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Migrene

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
En primær, episodisk eller kronisk hodepine ofte kombinert med ulike nevrologiske, gastrointestinale og autonome forandringer. Migrene er en nevrologisk sykdom
Forekomst:
Ettårsprevalens av migrene er ca. 15%, dobbelt så hyppig hos kvinner som hos menn
Symptomer:
Symptomene er oftest intens hodepine med lys- og lydømfintlighet , medtatt/påvirket allmenntilistand og kvalme/oppkast som varer mellom 4 og 72 timer, med eller uten aura
Funn:
Vanligvis er det ingen kliniske funn
Diagnostikk:
KLM-symptomer (kvalme, lysskyhet og medtatthet) gir høy sannsynlighet for at hodepine er migrene. Diagnosen stilles ved oppfyllelse av ICHD-3 diagnosekriterier. Bildediagnostikk er svært sjelden indisert
Behandling:
Behandlingen er enkle analgetika eller triptaner ved anfall. Forebyggende behandling ved hyppige eller intense plager.
  • Nasjonal kompetansetjeneste for hodepine - nettside 
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  • Mattias Linde, professor, overlege nevrologi, Norsk Senter for Hodepineforskning (NorHEAD), Institutt for nevromedisin, NTNU
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Espen Dietrichs, professor og avdelingsoverlege, Universitetet i Oslo og Nevrologisk avdeling, Rikshospitalet, Oslo
  • John-Anker Zwart, overlege - stipendiat, Det medisinske fakultet, Norges teknisk-naturvitenskapelige universitet, Trondheim