Danish Headache Center, Department of Neurology, Rigshospitalet-Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Valdemar Hansen Vej 5, 2600, Glostrup, Denmark.
Department of Neurology, Odense University Hospital, Odense, Denmark.
J Headache Pain. 2021 Apr 8;22(1):22. doi: 10.1186/s10194-021-01228-4.
Headache and facial pain are among the most common, disabling and costly diseases in Europe, which demands for high quality health care on all levels within the health system. The role of the Danish Headache Society is to educate and advocate for the needs of patients with headache and facial pain. Therefore, the Danish Headache Society has launched a third version of the guideline for the diagnosis, organization and treatment of the most common types of headaches and facial pain in Denmark. The second edition was published in Danish in 2010 and has been a great success, but as new knowledge and treatments have emerged it was timely to revise the guideline. The recommendations for the primary headaches and facial pain are largely in accordance with the European guidelines produced by the European Academy of Neurology. The guideline should be used a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organized in Denmark. This description is followed by sections on the characteristics, diagnosis and treatment of each of the most common primary and secondary headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular challenges regarding migraine and female hormones as well as headache in children are addressed.
头痛和面部疼痛是欧洲最常见、致残和昂贵的疾病之一,这就要求在卫生系统的各个层面上提供高质量的医疗保健。丹麦头痛学会的作用是教育和倡导头痛和面部疼痛患者的需求。因此,丹麦头痛学会发布了丹麦第三版常见头痛和面部疼痛诊断、组织和治疗指南。第二版于 2010 年以丹麦语出版,取得了巨大成功,但随着新知识和治疗方法的出现,及时修订该指南非常重要。原发性头痛和面部疼痛的建议与欧洲神经病学学会制定的欧洲指南基本一致。该指南应作为初级保健医生、对头痛有共同兴趣的神经科医生以及治疗头痛患者的其他卫生保健专业人员日常临床实践的实用工具。该指南首先描述了如何检查和诊断头痛患者,以及丹麦的头痛治疗如何组织。接下来的部分介绍了最常见的原发性和继发性头痛障碍以及三叉神经痛的特征、诊断和治疗。该指南包括许多表格,以方便快速浏览。最后,还讨论了偏头痛和女性激素以及儿童头痛的特殊挑战。