Proposal for a new classification of chronic headache

被引:0
|
作者
G. C. Manzoni
P. Torelli
机构
[1] University of Parma,Centro Cefalee, Istituto di Neurologia, Dipartimento di Neuroscienze
来源
Neurological Sciences | 2010年 / 31卷
关键词
Chronic headache; Chronic daily headache; Chronic migraine; Transformed migraine; Medication overuse headache;
D O I
暂无
中图分类号
学科分类号
摘要
Since the publication of the second edition of the International Classification of Headache Disorders (ICHD-2) in 2004, a fiery debate has been raging about chronic daily headache in general and about chronic migraine and medication overuse headache in particular. Based on a number of considerations and observations on the current state of knowledge, a proposal is advanced that suggests a few changes to ICHD-2, namely: (1) differentiation of migraine without aura at the second-digit level into infrequent, frequent and very frequent, based on frequency of attacks. (2) Inclusion of transformed migraine among the complications of migraine; this entry should be coded to 1.5.1 replacing chronic migraine and the only diagnostic criterion that needs to be changed over those already listed in the revised ICHD-2 (ICHD-2R) is its temporal pattern (more than 20 days/month for 1 year or more and never with more than 5 headache-free consecutive days). (3) Differentiation of transformed migraine at the fourth-digit level depending on the presence or absence of symptomatic medication overuse (i.e. use for more than 20 days/month) regardless of whether overuse played any role in the worsening of the headache. (4) Switching of medication overuse headache to the Appendix with other diagnostic criteria to be defined.
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页码:9 / 13
页数:4
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