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Calcium Channel Blockers in the Prophylactic Treatment of Vascular Headache

JOHN STIRLING MEYER, M.D.
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Baylor College of Medicine; Houston, Texas


Ann Intern Med. 1985;102(3):395-397. doi:10.7326/0003-4819-102-3-395
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Providing effective therapy for patients with vascular headaches, which affect 10% to 20% of the population in the United States, constitutes a major problem confronting internists (1). The term vascular headache does not include patients with head pain related to chronic muscle contraction or tension, which is another common but less disabling problem. Both forms of headache often coexist, and this condition is termed combined or mixed headache.

Vascular headaches may be divided into three major diagnostic categories: classic migraine, common migraine, and cluster headache (2). Classic migraine is characterized by prodromal symptoms with transient neurologic deficits. These temporary symptoms

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