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0LоК“АіЪš;­”ЧЪš;<§4ddddМк{ѕ 0ЈкˆЦŠ0К___PPT10‹ pЕpЕŠ†К___PPT9‹h/Ш 0вЎLЏЌ4€џџ?й к,Oй к=№‘6ѓŸЈQ INTERNATIONAL CLASSIFICATION of HEADACHE DISORDERS 2nd edition (1st revision) Ё†Rpx  (   ЊR ŸЈ (ICHD-IIR1)Ё$ Њ  ѓŸЈHistoryЊ ŸЈІ 1st edition published as: Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988; 8 (Suppl 7): 1-96 Ё„ ˆn 2c Њ> y  ѓ97ŸЈHistoryЊ Ÿ 8Revision anticipated after 5 years, but: relatively little criticism to prompt revision nosographic research appeared only slowly world-wide dissemination and translation into >20 languages took longer than expected 2nd edition became due after >10 years accumulation of epidemiological and nosographic knowledge Revision process begun in late 1999, completed 2003 Further minor revision to section 8.2 in 2005 Ё„)@2Y`V`2Ф`2 2)YVХ  ЊNX   С   m ѓŸЈBasisЊ ŸЈ4Single classification for all purposes Comprehensive Evidence-based as far as possible Symptom-based for the primary headaches, aetiological for the secondary headaches Unambiguous terms such as sometimes, often, usually are avoided Specificity weighted over sensitivity Separate codes for probable casesЁмЗ 6 H З   9ЊFW S AI ѓŸЈSystemЊ ŸЈв Hierarchical (from 1st edition) major groups (1st digit) types (2nd digit) subtypes (3rd digit) subforms (4th digit) Phenomenological each headache present in a patient (within the last year) separately codedЁЊ! 2K!  KЊг ѓ52ŸЈImportant general rulesЊ ŸЈ 1. Each distinct type of headache that a patient has must be separately diagnosed and coded eg, a severely affected patient may receive three diagnoses and codes: 1.1 Migraine without aura, 2.2 Frequent episodic tension-type headache and 8.2 Medication-overuse headacheЁК] 2В 2[I' Њ ѓ85ŸЈImportant general rulesЊ ŸЈt 2. When a patient receives more than one diagnosis these should be listed in the order of importance to the patientЁ,u 2sЊ$ q ѓ96ŸЈImportant general rulesЊ ŸЈY 3. If one headache in a patient fulfils two different sets of explicit diagnostic criteria, use all other available information to decide which diagnosis is correct or more likely this could include the longitudinal headache history (how did the headache start?), the family history, the effect of drugs, menstrual relationship, age, gender etcЁ€ Д 2Ѕ 2Г ЁЊY ѓ&'ŸЈImportant general rulesЊ ŸЈР 4. For any particular diagnosis to be given, all listed criteria must be fulfilled probable diagnostic categories exist for many disorders, to be used when a single criterion is not fulfilledЁtT 2m 2-#dЊ$ ˜( ѓ'&ŸЈImportant general rulesЊ ŸЈ]5. Fulfilment of explicit criteria for 1. Migraine, 2. Tension-type headache or 3. Cluster headache and other TACs, or any of their subtypes, trumps the probable diagnostic categories of each eg, a patient whose headache fulfils criteria for both 1.6 Probable migraine and 2.1 Infrequent episodic tension-type headache should be coded to the latterЁцС  2*'9 )Њ^ѓ;8ŸЈImportant general rulesЊ ŸЈЦ 6. Always consider the possibility that some headache attacks in a patient meet one set of criteria whilst other attacks meet another set in such cases, two diagnoses exist and both should be codedЁ\@ џŠ 2< 2Š;Њ$ Л ѓ<9ŸЈImportant general rulesЊ ŸЈ7. When a patient is suspected of having more than one headache type, a diagnostic headache diary recording the important characteristics for each headache episode improves diagnostic accuracy allows judgement of medication consumption establishes the quantities of