A classification of headache

Friedman, Arnold P.; Finley, Knox H.; Graham, John R.; Kunkle, E. Charles; Ostfeld, Adrian M.; Wolff, Harold G.

doi:10.1212/wnl.12.5.378

Cited by 125 publications

(32 citation statements)

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“…(6) The dilatation of the pupil after instillation of 1.25% epinephrine was statistically significant, not only on the side of headache but also on the healthy side, both in patients with classic migraine and in patients with common migraine.…”

Section: Commentmentioning

confidence: 89%

“…The patients were divided into two groups, ten classic migraineurs (aged 28.4 ± 12.5 years, mean ± SD) and 11 common migraineurs (aged 30.0 + 13.0 years), according to the system of the Ad Hoc Committee on Classification of Headache. 6 Every patient was carefully interviewed and examined separately by two neurolo¬ gists to confirm the diagnosis. None of the patients disclosed evidence of any other neurologic disease.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Noradrenergic Nervous Activity in Migraine

Gotoh¹,

Komatsumoto²,

Araki³

et al. 1984

Archives of Neurology

135

113

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Section: Commentmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Noradrenergic Nervous Activity in Migraine

Gotoh¹,

Komatsumoto²,

Araki³

et al. 1984

Archives of Neurology

135

113

View full text Add to dashboard Cite

“…The ICHD-II model provides an evidence based update to the ICHD-I, which is based mainly on expert opinion. The ICHD model editions were preceded by earlier attempts to classify headaches, with works including Brown in 1951 [19], followed by an Ad-hoc model by introduced by the US organisation the National Institute of Health (NIH) in 1962 [20]. Early models, however, did not encompass the full range of headaches and did not gain wide acceptance.…”

Section: Background To Headache Classificationmentioning

confidence: 99%

Towards the discrimination of primary and secondary headache: An intelligent systems approach

Keight

Al‐Jumeily

Hussain

et al. 2017

2017 International Joint Conference on Neural Networks (IJCNN)

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Abstract-We consider the use of intelligent systems to address the long-standing medical problem of diagnostic differentiation between harmful (secondary) and benign (primary) headache conditions. In secondary headaches, the condition is caused by an underlying pathology, in contrast to primary headaches where the production of pain represents the sole constituent of the disorder. Conventional diagnostic paradigms carry an unacceptable risk of misdiagnosis, leaving patients open to potentially catastrophic consequences. Intelligent systems approaches, grounded in artificial intelligence, are adopted in this study as a potential means to unite contributions from multiple settings, including medicine, the life sciences, pervasive computation, sensor technologies, and autonomous intelligent agency, in the fight against headache uncertainty. In this paper, we therefore present the first steps in our research towards a data intensive, unified approach to headache dichotomisation. We begin by presenting a background to headache and its classification, followed by analysis of the space of confounding symptoms, in addition to the problem of primary and secondary condition discrimination. Finally, we proceed to report results of a preliminary case study, in which the epileptic seizure is considered as a manifestation of a headache generating neuropathology. It was found that our classification approach, based on supervised machine learning, represents a promising direction, with a best area under curve test outcome of 0.915. We conclude that intelligent systems, in conjunction with biosignals, could be suitable for classification of a more general set of pathologies, while facilitating the medicalisation of arbitrary settings.

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“…During the same time period that Vahlquist and Bille were beginning to describe and classify childhood headaches, the Ad Hoc Committee on Classification of Headache suggested a classification scheme for headaches in adults [43]. This 1962 commentary suggested 15 different headache classifications, including vascular headache of migraine type, muscle-contraction headache and combined headache.…”

Section: Classification and Criteria For Headachesmentioning

confidence: 99%