Acil serviste akut migren yönetimi

Abstract

Baş ağrısı, acil servise en sık başvurulan nörolojik şikâyetlerden biridir. Farklı çalışmalara göre acil servise non-travmatik baş ağrısı şikâyeti ile başvuran hastaların oranı %0.5-4.5 arasındadır. Baş ağrısı ile başvuran hastaların çoğu (%22-55) benign primer baş ağrısıdır. Primer benign baş ağrılarının arasında en sık acil servise başvuru nedeni migren baş ağrısıdır. Migren, en fazla genç yaşlarda olmak üzere tüm yaş gruplarında görülebilmektedir. Erkek/ kadın oranı 1/3 olup prevalansının erkeklerde %5, kadınlarda ise %15-17 olduğu tahmin edilmektedir. Dünya Sağlık Örgütüne göre, sık görülen ve işlevsellik kaybı açısından migren atakları kadınlarda beşinci, erkeklerde ise ilk yirmi hastalık arasında yer almaktadır. Bu nedenle acil serviste migren ataklarının yönetilmesi ve doğru bir şekilde tedavi edilmesi oldukça önemlidir. Bu konu ile ilgili daha önce yapılan derlemeler incelendiğinde, çoğunun oldukça uzun ve detaylı olması nedeniyle acil hekimleri için uygulanabilir olmayabileceği düşünülmüştür.
Bu derlemede acil serviste çalışan hekimlere son bilimsel kılavuzlara dayalı akut migren yönetimi ile ilgili yeterli bilgi verilmesi amaçlanmıştır.

Keywords

• Migren
• atak tedavisi
• migren tedavisi

Acute migraine management in the emergency department

Abstract

Headache is one of the most common neurological complaints admitted to emergency deprtment (ED). In different studies, the proportion of patients admitted to the emergency room due to nontraumatic headache is around 0.5-4.5%. Most of the patients with headache (22-55%) are benign primary headaches. Among primary headaches, migraine is the most common reason for admission to the emergency department. As can be seen in all ages, it usually occurs at a young age. The male to female ratio is 3: 1 and its prevalence is estimated to be 5% in men and 15-17% in women. According to WHO's list of common diseases, loss of functionality and disability, migraine attacks are in the fifth place in women and among the first twenty diseases in men. Therefore, it is very important to manage migraine attacks in the emergency room. When we look at the previous reviews on this subject, we can deduce that they are not always appropriate for emergency physicians, since most of the articles are quite long and detailed.
Our aim in this review is to give enough information in the light of current information about migraine headache that emergency physicians will need.

Keywords

• Migraine
• attack treatment
• migraine treatments

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