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In the Clinic |

Migraine

E. Ann McGregor, MB, MD
Ann Intern Med. 2013;159(9):ITC5-1. doi:10.7326/0003-4819-159-9-201311050-01005
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More than 90% of patients who have recurrent headache on presentation to primary care offices or emergency departments have migraine. Migraine affects approximately 13% of adults in the United States and is associated with high socioeconomic and personal impact. In the Global Burden of Disease Survey 2010, it was ranked as the third most prevalent disorder and seventh-highest specific cause of disability worldwide.

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Figure 1.

Attack treatment. DHE = dihydroergotamine; IM = intramuscular; IN = intranasal; IV = intravenous; NS = nasal spray; NSAIDs = non-steroidal anti-inflammatory drugs; PR = per rectum; SC = subcutaneous.

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