each of two or more different headache types or subtypes teaches the patient to distinguish between different headachesЁBЄ 2 С ЄоЊ‚ѓ2/ŸЈ StructureЊ  ŸЈїOne chapter (1-13) per major group: introduction headache types, subtypes, subforms with: previously used terms disorders that are related but coded elsewhere short descriptions explicit diagnostic criteria notes and comments selected bibliographyЁО$6ˆ#  5 XЊї ѓŸЈ StructureЊ  ŸЈВFinal chapter (14) for: headache not elsewhere classified headache entities still to be described headache unspecified headaches known to be present but insufficiently describedЁМ"(;@2"'ўў:  ў  ўЊ8;' < ѓ41ŸЈ StructureЊ  ŸЈ<Appendix for: research criteria for novel entities that have not been sufficiently validated alternative diagnostic criteria that may be preferable but for which the evidence is insufficient a first step in eliminating disorders included in the 1st edition for which sufficient evidence has still not been published Ё^O@ п` @ џ -Њ/ ѓŸЈClassificationЊ ŸЈ™Part 1: Primary headache disorders Part 2: Secondary headache disorders Part 3: Cranial neuralgias, central and primary facial pain and other headachesЁ€šGЊš ѓŸЈPrimary or secondary headache?Њ ŸЈ' Primary: no other causative disorderЁ``2 џ    Њ( ѓееŸЈPrimary or secondary headache?Њ ŸЈь Secondary (ie, caused by another disorder): new headache occurring in close temporal relation to another disorder that is a known cause of headache coded as attributed to that disorder (in place of previously used term associated with)ЁА`2 џ,@аџР  q 1Њэ ѓ ŸЈClassificationЁ@ џЊ ŸЈЋPart 1: The primary headaches 1. Migraine 2. Tension-type headache 3. Cluster headache and other trigeminal autonomic cephalalgias 4. Other primary headaches Ё:` џ џŽ@Иџ‡ЊŽ ѓ ŸЈClassificationЁ@ џЊ ŸЈ6Part 2: The secondary headaches 5. Headache attributed to head and/or neck trauma 6. Headache attributed to cranial or cervical vascular disorder 7. Headache attributed to non-vascular intracranial disorder 8. Headache attributed to a substance or its withdrawal 9. Headache attributed to infection ЁT!` џ џ  !Њ ѓжжŸЈClassificationЁ@ џЊ ŸЈPart 2: The secondary headaches 10. Headache attributed to disorder of homoeostasis 11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures 12. Headache attributed to psychiatric disorder Ё>!` џ џљ`!їЊћ ѓ ŸЈClassificationЁ@ џЊ ŸЈгPart 3: Cranial neuralgias, central and primary facial pain and other headaches 13. Cranial neuralgias and central causes of facial pain 14. Other headache, cranial neuralgia, central or primary facial pain Ё0Q` џ џƒ@ИџQƒЊQƒ ѓŸЈ Part 1: The primary headachesЁ@ џЊ ŸЈ“ 1. Migraine 2. Tension-type headache 3. Cluster headache and other trigeminal autonomic cephalalgias 4. Other primary headaches Ё:` џ џ“@ИџŒЊ“ ѓ  ŸЈ 1. MigraineЁ @Иџ Њ  ŸЈЩ1.1 Migraine without aura 1.2 Migraine with aura 1.3 Childhood periodic syndromes that are commonly precursors of migraine 1.4 Retinal migraine 1.5 Complications of migraine 1.6 Probable migraineЁ ЪЩЊЪ ѓ‰‰ŸЈ&1. Migraine Reclassification 1988-2004Ё*' Њ' ŸЈЩ1988 1.1 Migraine without aura 1.2 Migraine with aura 1.3 Ophthalmoplegic migraine 1.4 Retinal migraine 1.5 Childhood periodic syndromes 1.6 Complications of migraine 1.7 Migrainous disorder ЁZ@Х џџўТЊ(=}  Ÿ 2004 1.1 Migraine without aura 1.2 Migraine with aura 13.17 Ophthalmoplegic  migraine 1.4 Retinal migraine 1.3 Childhood periodic syndromes 1.5 Complications of migraine 1.6 Probable migraine Ёh@Т ТЊ(>{ ѓ  ŸЈ1.1 Migraine