*This program is subject to change Mushrooms are a good treatment for chronic cluster headache.
Capsule: Psilocybin, lysergic acid diethylamide, and related psychedelic trIptamines were reportedly effective for both preventive and acute treatment of cluster headache, but is there scientific evidence to recommend it to our patients? Host: Dimos Mitsikostas, Greece Yes: Brian E. McGeeney, USA No: Randall Weeks, USA Acupuncture is at least as effective as migraine prophylactic drugs, but with fewer unwanted side effects.
Capsule: In recent years the evidence base for acupuncture as a prophylactic treatment for headache has grown considerably due to the publication of several large trials of high quality, but the results are still challenging and not easy to interpret. Yes: Min Kyung Chu, South Korea Head injury can precipitate the onset of migraine.
Capsule: Post-traumatic headache may be nonspecific in character and may have a symptom pattern indistinguishable from other non-traumatic headache syndromes such as migraine with or without aura. Host: Manjit Matharu, UK Yes: Bert Vargas, USA No: Mark Braschinsky, Estonia Estrogen containing contraceptives are safe in women with migraine with aura.
Capsule: Migraine with aura has been associated with increased risk of ischemic and hemorrhagic stroke. Prior studies have shown a further increase in risk in women using combined hormonal contraceptives (CHCs). This has led to guidelines recommending against use of CHCs in this population. Recent data shows a lack of good quality studies assessing risk of stroke associated with low dose estrogen use in women with migraine. Yes: Anne MacGregor, UK No: Pooja Dassan, UK CGRP mAbs work in and around the trigeminal nucleus and other peripheral structures, not in the CNS.
Capsule: CGRP plays a crucial role in migraine pathophysiology. Monoclonal antibodies to CGRP or its receptor will replace tradition preventive therapies for Migraine. Yes: Lars Edvinsson, Sweden No: Anna Andreou, UK Vestibular migraine – does it exist?
Capsule: Vestibular migraine is a term used to describe episodic vertigo in migraine patients, but is it a distinct diagnosis, or simply a sensory manifestation of migraine? Host: Min Kyung Chu, South Korea No: Christian Lampl, Austria Correcting the derangement in sleep architecture is sufficient to treat cluster and migraine headache without medication.
Capsule: Migraineurs and cluster headache patients who do not sleep well develop more frequent and severe headaches. Would optimal sleep therapies ever be good enough to take the place of medication for the treatment of these headaches, or is sleep impairment just an epiphenomenon? Host: Jack Schim, USA No: Oved Daniel, Israel Devices will replace medications for the treatment of headache.
Capsule: Medical devices are a rapidly growing field in the headache disorders provides an alternative therapeutic option particularly for Migraine and Cluster Headache. Host: Anna Anrdreou, UK No: Giorgio Lambru, UK The safety and efficacy of CGRP mAbs are known enough to recommended them for long-term use.
Yes: Lars Edvinsson, Sweden The changing face of Medication-Overuse Headache
Alan Rapoport, USA