Evaluation of Chronic Daily Headache—Comparison to Criteria for Chronic Tension-Type Headache

The purpose of this study was to evaluate the adequacy of the International Headache Society (IHS) criteria for chronic tension-type headache and, if appropriate, suggest modifications of the IHS classification. We evaluated 100 consecutive patients with chronic daily headache. Approximately two-thi...

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Bibliographic Details
Published in:Cephalalgia 1992-12, Vol.12 (6), p.365-368
Main Authors: Solomon, Seymour, Lipton, Richard B, Newman, Lawrence C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Child
Chronic daily headache
Chronic Disease
chronic tension‐type headache
Female
Headache - classification
Headache - physiopathology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
International Headache Society criteria
Male
Medical sciences
Middle Aged
migraine
Nervous system (semeiology, syndromes)
Neurology
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Summary:The purpose of this study was to evaluate the adequacy of the International Headache Society (IHS) criteria for chronic tension-type headache and, if appropriate, suggest modifications of the IHS classification. We evaluated 100 consecutive patients with chronic daily headache. Approximately two-thirds of our patients fulfilled the criteria for chronic tension-type headache. Most of the patients who failed to meet the criteria did so because they had more than one migrainous feature. Approximately 50% of patients took excessive amounts of analgesic medication. We conclude that the IHS criteria should be modified to include chronic daily headache evolving from migraine; subtypes with and without medication overuse should be distinguished.
ISSN:0333-1024
1468-2982
DOI:10.1111/j.1468-2982.1992.00365.x