Tags

Type your tag names separated by a space and hit enter

New appendix criteria open for a broader concept of chronic migraine.
Cephalalgia. 2006 Jun; 26(6):742-6.C

Abstract

After the introduction of chronic migraine and medication overuse headache as diagnostic entities in The International Classification of Headache Disorders, Second Edition, ICHD-2, it has been shown that very few patients fit into the diagnostic criteria for chronic migraine (CM). The system of being able to use CM and the medication overuse headache (MOH) diagnosis only after discontinuation of overuse has proven highly unpractical and new data have suggested a much more liberal use of these diagnoses. The International Headache Classification Committee has, therefore, worked out the more inclusive criteria for CM and MOH presented in this paper. These criteria are included in the appendix of ICHD-2 and are meant primarily for further scientific evaluation but may be used already now for inclusion into drug trials, etc. It is now recommended that the MOH diagnosis should no longer request improvement after discontinuation of medication overuse but should be given to patients if they have a primary headache plus ongoing medication overuse. The latter is defined as previously, i.e. 10 days or more of intake of triptans, ergot alkaloids mixed analgesics or opioids and 15 days or more of analgesics/NSAIDs or the combined use of more than one substance. If these new criteria for CM and MOH prove useful in future testing, the plan is to include them in a future revised version of ICHD-2.

Authors+Show Affiliations

Department of Neurology, University of Copenhagen, Glostrup Hospital, Demark. jeol@glostruphosp.kbhamt.dkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

16686915

Citation

Headache Classification Committee, et al. "New Appendix Criteria Open for a Broader Concept of Chronic Migraine." Cephalalgia : an International Journal of Headache, vol. 26, no. 6, 2006, pp. 742-6.
Headache Classification Committee, Olesen J, Bousser MG, et al. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26(6):742-6.
Olesen, J., Bousser, M. G., Diener, H. C., Dodick, D., First, M., Goadsby, P. J., Göbel, H., Lainez, M. J., Lance, J. W., Lipton, R. B., Nappi, G., Sakai, F., Schoenen, J., Silberstein, S. D., & Steiner, T. J. (2006). New appendix criteria open for a broader concept of chronic migraine. Cephalalgia : an International Journal of Headache, 26(6), 742-6.
Headache Classification Committee, et al. New Appendix Criteria Open for a Broader Concept of Chronic Migraine. Cephalalgia. 2006;26(6):742-6. PubMed PMID: 16686915.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - New appendix criteria open for a broader concept of chronic migraine. AU - ,, AU - Olesen,J, AU - Bousser,M-G, AU - Diener,H-C, AU - Dodick,D, AU - First,M, AU - Goadsby,P J, AU - Göbel,H, AU - Lainez,M J A, AU - Lance,J W, AU - Lipton,R B, AU - Nappi,G, AU - Sakai,F, AU - Schoenen,J, AU - Silberstein,S D, AU - Steiner,T J, PY - 2006/5/12/pubmed PY - 2006/8/2/medline PY - 2006/5/12/entrez SP - 742 EP - 6 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 26 IS - 6 N2 - After the introduction of chronic migraine and medication overuse headache as diagnostic entities in The International Classification of Headache Disorders, Second Edition, ICHD-2, it has been shown that very few patients fit into the diagnostic criteria for chronic migraine (CM). The system of being able to use CM and the medication overuse headache (MOH) diagnosis only after discontinuation of overuse has proven highly unpractical and new data have suggested a much more liberal use of these diagnoses. The International Headache Classification Committee has, therefore, worked out the more inclusive criteria for CM and MOH presented in this paper. These criteria are included in the appendix of ICHD-2 and are meant primarily for further scientific evaluation but may be used already now for inclusion into drug trials, etc. It is now recommended that the MOH diagnosis should no longer request improvement after discontinuation of medication overuse but should be given to patients if they have a primary headache plus ongoing medication overuse. The latter is defined as previously, i.e. 10 days or more of intake of triptans, ergot alkaloids mixed analgesics or opioids and 15 days or more of analgesics/NSAIDs or the combined use of more than one substance. If these new criteria for CM and MOH prove useful in future testing, the plan is to include them in a future revised version of ICHD-2. SN - 0333-1024 UR - https://www.unboundmedicine.com/medline/citation/16686915/New_appendix_criteria_open_for_a_broader_concept_of_chronic_migraine_ DB - PRIME DP - Unbound Medicine ER -