Examinando por Autor "Irimia, Pablo"

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    Cutaneous allodynia in migraine: a narrative review
    (Frontiers Media S.A., 2022-01-21) Mínguez Olaondo, Ane; Quintas, Sonia; Morollón, Noemí ; López Bravo, Alba; Vila Pueyo, Marta; Grozeva, Vasselina ; Belvís Nieto, Roberto; Santos Lasaosa, Sonia; Irimia, Pablo
    In the present work, we conduct a narrative review of the most relevant literature on cutaneous allodynia (CA) in migraine. CA is regarded as the perception of pain in response to non-noxious skin stimulation. The number of research studies relating to CA and migraine has increased strikingly over the last few decades. Therefore, the clinician treating migraine patients must recognize this common symptom and have up-to-date knowledge of its importance from the pathophysiological, diagnostic, prognostic and therapeutic point of view. We performed a comprehensive narrative review to analyze existing literature regarding CA in migraine, with a special focus on epidemiology, pathophysiology, assessment methods, risk for chronification, diagnosis and management. PubMed and the Cochrane databases were used for the literature search. The prevalence of CA in patients with migraine is approximately 60%. The mechanisms underlying CA in migraine are not completely clarified but include a sensitization phenomenon at different levels of the trigemino-talamo-cortical nociceptive pathway and dysfunction of brainstem and cortical areas that modulate thalamocortical inputs. The gold standard for the assessment of CA is quantitative sensory testing (QST), but the validated Allodynia 12-item questionnaire is preferred in clinical setting. The presence of CA is associated with an increased risk of migraine chronification and has therapeutic implications. CA is a marker of central sensitization in patients with migraine that has been associated with an increased risk of chronification and may influence therapeutic decisions.
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    Ítem
    Diagnóstico y tratamiento de los trastornos de la presión intracraneal: documento de consenso del Grupo de Estudio de Cefaleas de la Sociedad Española de Neurología
    (Spanish Society of Neurology, 2025-01) García Ull, Francisco José; González García, Nuria; Torres Ferrús, Marta; García Azorín, David; Molina Martínez, Francisco José; Beltrán Blasco, Isabel; Santos Lasaosa, Sonia; Latorre, Germán; Gago Veiga, Ana Beatriz; Láinez, José Miguel; Porta Etessam, Jesús; Nieves Castellanos, Candela; Mínguez Olaondo, Ane; López Bravo, Alba; Quintas, Sonia; Morollón, Noemí; Díaz Insa, Samuel; Belvís Nieto, Roberto; Irimia, Pablo
    Los trastornos primarios de la presión intracraneal incluyen la hipertensión intracraneal idiopática y la hipotensión intracraneal espontánea. El diagnóstico y tratamiento de ambas entidades ha presentado un avance destacable en los últimos años, por lo que desde el Grupo de Estudio de Cefaleas de la Sociedad Española de Neurología consideramos necesaria la elaboración de este documento de consenso con la inclusión de algoritmos diagnósticos y terapéuticos para mejorar su manejo en la práctica diaria. Este documento ha sido redactado por un comité de expertos del Grupo de Estudio de Cefaleas de la Sociedad Española de Neurología tras realizar una revisión sistemática de la bibliografía, incorporando la experiencia de los participantes y estableciendo unas recomendaciones prácticas con niveles de evidencia y grados de recomendación.