Cargando…

Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review

Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are relatively rare but clinically rather well-defined primary headaches. Despite the existence of clear-cut diagnostic criteria (The International Classification of Headache Disorders, 2(nd) edition - ICHD-II) and several therape...

Descripción completa

Detalles Bibliográficos
Autores principales: Viana, Michele, Tassorelli, Cristina, Allena, Marta, Nappi, Giuseppe, Sjaastad, Ottar, Antonaci, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620440/
https://www.ncbi.nlm.nih.gov/pubmed/23565739
http://dx.doi.org/10.1186/1129-2377-14-14
_version_ 1782265597702176768
author Viana, Michele
Tassorelli, Cristina
Allena, Marta
Nappi, Giuseppe
Sjaastad, Ottar
Antonaci, Fabio
author_facet Viana, Michele
Tassorelli, Cristina
Allena, Marta
Nappi, Giuseppe
Sjaastad, Ottar
Antonaci, Fabio
author_sort Viana, Michele
collection PubMed
description Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are relatively rare but clinically rather well-defined primary headaches. Despite the existence of clear-cut diagnostic criteria (The International Classification of Headache Disorders, 2(nd) edition - ICHD-II) and several therapeutic guidelines, errors in workup and treatment of these conditions are frequent in clinical practice. We set out to review all available published data on mismanagement of TACs and HC patients in order to understand and avoid its causes. The search strategy identified 22 published studies. The most frequent errors described in the management of patients with TACs and HC are: referral to wrong type of specialist, diagnostic delay, misdiagnosis, and the use of treatments without overt indication. Migraine with and without aura, trigeminal neuralgia, sinus infection, dental pain and temporomandibular dysfunction are the disorders most frequently overdiagnosed. Even when the clinical picture is clear-cut, TACs and HC are frequently not recognized and/or mistaken for other disorders, not only by general physicians, dentists and ENT surgeons, but also by neurologists and headache specialists. This seems to be due to limited knowledge of the specific characteristics and variants of these disorders, and it results in the unnecessary prescription of ineffective and sometimes invasive treatments which may have negative consequences for patients. Greater knowledge of and education about these disorders, among both primary care physicians and headache specialists, might contribute to improving the quality of life of TACs and HC patients.
format Online
Article
Text
id pubmed-3620440
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Springer
record_format MEDLINE/PubMed
spelling pubmed-36204402013-04-11 Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review Viana, Michele Tassorelli, Cristina Allena, Marta Nappi, Giuseppe Sjaastad, Ottar Antonaci, Fabio J Headache Pain Review Article Trigeminal autonomic cephalalgias (TACs) and hemicrania continua (HC) are relatively rare but clinically rather well-defined primary headaches. Despite the existence of clear-cut diagnostic criteria (The International Classification of Headache Disorders, 2(nd) edition - ICHD-II) and several therapeutic guidelines, errors in workup and treatment of these conditions are frequent in clinical practice. We set out to review all available published data on mismanagement of TACs and HC patients in order to understand and avoid its causes. The search strategy identified 22 published studies. The most frequent errors described in the management of patients with TACs and HC are: referral to wrong type of specialist, diagnostic delay, misdiagnosis, and the use of treatments without overt indication. Migraine with and without aura, trigeminal neuralgia, sinus infection, dental pain and temporomandibular dysfunction are the disorders most frequently overdiagnosed. Even when the clinical picture is clear-cut, TACs and HC are frequently not recognized and/or mistaken for other disorders, not only by general physicians, dentists and ENT surgeons, but also by neurologists and headache specialists. This seems to be due to limited knowledge of the specific characteristics and variants of these disorders, and it results in the unnecessary prescription of ineffective and sometimes invasive treatments which may have negative consequences for patients. Greater knowledge of and education about these disorders, among both primary care physicians and headache specialists, might contribute to improving the quality of life of TACs and HC patients. Springer 2013 2013-02-18 /pmc/articles/PMC3620440/ /pubmed/23565739 http://dx.doi.org/10.1186/1129-2377-14-14 Text en Copyright ©2013 Viana et al.; licensee Springer. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Viana, Michele
Tassorelli, Cristina
Allena, Marta
Nappi, Giuseppe
Sjaastad, Ottar
Antonaci, Fabio
Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title_full Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title_fullStr Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title_full_unstemmed Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title_short Diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
title_sort diagnostic and therapeutic errors in trigeminal autonomic cephalalgias and hemicrania continua: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620440/
https://www.ncbi.nlm.nih.gov/pubmed/23565739
http://dx.doi.org/10.1186/1129-2377-14-14
work_keys_str_mv AT vianamichele diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview
AT tassorellicristina diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview
AT allenamarta diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview
AT nappigiuseppe diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview
AT sjaastadottar diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview
AT antonacifabio diagnosticandtherapeuticerrorsintrigeminalautonomiccephalalgiasandhemicraniacontinuaasystematicreview