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Nervenheilkunde 2009; 28(06): 378-381
DOI: 10.1055/s-0038-1628646
DOI: 10.1055/s-0038-1628646
Thema zum Schwerpunkt
Komorbiditäten bei chronischen Kopfschmerzen
Theorie und Praxis Artikel in mehreren Sprachen: deutsch | EnglishWeitere Informationen
Publikationsverlauf
eingegangen am:
30. September 2008
angenommen am:
14. Oktober 2008
Publikationsdatum:
24. Januar 2018 (online)
Zusammenfassung
Die Migräne und andere chronisch verlaufende Kopfschmerzleiden weisen verschiedene Komorbiditäten auf. Bei Migränepatienten werden überzufällig häufig unspezifische kleine Läsionen im Marklager, ischämische Läsionen in der hinteren Strombahn oder ein persistierendes Foramen ovale nachgewiesen. Der pathophysiologische Stellenwert dieser Befunde ist bislang nicht geklärt. Für die Diagnostik oder Therapie von Migränepatienten ergeben sich hieraus keine Konsequenzen. Es gibt dagegen gute Evidenz dafür, dass Angsterkrankungen, Depressionen und möglicherweise auch Persönlichkeitsstörungen nicht nur gehäuft bei chronischen Kopfschmerzen auftreten, sondern auch bei deren Chronifizierung eine Schlüsselrolle spielen. Erste vorläufige Daten aus der Integrierten Versorgung Kopfschmerz Berlin geben einen Einblick in deren Versorgungsstrukturen und den Outcome einer multimodalen Therapie chronischer Kopfschmerzpatienten.
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