Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache

Stefan EversDepartment of Neurology, University of Münster, Münster, GermanyAbstract: Botulinum toxin A is increasingly used in the treatment of idiopathic and symptomatic headache disorders. However, only few controlled trials are available and many trials can hardly be co...

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Autor principal: Stefan Evers
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Lenguaje:EN
Publicado: Dove Medical Press 2007
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spelling oai:doaj.org-article:6cdba5a938434a199a8041bd15a8efbf2021-12-02T06:27:22ZReview of botulinum toxin type A for the prophylactic treatment of chronic daily headache1176-63281178-2021https://doaj.org/article/6cdba5a938434a199a8041bd15a8efbf2007-05-01T00:00:00Zhttp://www.dovepress.com/review-of-botulinum-toxin-type-a-for-the-prophylactic-treatment-of-chr-a981https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Stefan EversDepartment of Neurology, University of Münster, Münster, GermanyAbstract: Botulinum toxin A is increasingly used in the treatment of idiopathic and symptomatic headache disorders. However, only few controlled trials are available and many trials can hardly be compared to each other because of different endpoints and different trial designs. In particular chronic daily headache, which is defined as an idiopathic headache occurring on more than 15 days per month for at least 3 months and a daily duration of at least 4 hours, is considered as a headache disorder with possible efficacy of botulinum toxin A. For the prophylactic treatment of chronic tension-type headache and chronic migraine, no sufficient positive evidence for a successful treatment can be obtained from randomized, double-blind, and placebo-controlled trials to date. For the treatment of chronic daily headache including medication overuse headache, there is some positive evidence for efficacy in a subgroup of patients. To date, the majority of double-blind and placebo-controlled studies do not suggest that botulinum toxin A is efficacious in the treatment of chronic idiopathic headache disorders. However, it is possible that some subgroups of patients with chronic daily headache will benefit from a long-term treatment with botulinum toxin A.Keywords: botulinum toxin A, chronic daily headache, chronic tension-type headache, chronic migraine Stefan EversDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2007, Iss Issue 6, Pp 761-764 (2007)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Stefan Evers
Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
description Stefan EversDepartment of Neurology, University of Münster, Münster, GermanyAbstract: Botulinum toxin A is increasingly used in the treatment of idiopathic and symptomatic headache disorders. However, only few controlled trials are available and many trials can hardly be compared to each other because of different endpoints and different trial designs. In particular chronic daily headache, which is defined as an idiopathic headache occurring on more than 15 days per month for at least 3 months and a daily duration of at least 4 hours, is considered as a headache disorder with possible efficacy of botulinum toxin A. For the prophylactic treatment of chronic tension-type headache and chronic migraine, no sufficient positive evidence for a successful treatment can be obtained from randomized, double-blind, and placebo-controlled trials to date. For the treatment of chronic daily headache including medication overuse headache, there is some positive evidence for efficacy in a subgroup of patients. To date, the majority of double-blind and placebo-controlled studies do not suggest that botulinum toxin A is efficacious in the treatment of chronic idiopathic headache disorders. However, it is possible that some subgroups of patients with chronic daily headache will benefit from a long-term treatment with botulinum toxin A.Keywords: botulinum toxin A, chronic daily headache, chronic tension-type headache, chronic migraine
format article
author Stefan Evers
author_facet Stefan Evers
author_sort Stefan Evers
title Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
title_short Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
title_full Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
title_fullStr Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
title_full_unstemmed Review of botulinum toxin type A for the prophylactic treatment of chronic daily headache
title_sort review of botulinum toxin type a for the prophylactic treatment of chronic daily headache
publisher Dove Medical Press
publishDate 2007
url https://doaj.org/article/6cdba5a938434a199a8041bd15a8efbf
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