without auraЊ Ÿ ЬA. At least 5 attacks fulfilling criteria B-D B. Headache attacks lasting 4-72 h (untreated or unsuccessfully treated) C. Headache has Г№2 of the following characteristics: 1. unilateral location 2. pulsating quality 3. moderate or severe pain intensity 4. aggravation by or causing avoidance of routine physical activity (eg, walking, climbing stairs) D. During headache Г№1 of the following: 1. nausea and/or vomiting 2. photophobia and phonophobia E. Not attributed to another disorderЁіЌ Д ( 9 & ‡†#–†9&Њч ѓJGŸЈ 1.1 Migraine without aura NotesЁ6! Њ! Ÿ  If <5 attacks but criteria B-E otherwise met, code as 1.6.1 Probable migraine without aura When attacks occur on Г№15 d/mo for >3 mo, code as 1.1 Migraine without aura + 1.5.1 Chronic migraine Pulsating means varying with the heartbeat In children: attacks may last 1-72 h occipital headache requires caution In young children: photophobia and/or phonophobia may be inferred from their behaviourЁŠ@ ы`  $`  D  <†  " #      D  Њ$ $W ѓззŸ V  Not attributed to another disorder NoteЁF,% Њ, ŸЈ’For all primary headaches, this criterion means: History and physical/neurological examinations do not suggest any of the disorders listed in groups 5-12, or history and/or physical/ neurological examinations do suggest such disorder but it is ruled out by appropriate investigations, or such disorder is present but headache does not occur for the first time in close temporal relation to the disorderЁ<1p_<b0_0cЊ“ ѓŸЈ1.2 Migraine with auraЊ ŸЈф 1.2.1 Typical aura with migraine headache 1.2.2 Typical aura with non-migraine headache 1.2.3 Typical aura without headache 1.2.4 Familial hemiplegic migraine (FHM) 1.2.5 Sporadic hemiplegic migraine 1.2.6 Basilar-type migraineЁххЊх ѓ‹ŠŸЈ1.2 Migraine with auraЊ ŸЈЄ A. At least 2 attacks fulfilling criterion B B. Migraine aura fulfilling criteria B and C for one of the subforms 1.2.1-1.2.6 C. Not attributed to another disorderЁFЄ KЃЊЅ ѓ10ŸЈ6 1.2 Migraine with aura Subtypes new to classificationЁ67Њ7 ŸЈU 1.2.1 Typical aura with migraine headache most migraine auras are associated with headache fulfilling criteria for 1.1 Migraine without aura 1.2.2 Typical aura with non-migraine headache 1.2.3 Typical aura without headache migraine aura is sometimes associated with a headache that does not fulfil these criteria or occurs without headache ЁЈ+@аџc@аџR@аџv@аџ)MQvЊV ѓŸЈ*1.2.1 Typical aura with migraine headache Њ+ Ÿ „ A. At least 2 attacks fulfilling criteria B D B. Aura consisting of Г№1 of the following, but no motor weakness: 1. fully reversible visual symptoms including positive and/or negative features 2. fully reversible sensory symptoms including positive and/or negative features 3. fully reversible dysphasic speech disturbanceЁŠ0_pвD†*бЊC ѓииŸЈ*1.2.1 Typical aura with migraine headache Њ+ Ÿ >C. At least two of the following: 1. homonymous visual symptoms and/or unilateral sensory symptoms 2. at least one aura symptom develops gradually over Г№5 min and/or different aura symptoms occur in succession over Г№5 min 3. each symptom lasts Г№5 and Ѓ№60 min D. Headache fulfilling criteria B-D for 1.1 Migraine without aura begins during the aura or follows aura within 60 min E. Not attributed to another disorderЁі"с"v†>†††,[Њ  ѓ43ŸЈ-1.2.2 Typical aura with non-migraine headacheЁ.