TY - JOUR
T1 - Application of ICHD-II and revised diagnostic criteria to patients with chronic daily headache
AU - Sancisi, E.
AU - Cevoli, S.
AU - Pierangeli, G.
AU - Zanigni, S.
AU - Grimaldi, D.
AU - Nicodemo, M.
AU - Cortelli, P.
AU - Montagna, P.
N1 - Funding Information:
The authors appreciate the technical and financial support of the Tulsa University Artificial Lift Projects (TUALP) member companies.
PY - 2007/3
Y1 - 2007/3
N2 - The objective of this study was to evaluate how the criteria of the second edition of the International Classification of Headache Disorders (ICHD-II) and the revised criteria fit a sample of patients with chronic daily headache (CDH). One hundred and five patients with CDH in a tertiary headache centre were included. Headache was assessed using a semi-structured interview. Patients were classified according to the ICHD-II and to the new appendix criteria of the ICHD. Using the ICHDII, 91% of patients received a combination of diagnoses and 76% received only a probable diagnosis: 47% had probable chronic migraine (CM) with probable medication overuse headache (MOH), 28% had probable chronic tension-type headache (CTTH) with probable MOH, 20% had CTTH and 3.8% had CM. Using the new appendix criteria, 88.5% of patients required one diagnosis. Seventy-six percent of patients were classified as MOH, 17% had CTTH and 6.7% had CM. The classification of CDH remains controversial. Alternative criteria for CM with and without medication overuse are discussed.
AB - The objective of this study was to evaluate how the criteria of the second edition of the International Classification of Headache Disorders (ICHD-II) and the revised criteria fit a sample of patients with chronic daily headache (CDH). One hundred and five patients with CDH in a tertiary headache centre were included. Headache was assessed using a semi-structured interview. Patients were classified according to the ICHD-II and to the new appendix criteria of the ICHD. Using the ICHDII, 91% of patients received a combination of diagnoses and 76% received only a probable diagnosis: 47% had probable chronic migraine (CM) with probable medication overuse headache (MOH), 28% had probable chronic tension-type headache (CTTH) with probable MOH, 20% had CTTH and 3.8% had CM. Using the new appendix criteria, 88.5% of patients required one diagnosis. Seventy-six percent of patients were classified as MOH, 17% had CTTH and 6.7% had CM. The classification of CDH remains controversial. Alternative criteria for CM with and without medication overuse are discussed.
KW - Chronic daily headache
KW - Chronic migraine
KW - Chronic tension-type headache
KW - Headache classification
KW - Medication overuse headache
KW - Transformed migraine
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U2 - 10.1007/s10072-007-0741-0
DO - 10.1007/s10072-007-0741-0
M3 - Article
C2 - 17385089
AN - SCOPUS:33947665000
SN - 1590-1874
VL - 28
SP - 2
EP - 8
JO - Neurological Sciences
JF - Neurological Sciences
IS - 1
ER -
