Headache Management in Portugal: Consensus among the Portuguese Headache and Neurology Societies, the Portuguese Association of General and Family Medicine, and MiGRA

Authors

  • Raquel Gil-Gouveia Centro de Cefaleias. Hospital da Luz. Lisboa. Portugal; Centro de Investigação Interdisciplinar em Saúde. Universidade Católica Portuguesa. Lisboa. Portugal.
  • Elsa Parreira Centro de Cefaleias. Hospital da Luz. Lisboa. Portugal; Consulta de Cefaleias. Hospital Professor Doutor Fernando da Fonseca. Unidade Local de Saúde Amadora/Sintra. Amadora. Portugal.
  • Isabel Pavão Martins Consulta de Cefaleias. Serviço de Neurologia. Unidade Local de Saúde de Santa Maria. Lisboa. Portugal; Centro de Estudos Egas Moniz. Faculdade Medicina. Universidade de Lisboa. Lisboa. Portugal.
  • Isabel Luzeiro Sociedade Portuguesa de Neurologia. Matosinhos. Portugal; Centro de Cefaleias. Serviço de Neurologia. Unidade Local de Saúde de Coimbra. Coimbra. Portugal; Escola Superior de Tecnologias da Saúde. Instituto Politécnico de Coimbra. Coimbra. Portugal.
  • Raúl Marques Pereira Unidade Local Saúde do Alto Minho. Braga. Portugal; Escola Medicina. Universidade do Minho. Braga. Portugal; Grupo de Estudos de Dor. Associação Portuguesa de Medicina Geral e Familiar. Lisboa. Portugal.
  • Madalena Plácido Comprehensive Health Research Center. Centro de Investigação em Saúde Pública. Escola Nacional de Saúde Pública. Universidade NOVA de Lisboa. Lisboa. Portugal; MiGRA Portugal – Associação Portuguesa de Doentes com Enxaqueca e Cefaleias. Lisboa. Portugal.
  • Filipe Palavra Sociedade Portuguesa de Cefaleias. Lisboa. Portugal; Centro de Desenvolvimento da Criança – Neuropediatria. Hospital Pediátrico. Unidade Local de Saúde de Coimbra. Coimbra. Portugal; Laboratório de Farmacologia e Terapêutica Experimental. Instituto de Investigação Clínica e Biomédica de Coimbra (iCBR). Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.

DOI:

https://doi.org/10.20344/amp.22496

Keywords:

Headache/diagnosis, Headache/drug therapy, Migraine Disorders/diagnosis, Migraine Disorders/drug therapy, Portugal, Referral and Consultation

Abstract

Headaches are a significant cause of global disability, with migraines ranking second of all conditions in terms of years lived with disability. Most headache patients, including those with migraine, can and should be effectively diagnosed, treated, and managed in primary healthcare settings. This approach not only reduces the disability associated with these conditions but also prevents progression to chronic forms or the development of medication overuse. The establishment of an efficient referral network, involving patient associations and healthcare professionals beyond primary care, is essential to ensure adequate support for more complex cases and to promote population health in a timely and effective manner. These guidelines for diagnosis, treatment, and referral are the result of a consensus among the Portuguese Headache Society, the Portuguese Society of Neurology, the Portuguese Association of Family Medicine, and MiGRA Portugal, the Portuguese association of migraine and headache patients. This document was designed to empower all physicians to contribute effectively to the management of these conditions.

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Published

2025-05-02

How to Cite

1.
Gil-Gouveia R, Parreira E, Pavão Martins I, Luzeiro I, Marques Pereira R, Plácido M, Palavra F. Headache Management in Portugal: Consensus among the Portuguese Headache and Neurology Societies, the Portuguese Association of General and Family Medicine, and MiGRA. Acta Med Port [Internet]. 2025 May 2 [cited 2025 Dec. 5];38(5):336-47. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/22496

Issue

Section

Guidelines