- Њ. ŸЈ“ As 1.2.1 except: D. Headache that does not fulfil criteria B-D for 1.1 Migraine without aura begins during the aura or follows aura within 60 minЁr` 76Њ” ѓ54ŸЈ#1.2.3 Typical aura without headacheЁ$# Њ$ ŸЈW As 1.2.1 except: D. Headache does not occur during aura nor follow aura within 60 minЁR`E FЊX ѓŸЈ)1.2.4 Familial hemiplegic migraine (FHM) Њ* Ÿ Š A. At least 2 attacks fulfilling criteria B and C B. Aura consisting of fully reversible motor weakness and Г№1 of: 1. fully reversible visual symptoms including positive and/or negative features 2. fully reversible sensory symptoms including positive and/or negative features 3. fully reversible dysphasic speech disturbanceЁZtвm†вЊF ѓййŸЈ)1.2.4 Familial hemiplegic migraine (FHM) Њ* Ÿ bC. At least two of the following: 1. at least one aura symptom develops gradually over Г№5 min and/or different aura symptoms occur in succession over Г№5 min 2. each aura symptom lasts Г№5 min and <24 h 3. headache fulfilling criteria B-D for 1.1 Migraine without aura begins during the aura or follows onset of aura within 60 min D. At least one 1st- or 2nd-degree relative fulfils these criteria E. Not attributed to another disorderЁм"' i"5†>†!†<?h ЊВ ѓŸЈ1.2.6 Basilar-type migraine Њ Ÿ LAs 1.2.1 except: B. Aura consisting of Г№2 of the following fully reversible symptoms, but no motor weakness: 1. dysarthria; 2. vertigo; 3. tinnitus; 4. hypacusia; 5. diplopia; 6. visual symptoms simultaneously in both temporal and nasal fields of both eyes; 7. ataxia; 8. decreased level of consciousness; 9. simultaneously bilateral paraesthesias C. At least one of the following: 1. at least one one aura symptom develops gradually over Г№5 min and/or different aura symptoms occur in succession over Г№5 min 2. each aura symptom lasts Г№5 and Ѓ№60 minЁ„m Х *`" Љ †CХ)"9†>†!††Њ~p            Ь ѓŒŸЈ9 1.2.6 Basilar-type migraine Terminology change 1988-2004ЁB:Њ: ŸЈп 1.2.6 Basilar-type migraine was previously classified as 1.2.4 Basilar migraine Terminology has been changed because there is little evidence that the basilar artery or, necessarily, basilar-artery territory is involved Ёˆ о$ŽЊ: O  ѓккŸЈK 1.3 Childhood periodic syndromes that are commonly precursors of migraineЁL@ИџLЊL ŸЈb 1.3.1 Cyclical vomiting 1.3.2 Abdominal migraine 1.3.3 Benign paroxysmal vertigo of childhoodЁF  ^^Њc ѓ$$ŸЈ1.3.2 Abdominal migraineЁ@ИџЊ Ÿ "A. At least 5 attacks fulfilling criteria B-D B. Attacks of abdominal pain lasting 1-72 h C. Abdominal pain has all of the following characteristics: 1. midline location, periumbilical or poorly localised 2. dull or  just sore quality 3. moderate or severe intensity D. During abdominal pain Г№2 of the following: 1. anorexia; 2. nausea; 3. vomiting; 4. pallor E. Not attributed to another disorderЁр—`x`.`/`&`—ўwў†ўў/%ў ўЊ*­   и ѓ!!ŸЈ1.5 Complications of migraineЁ@ИџЊ ŸЈ˜ 1.5.1 Chronic migraine 1.5.2 Status migrainosus 1.5.3 Persistent aura without infarction 1.5.4 Migrainous infarction 1.5.5 Migraine-triggered seizuresЁ ™—Њ™ ѓŽŽŸЈ9 1.5 Complications of migraine Reclassification 1988-2004ЁD:@ИџЊ ŸЈA1988 1.6.1 Status migrainosus 1.6.2 Migrainous infarction ЁF@= џџў=ЊA  ŸЈЋ2004 1.5.1 Chronic migraine 1.5.2 Status migrainosus 1.5.3 Persistent aura without infarction 1.5.4 Migrainous infarction 1.5.5 Migraine triggered seizure ЁH@Ї ЇЊЋ ѓŸЈ5 1.5.1 Chronic migraine New entrant to classificationЁ86@ИџЊ6 Ÿ   A. Headache fulfilling criteria C and D for 1.1 Migraine without aura on Г№15 d/mo for >3 mo B. Not attributed to another disorderЁt†2†8Њ† ѓŸЈ 1.5.1 Chronic migraine NotesЁ8@Иџ Њ ŸЈЗWhen medication overuse is present, this is the most likely cause of chronic