Improving Continuous Headache Disorders

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Key Questions
  • What is intractable migraine or status migrainosus?
  • What is refractory migraine?
  • What is resistant or difficult-to-treat migraine?
  • After having a continuous migraine for over six months, is there still hope of becoming pain-free?
  • What are interictal symptoms?
  • How can patients confirm their headaches were correctly diagnosed?  When is it time to see a headache specialist?
  • What is cluster headache or chronic cluster headache?
  • What is hemicrania continua?
  • What is new daily persistent headache (NDPH)?
  • What is CSF leak (cerebrospinal fluid leak), and how is it diagnosed?
  • What is a postural headache?
  • What is high-pressure headache (idiopathic intracranial hypertension, or IIH), and how is it diagnosed?
  • What are some treatments for high- or low-pressure headaches?
  • What steps can a patient take to ensure proper treatment and diagnosis of a continuous headache?
  • Should a patient with continuous headache be concerned about medication overuse headache (MOH)?
  • How can overuse of acute medications change the efficacy of preventive treatments?
  • How does medication withdrawal cause morning headaches?
  • Can medication use for conditions unrelated to migraine (such as arthritis) contribute to MOH or chronic migraine?
  • Can continuous headache arise from an autoimmune condition?
Interview Notes
Treatments Mentioned
  • Acetaminophen (Tylenol)
  • Diuretics
  • Epidural blood patch
  • Ibuprofen
  • NSAIDs
  • Opioids
  • Shunts
  • Topiramate (Topamax)
  • Triptans

Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.

Teshamae Monteith, MD

Associate Professor of Clinical Neurology
University of Miami, Miller School of Medicine

Dr. Teshamae Monteith is an associate professor of clinical neurology at the University of Miami, Miller School of Medicine. She is the chief of the headache division and the program director for the United Council of Neurologic Subspecialties (UCNS) Headache Medicine fellowship program.

Dr. Monteith serves on the editorial board for the American Migraine Foundation and the American Academy of Neurology’s (AAN) Brain & Life magazine. She also serves on the AAN’s Diversity Officers Subcommittee and the American Neurological Association’s Addressing the Pipeline for Academic Neurology Leadership Workgroup. She also is chair of the Headache Topic Committee for the 2022 AAN Annual Meeting Scientific Program abstract review process.

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