ClinicУниверситетская клиника головной боли3 Bldg, 17 Protopopovsky per., Moscow, 129090, RussiaРоссия, 129090, Москва, Протопоповский пер., 17, стр. 3Department of Neurology, Unna Evangelic Hospitalотделение неврологии Евангелической больницы г. Унна10 Holbeinstrasse, Unna, 59423, GermanyГермания, 59423, Унна, Holbeinstrasse, 10210920155331362109201521092015Copyright ©; 2015, Latysheva N.V., Filatova E.G., Tabeeva G.R., Osipova V.V., Artemenko A.R., Tarasova S.V., Azimova Y.E., Katsarava Z.Copyright ©; 2015, Латышева Н.В., Филатова Е.Г., Табеева Г.Р., Осипова В.В., Артеменко А.Р., Тарасова С.В., Азимова Ю.Э., Кацарава З.2015Latysheva N.V., Filatova E.G., Tabeeva G.R., Osipova V.V., Artemenko A.R., Tarasova S.V., Azimova Y.E., Katsarava Z.Латышева Н.В., Филатова Е.Г., Табеева Г.Р., Осипова В.В., Артеменко А.Р., Тарасова С.В., Азимова Ю.Э., Кацарава З.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/121

The world medicine has achieved considerable advances over the last years in understanding of causes and pathogenesis as well as in specification of diagnostics criteria and studies of therapeutic approaches at chronic migraine (CM). Meantime this widespread disease is badly recognized by the physicians and diagnosed seldom. In addition, there is no generally accepted document, regulating the treatment of patients with CM, who are peculiar by their express deadaptation due to high frequency of severe attacks of the headache (HA), co-morbid psychic and somatic disorders, frequent abuse of analgetic drugs and low adherence to preventive therapy. The specialists of our country, like in other countries, gained their own unique expertise in management of such patients, who are hard to cure, including by botulinum A toxin – representative of the state-of-the-art generation of the registered drugs with the proven efficiency against CM. The article sets out the Recommendation from the Russian specialists as to management of the patients with CM, approved by the meeting of CM Expert Board (on November 12, 2014, Moscow), including with respect to time of treatment, rules of withdrawal and replacement of drugs and some other features, in compliance with modern world concepts on pathogenesis and treatment of such disease and expertise gained in managing patientswith CM in our country.

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