symptoms code according to antecedent migraine subtype + 1.6.5 Probable chronic migraine + 8.2.8 Probable MOH Post-withdrawal, code as: 1.5.1 Chronic migraine + antecedent migraine subtype if symptoms persist beyond 2 mo 8.2 Medication-overuse headache + antecedent migraine subtype if, before 2 mo, improvement occurs and these criteria are no longer fulfilledЁјV@аџf`аџ@аџт`аџU6 CmЊИ ѓ""Ÿ   Chronic NotesЁ6@Иџ Њ ŸЈ‰ In pain terminology, chronic denotes persistence over a period of more than 3 months In headache terminology, it retains this meaning for secondary headache disorders For primary headache disorders that are more usually episodic (eg, migraine), chronic is used whenever headache occurs on more days than not over more than 3 months the trigeminal autonomic cephalalgias (qv) are an exceptionЁЦM= 2 Ъ P(Њ*u   ѓ ŸЈ1.6 Probable migraineЁ@ИџЊ ŸЈh 1.6.1 Probable migraine without aura 1.6.2 Probable migraine with aura 1.6.5 Probable chronic migraineЁ0i$f,Њi ѓŸЈ1.6 Probable migraineЁ@ИџЊ ŸЈ8 1.6.1 Probable migraine without aura A. Attacks fulfilling all but one of criteria A-D for 1.1 Migraine without aura B. Not attributed to another disorder 1.6.2 Probable migraine with aura A. Attacks fulfilling all but one of criteria A-D for 1.2 Migraine with aura B. Not attributed to another disorder ЁB'“` Q`( "“` N`' “`  &;(";'      Њ9 ѓ-,ŸЈ1.6 Probable migraineЁ@ИџЊ Ÿ z 1.6.5 Probable chronic migraine A. Headache fulfilling criteria C and D for 1.1 Migraine without aura on Г№15 d/mo for >3 mo B. Not attributed to another disorder but there is, or has been within the last 2 mo, medication overuse fulfilling criterion B for any of the subforms of 8.2 Medication-overuse headacheЁТ`K!`]`П  ,1†ЕЊ> ѓллŸЈ2. Tension-type headacheЁ@ИџЊ ŸЈ  2.1 Infrequent episodic tension-type headache 2.2 Frequent episodic tension-type headache 2.3 Chronic tension-type headache 2.4 Probable tension-type headacheЁ0Ё$ŸЊЁ ѓ##ŸЈ; Infrequent/frequent episodic TTH New subdivision 1988-2004Ё8<@Иџ!Њ< ŸЈ Why this new subdivision? Infrequent TTH has very little impact on the individual and does not deserve much attention from the medical profession Frequent TTH sufferers can encounter considerable disability that sometimes warrants expensive drugs and prophylactic medicationЁ4@аџљ@аџљЊ ѓ"ŸЈ2.1 Infrequent episodic TTHЊ Ÿ РA. At least 10 episodes occurring on <1 d/mo (<12 d/y) and fulfilling criteria B-D B. Headache lasting from 30 min to 7 d C. Headache has Г№2 of the following characteristics: 1. bilateral location 2. pressing/tightening (non-pulsating) quality 3. mild or moderate intensity 4. not aggravated by routine physical activity D. Both of the following: 1. no nausea or vomiting (anorexia may occur) 2. no more than one of photophobia or phonophobia E. Not attributed to another disorderЁHz`5 c /` . 2`& zўў†ў#ўc.      ў.  1%ў ўЊс ѓммŸЈ2.1 Infrequent episodic TTHЊ ŸЈО2.1.1 Infrequent episodic tension-type headache associated with pericranial tenderness A. Episodes fulfilling criteria A-E for 2.1 Infrequent episodic tension-type headache B. Increased pericranial tenderness on manual palpation 2.1.2 Infrequent episodic tension-type headache not associated with pericranial tenderness A. Episodes fulfilling criteria A-E for 2.1 Infrequent episodic tension-type headache B. No increased pericranial tendernessЁ№W@аџ [`2аџ~ V ,)9Z ,)'Њ~@   p   d   s     ѓ# ŸЈ2.2 Frequent episodic TTHЊ Ÿ ў As 2.1 except: A. At least 10 episodes occurring on Г№1 but <15 d/mo for Г№3 