The Hospital Management of Severe Migrainous Headache
Article first published online: 20 MAY 2005
Headache: The Journal of Head and Face Pain
Volume 31, Issue 10, pages 658–660, November 1991
How to Cite
Jauslin, P., Goadsby, P.J. and Lance, J.W. (1991), The Hospital Management of Severe Migrainous Headache. Headache: The Journal of Head and Face Pain, 31: 658–660. doi: 10.1111/j.1526-4610.1991.hed3110658.x
- Issue published online: 20 MAY 2005
- Article first published online: 20 MAY 2005
- Accepted for Publication: November 1, 1991.
- Cited By
- status migrainosus;
In a two year period, 47 patients with migraine were hospitalized for the management of severe headache; 18 had acute migraine (duration less than 72 hours), 17 had status migrainosus (duration by definition more than 72 hours), and 12 had chronic daily headaches qualitatively of a migraine type. Treatment in all comprised cessation of all previous medication, plus one of the following: intravenous DHE, intravenous lidocaine, a combination of lidocaine + DHE, or subcutaneous sumatriptan. Improvement from DHE, lidocaine, or both was slow and often incomplete. Sumatriptan was not used in patients with chronic daily headaches; in the 8 cases of acute migraine or status migrainosus in which it was used, improvement was rapid and complete in seven.