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Diagnosis and Management of Patients with Migraines and Other Headaches

Takeshima T

Brain and nerve = Shinkei kenkyu no shinpo, 2026

Abstract

Headache is one of the most common complaints encountered by neurologists. Therefore, it is important to rule out secondary headaches and correctly diagnose primary headaches, particularly migraines. The key features for the diagnosis of migraine are disturbances in daily life, aggravation due to physical movement, nausea, and light sensitivity. CGRP-related antibodies and CGRP-receptor antagonists have been introduced in Japan. These new medications have drastically improved migraine management outcomes. Appropriate diagnosis of migraine is essential to achieve optimal treatment. Cluster headache and related diseases are classified as trigeminal autonomic cephalalgias (TACs).

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