mo (Г№12 and <180 d/y) and fulfilling criteria B-D ЁР &†††-Њ€ ѓннŸЈ2.2 Frequent episodic TTHЊ ŸЈЖ2.2.1 Frequent episodic tension-type headache associated with pericranial tenderness A. Episodes fulfilling criteria A-E for 2.2 Frequent episodic tension-type headache B. Increased pericranial tenderness on manual palpation 2.2.2 Frequent episodic tension-type headache not associated with pericranial tenderness A. Episodes fulfilling criteria A-E for 2.2 Frequent episodic tension-type headache B. No increased pericranial tendernessЁ№U@аџ Y`2аџ| T ,'9X ,''Њ~>   n   b   q     ѓ%"ŸЈ2.3 Chronic TTHЊ Ÿ жA. Headache occurring on Г№15 d/mo (Г№180 d/y) for >3 mo and fulfilling criteria B-D B. Headache lasts hours or may be continuous C. Headache has Г№2 of the following characteristics: 1. bilateral location 2. pressing/tightening (non-pulsating) quality 3. mild or moderate intensity 4. not aggravated by routine physical activity D. Both of the following: 1. not >1 of photophobia, phonophobia, mild nausea 2. neither moderate or severe nausea nor vomiting E. Not attributed to another disorderЁ|€` 5 c /`  3 2` & † †\†#c/    2    1&Њь ѓооŸЈ2.3 Chronic TTHЊ ŸЈŽ2.3.1 Chronic tension-type headache associated with pericranial tenderness A. Headache fulfilling criteria A-E for 2.3 Chronic tension-type headache B. Increased pericranial tenderness on manual palpation 2.3.2 Chronic tension-type headache not associated with pericranial tenderness A. Episodes fulfilling criteria A-E for 2.3 Chronic tension-type headache B. No increased pericranial tendernessЁ№K@аџƒ O`2аџr J ,9N ,'Њ~4   d   X   g     ѓ'$ŸЈ2.4 Probable TTHЊ ŸЈч2.4.1 Probable infrequent episodic TTH A. Episodes fulfilling all but one of criteria A-D for 2.1 Infrequent episodic tension-type headache B. Episodes do not fulfil criteria for 1.1 Migraine without aura C. Not attributed to another disorder 2.4.2 Probable frequent episodic TTH A. Episodes fulfilling all but one of criteria A-D for 2.2 Frequent episodic tension-type headache B. Episodes do not fulfil criteria for 1.1 Migraine without aura C. Not attributed to another disorderЁ '@аџЯ % Э & <)-'$ <'-&Њш ѓппŸЈ2.4.3 Probable chronic TTHЊ ŸЈЫ As 2.3 except: E. Not attributed to another disorder but there is, or has been within the last 2 mo, medication overuse fulfilling criterion B for any of the subforms of 8.2 Medication-overuse headacheЁjМ0_ŸЊЬ ѓррŸЈA 3. Cluster headache and other trigeminal autonomic cephalalgiasЊB ŸЈЩ 3.1 Cluster headache 3.2 Paroxysmal hemicrania 3.3 Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) 3.4 Probable trigeminal autonomic cephalalgiaЁ(ЪШЊЪ ѓ%%ŸЈ3.1 Cluster headacheЊ Ÿ HA. At least 5 attacks fulfilling criteria B-D B. Severe or very severe unilateral orbital, supraorbital and/or temporal pain lasting 15-180 min if untreated C. Headache is accompanied by Г№1 of the following: 1. ipsilateral conjunctival injection and/or lacrimation 2. ipsilateral nasal congestion and/or rhinorrhoea 3. ipsilateral eyelid oedema 4. ipsilateral forehead and facial sweating 5. ipsilateral miosis and/or ptosis 6. a sense of restlessness or agitation D. Attacks have a frequency from 1/2 d to 8/d E. Not attributed to another disorderЁˆа  T Л†TЊF[   -  ‹ ѓссŸЈ3.1 Cluster headacheЊ Ÿ њ3.1.1 Episodic cluster headache A. Attacks fulfilling criteria A-E for 3.1 Cluster headache B. At least two cluster periods lasting 7-365 d and separated by pain-free remission periods of Г№1 mo 3.1.2 Chronic cluster headache A. Attacks fulfilling criteria A-E for 3.1 Cluster headache B. Attacks recur over >1 y without remission periods or with remission periods lasting <1 moЁт!