Most patients with episodic migraine do well with treatment. In population-based surveys the frequency of migraine headaches decreases with age.[39]Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol. 2021 Aug;17(8):501-14.
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[83]Ashina M, Buse DC, Ashina H, et al. Migraine: integrated approaches to clinical management and emerging treatments. Lancet. 2021 Apr 17;397(10283):1505-18.
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Chronic migraine is more likely to persist into older age.[84]Hugger SS, Do TP, Ashina H, et al. Migraine in older adults. Lancet Neurol. 2023 Oct;22(10):934-45.
http://www.ncbi.nlm.nih.gov/pubmed/37717587?tool=bestpractice.com
The prognosis is guarded for patients who have developed complications of migraine or who have comorbidities or a long-standing history of medication overuse. In these cases, expectations for improvement should be modest, and the goals of treatment should shift from elimination of pain to improvement in function and reduction in migraine-related disability.[34]Ailani J, Burch RC, Robbins MS, et al. The American Headache Society consensus statement: update on integrating new migraine treatments into clinical practice. Headache. 2021 Jul;61(7):1021-39.
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