Sede Azogues - Medicina

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Abordaje sobre migraña. Revisión sistemática
(Universidad Católica de Cuenca., 2023) Alvarez Naspud, Nathaly Mariana; Torres Criollo, Larry Miguel; 0302198957; ., .
Introduction: Migraine is part of the primary headaches; it is a disease that causes functional limitations. Due to the pain caused by the crisis, the diagnosis is only clinical, determined by the physician through clinical history; the treatment should be individualized, which means it differs from one patient to another. Objective: To analyze the information on migraines via a systematic review, considering diagnostic criteria, treatment, and complications. Method: A systematic review was conducted using the PRISMA 2020 guide; information was obtained from PubMed, Scopus, Science Direct, SciELO, and Redalyc databases; articles were selected based on the application of inclusion and exclusion criteria, considering Q1 - Q4 quartiles, in addition to Oxford evidence levels and according to methodological quality using the PEDro scale. Results: Once analyzing the scientific articles, it is established that palpitations occur in 56.6%, being the primary extracranial autonomic symptom that precedes migraine patients. Triptans are the preferred treatment choice, with sumatriptan estimated as the first-line drug. Migraine with aura exposes patients to migrainous infarction, the most frequent complication of this condition.