Chronic migraine is a condition which is both prevalent and disabling,
and which has a great impact on society as a whole. The accurate diagnosis,
workup, and treatment of a migraine requires a multidisciplinary approach,
involving primary care physicians, neurologists, pain management specialists,
mental health specialists, alternative medicine practitioners, and surgeons.
Across the spectrum of migraine patients, the most challenging are those
deemed refractory to conventional therapy. These patients may be surgical
candidates, and are best served in a multidisciplinary, patient-centered
model of migraine care.
Migraine Surgery should serve as a reference to any practitioner dealing
with the migraine patient. The fundamentals of migraine diagnosis and
workup are reviewed, in addition to conventional therapies. We review
the medical optimization of the migraine patient, and establish what it
means to have an intractable migraine. We discuss the role of the allied
health professions in the management of chronic migraines, with chapters
on psychological considerations, complementary medical management, and
exercise. Furthermore, the standard interventional treatment of migraines
is presented, in addition to surgical therapies, with an emphasis on patient
selection, surgical technique, and complication avoidance.