The International Headache Society (IHS) Headache Classification as Applied to a Headache Clinic Population

Sanin, LC; Nt, Mathew; Bellmeyer, LR; Ali, Sumbul

doi:10.1046/j.1468-2982.1994.1406443.x

Cited by 75 publications

(70 citation statements)

References 12 publications

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“…It was proposed that more children and adolescents could be classified if a fifth category of comorbid headache was added to the Silberstein criteria. This comorbid headache is similar to the adult phenomenon that the Parma group [10,19,21,22] labeled migraine with interparoxysmal headache. Several authors have proposed that these interparoxysmal headaches are a stage in the evolution of episodic migraine to CDH [11,19,20,23,24].…”

Section: Classification Schemamentioning

confidence: 52%

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Children and adolescents with chronic daily headache

Gladstein

2004

Current Science Inc

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Chronic daily headache is a significant problem in children and adolescents. The goal of this review is to paint a picture of this malady. The epidemiology is unclear because definitions have not been uniform. Classification systems reflect what is known in adults. Because the disease duration and the transformation period are so different in children with this disorder, shoehorning children into adult criteria may be problematic. Nevertheless, this article presents an approach to diagnosis and treatment based on what is present in the literature, what has worked with adults, and the consensus among pediatric headache practitioners. Because there is little literature on this subject, the review ends with a series of questions for future study.

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Section: Classification Schemamentioning

confidence: 52%

“…In a different population of preschool children, Sillanpaa et al [5] found a prevalence of less than 1%. In adults, the prevalence of daily or near-daily headaches has been estimated to be 4% of the general population [6] and 27% to 39% of specialized headache clinic patients [7][8][9][10].…”

Section: Epidemiologymentioning

confidence: 99%

Children and adolescents with chronic daily headache

Gladstein

2004

Current Science Inc

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“…The overlap of epidemiological and pathophysiological findings, clinical features and response to treatment suggests that migraine and tension-type headache may in fact represent different manifestations of a pathophysiological continuum, rather than distinct entities [30][31][32]. The present finding of significantly higher prevalences of both types of recurrent headache in TGA patients adds to the evidence for a pathophysiological relationship.…”

Section: Discussionmentioning

confidence: 69%

Transient Global Amnesia and Migraine

Schmidtke

Ehmsen²

1998

Eur Neurol

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This study examined the putative association of transient global amnesia (TGA) and migraine. 57 TGA patients were compared to a double-size control group of normal subjects. TGA patients who also had migraine were additionally compared to those without migraine and to a second control group of outpatients with migraine only. The prevalence of migraine, and also of episodic tension-type headache, was markedly increased among TGA patients. Precipitants and accompanying vegetative symptoms of TGA and migraine overlapped. However, there was no evidence of an interaction between TGA and migraine, in that the expression of key TGA features was not affected by comorbidity with migraine, and vice versa. The present findings argue against the hypothesis that TGA represents a type of migraine aura or migraine equivalent. They conform to the hypothesis that the two conditions are essentially independent and result from an inherited brain state that disposes to different types of paroxysmal dysregulation, presumably at the level of the brain stem.

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“…One third of these patients could not be classified as CTTH because they had too many migrainous features. In a less selected sample, Sanin et al [5] attempted to validate IHS criteria in a clinic population. They randomly selected the clinical records of 400 patients and classified them using the IHS criteria.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of chronic daily headache

Pascual

Colás

Castillo

2001

Current Science Inc

138

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Daily or near-daily headache is a widespread problem in clinical practice. The general term of chronic daily headache (CDH) encompasses those primary headaches presenting more than 15 days per month and lasting more than 4 hours per day. CDH includes transformed migraine (TM), chronic tension-type headache (CTTH), new daily persistent headache (NDPH), and hemicrania continua (HC). Around 40% of patients attending a specialized headache clinic meet CDH diagnostic criteria, of which 80% are women. In these clinics about 60% of patients suffer from TM, 20% from CTTH, and 20% meet NDPH criteria. Most, some 80%, overuse symptomatic medications. One should be very cautious on extrapolating these numbers to the general population. CDH prevalence in the general population seems to be around 4% to 5% (up to 8% to 9% for women). Regarding the prevalence of CDH subtypes, NDPH is rare (0.1%), whereas the prevalence of TM (1.5% to 2%) and CTTH (2.5% to 3%) is clearly higher. In contrast to data from specialized clinics, only around a quarter of CDH subjects in the general population overuse analgesics; the prevalence of CDH subjects with analgesic overuse being 1.1% to 1.9% of the general population. Most of these patients with analgesic overuse are TM patients.

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The International Headache Society (IHS) Headache Classification as Applied to a Headache Clinic Population

Cited by 75 publications

References 12 publications

Children and adolescents with chronic daily headache

Children and adolescents with chronic daily headache

Transient Global Amnesia and Migraine

Epidemiology of chronic daily headache

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