Abstract

GUERRA, Carolina  and  HERNANDEZ, Natalia. The patient with a migraine status in emergency department that does not respond to the initial management. Acta Neurol Colomb. [online]. 2020, vol.36, n.4, suppl.1, pp.6-9.  Epub May 14, 2021. ISSN 0120-8748.  https://doi.org/10.22379/24224022309.

Management of the patient with status migrainosus in the emergency department includes a multimodal therapeutic arsenal seeking to improve pain and to reduce recurrence; the majority of patients respond to enhanced initial management, but in non-negligible cases this result is not obtained with first-line medications and the use of other medications and therapeutic options is necessary, including: pericranial blocks, lidocaine, levetiracetam, propofol and in selected cases the use of opioids. In this review we present a clinical case of migraine that does not improve in the initial management in the emergency department and requires the use of other options for management.

Keywords : emergency; migraine (MeSH).

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