Enfoque del paciente con cefalea en tiempos de covid-19

RESUMEN Ante el numero cada vez mayor de pacientes con covid-19 y los rapidos cambios que ha traido consigo la pandemia en los estilos de vida, se redacto el presente documento, con el objetivo de proveer una recomendacion a los neurologos y medicos en general para el abordaje del paciente con cefalea Inicialmente, se realiza el abordaje de la cefalea como uno de los sintomas del covid-19, revisando las series de casos y proponiendo posibles clasificaciones diagnosticas para explicar su presencia en estos pacientes Posteriormente, se evaluara la cefalea secundaria a otros trastornos neurologicos tambien reportados en pacientes con covid-19 y los signos de alarma para realizar estudios complementarios Por ultimo se revisara como ha cambiado el seguimiento de los pacientes con cefalea primaria en medio de la pandemia, recomendaciones sobre ajustes que se deben hacer durante este tiempo en su manejo y formulacion, y finalmente recomendaciones sobre interacciones en sus medicamentos en caso de enfermar por covid-19 SUMMARY Given the increasing number of patients with COVID-19 and the rapid changes that the pandemic has brought about in lifestyles, this document was developed with the aim of providing a recommendation to neurologists and doctors in general for the approach of the patient with headache Initially, the headache was treated as one of the symptoms of COVID-19, reviewing the case series and proposing possible diagnostic classifications to explain its presence in these patients Subsequently, headache secondary to other neurological disorders also reported in patients with COVID-19 and the warning signs will be evaluated to carry out complementary studies Finally, it will be reviewed how the follow-up of patients with primary headache in the midst of the pandemic has changed, recommendations on adjustments to be made during this time in its management and formulation, and finally recommendations on drug interactions in case of illness due to COVID-19