Riporto su questo Post le attuali Linee Guida Europee (EFNS) per la Cefalea a Grappolo.
BIBLIOGRAPHIC SOURCE
May A, Leone M, Afra J, Linde M, Sandor PS, Evers S, Goadsby PJ,
EFSN Task Force, EFNS guidelines on the treatment of Cluster Headache
and other trigeminalautonomic cephalalgias.
Eur J Neurol 2006 Oct; 13(10):1066-77. (Date Modified:11/10/2008).
METHOD OF GUIDELINE VALIDATION
Peer Review
DESCRIPTION OF METHOD OF GUIDELINE VALIDATION
The guidelines were validated according to the European Federation of Neurological Societies (EFNS) criteria (see "Availability of Companion Documents" field).
RECOMMENDATIONS
MAJOR RECOMMENDATIONS
The levels of evidence (class I-IV) supporting the recommendations and ratings of recommendations (A-C, good practice point) are defined at the end of the "Major Recommendations" field. Table 5.
Treatment Recommendations for Cluster Headache,
Treatment of Choice
Therapy
Cluster Headache
Acute
100% oxygen, 15 l/min (A)
Sumatriptan 6 mg, subcutaneous (A)
Sumatriptan 20 mg nasal (A)
Zolmitriptan 5 mg nasal (A/B)
Zolmitriptan 10 mg nasal (A/B)
Zolmitriptan 10 mg oral (B)
Zolmitriptan 5 mg oral (B)
Lidocaine intranasal (B)
Octreotide (B)
Preventative
Verapamil (A)
Steroids (A)
Lithium carbonate (B)
Methysergide (B)
Topiramate (B)
Ergotamine tartrate (B)
Valproic acid (C)
Melatonin (C)
Baclofen (C)
Peace & Love
DON
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