@Ѓ `2š +b†+^Њ~ ѓттŸ  Chronic NotesЁ4 Њ ŸЈˆIn pain terminology, chronic denotes persistence over a period of more than 3 months For primary headache disorders that are more usually episodic, chronic is used whenever headache occurs on more days than not over more than 3 months The trigeminal autonomic cephalalgias are an exception: in these disorders, chronic is not used until the condition has been unremitting for more than 1 yearЁАы8 2fxP8KЊ‰ ѓ..ŸЈ<Episodic/chronic cluster headache Reclassification 1988-2004Ё"="Њ= ŸЈu1988 3.1.1 Cluster headache periodicity undetermined 3.1.2 Episodic cluster headache 3.1.3 Chronic cluster headache ЁH@q qЊ$s  ŸЈG2004 3.1.1 Episodic cluster headache 3.1.2 Chronic cluster headache ЁH@C CЊG ѓ/-ŸЈ=Episodic/chronic cluster headache Definition change 1988-2004Ё*>"Њ> ŸЈЬ The definition of remission period distinguishing 3.1.1 Episodic cluster headache from 3.1.2 Chronic cluster headache is changed: duration increased from a minimum of 14 days to a minimum of 1 monthЁx@y@R@; RЊ84G Q ѓ0/ŸЈD3.1.2 Chronic cluster headache Abandoned subclassification 1988-2004Ё*E%Њ*)    ŸЈ Patients may switch from 3.1.2 Chronic cluster headache to 3.1.1 Episodic cluster headache, and vice versa Therefore the previously classified subforms Chronic cluster headache unremitting from onset and Chronic cluster headache evolved from episodic have been droppedЁц@k`2-@w@   //0Њ ѓ.*ŸЈ3.2 Paroxysmal hemicrania ЁЊ Ÿ дA. At least 20 attacks fulfilling criteria B-D B. Attacks of severe unilateral orbital, supraorbital or temporal pain lasting 2-30 min C. Headache is accompanied by Г№1 of the following: 1. ipsilateral conjunctival injection and/or lacrimation 2. ipsilateral nasal congestion and/or rhinorrhoea 3. ipsilateral eyelid oedema 4. ipsilateral forehead and facial sweating 5. ipsilateral miosis and/or ptosis D. Attacks have a frequency >5/d for > half of the time, although periods with lower frequency may occur E. Attacks are prevented completely by therapeutic doses of indomethacin F. Not attributed to another disorderЁšК й и Ѕ†из ЊFX     ч ѓ–•ŸЈ7 3.2 Paroxysmal hemicrania New subdivision 1988-2004 ЁH8Њ7 Ÿ  3.2.1 Episodic paroxysmal hemicrania A. Attacks fulfilling criteria A-F for 3.2 Paroxysmal hemicrania B. At least two attack periods lasting 7-365 d and separated by pain-free remission periods of Г№1 mo 3.2.2 Chronic paroxysmal hemicrania A. Attacks fulfilling criteria A-F for 3.2 Paroxysmal hemicrania B. Attacks recur over >1 y without remission periods or with remission periods lasting <1 moЁђ&`аџЇ $`2аџŸ $ +a†$+_Њ~   7   €   7   _ ѓŸЈA Episodic/chronic paroxysmal hemicrania New subdivision 1988-2004Ё6B'ЊA ŸЈњ Why this new subdivision? Only chronic paroxysmal hemicrania was previously recognised and classified Sufficient clinical evidence for the episodic subtype has accumulated to subdivide paroxysmal hemicranias in a manner analogous to cluster headacheЁT@аџр@ џОЊр ѓ0-ŸЈƒ 3.3 Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing New entrant to classification Ё6„d Њ„ ŸЈ1 A. At least 20 attacks fulfilling criteria B-D B. Attacks of unilateral orbital, supraorbital or temporal stabbing or pulsating pain lasting 5-240 s C. Pain is accompanied by ipsilateral conjunctival injection and lacrimation D. Attacks occur with frequency 3-200/d E. Not attributed to another disorderЁ,20Њ*S   г ѓ1.ŸЈ3.4 Probable TACЁЊ ŸЈћ3.4.1 Probable cluster headache 3.4.2 Probable paroxysmal hemicrania 3.4.3 Probable SUNCT A. Attacks fulfilling all but one of the specific criteria for 3.1 Cluster headache, 3.2 Paroxysmal hemicrania or 3.3 SUNCT B. Not attributed to another disorderЁРZ |`dаџ&YC&Њ$Y Ђ ѓ30ŸЈ4. Other primary headachesЊ ŸЈ4.1 Primary stabbing headache 4.2 Primary cough headache 4.3 Primary exertional headache 4.4 Primary headache associated with sexual activity 4.5 Hypnic headache 4.6 Primary thunderclap headache 4.7 Hemicrania continua 4.8 New daily-persistent headache (NDPH)Ё$  ЊNE   C  k ѓ76ŸЈ8 4. Other primary headaches Terminology change 1988-2004Ё49Њ9 ŸЈ] This section was previously 4. Miscellaneous headaches unassociated with structural lesionЁR \  ;Њ] ѓ>;ŸЈ44.4 Primary headache associated with sexual activityЁ54Њ5 Ÿ 04.4.1 Preorgasmic headache A. Dull ache in the head and neck associated with awareness of neck and/or jaw muscle contraction and fulfilling criterion B B. Occurs during sexual activity and increases with sexual excitement C. Not attributed to another disorder 4.4.2 Orgasmic headache A. Sudden severe ( explosive ) headache fulfilling criterion B B. Occurs at orgasm C. Not attributed to another disorderЁ’ ы {  ъ{Њ*   ˆ ѓууŸЈ24.5 Hypnic headache New entrant to classificationЁ83@ џЊ*  ) Ÿ ТA. Dull headache fulfilling criteria B-D B. Develops only during sleep, and awakens patient C. At least two of the following characteristics: 1. occurs >15 times/mo 2. lasts Г№15 min after waking 3. first occurs after age of 50 y D. No autonomic symptoms and no more than one of nausea, photophobia or phonophobia E. Not attributed to another disorderЁŽZz "†6zЊb ѓффŸЈ 4.6 Primary thunderclap headacheЁ!@ џ!Њ! ŸЈ A. Severe head pain fulfilling criteria B and C B. Both of the following characteristics: 1. sudden onset, reaching maximum intensity in <1 min 2. lasting from 1 h to 10 d C. Does not recur regularly over subsequent weeks or months D. Not attributed to another disorderЁr[Rb ZQbЊ ѓххŸЈ54.7 Hemicrania continua New entrant to classificationЁ,6@ џЊ6 ŸЈA. Headache for >3 mo fulfilling criteria B-D B. All of the following characteristics: 1. unilateral pain without side-shift 2. daily and continuous, without pain-free periods 3. moderate intensity, with exacerbations of severe pain C. At least one of the following autonomic features occurs during exacerbations, ipsilateral to the pain: 1. conjunctival injection and/or lacrimation 2. nasal congestion and/or rhinorrhoea 3. ptosis and/or miosis D. Complete response to therapeutic doses of indomethacin E. Not attributed to another disorderЁЄW ’ j l ` W’jk`Њ*И  a ѓццŸЈ@4.8 New daily-persistent headache New entrant to classificationЁ.A@ џ#ЊA ŸЈхA. Headache for >3 mo fulfilling criteria B-D B. Headache is daily and unremitting from onset or from <3 d from onset C. At least two of the following pain characteristics: 1. bilateral location 2. pressing/tightening (non-pulsating) quality 3. mild or moderate intensity 4. not aggravated by routine physical activity D. Both of the following: 1. not >1 of photophobia, phonophobia or mild nausea 2. neither moderate or severe nausea nor vomiting E. Not attributed to another disorderЁ$­ ’  g & ~ўў(‘ ў f ўЊц ѓччŸЈ'4.8 New daily-persistent headache NotesЁ8(@ џ! Њ( ŸЈШ 4.8 New daily-persistent headache has many similarities to 2.3 Chronic tension-type headache It is unique in that headache is daily and unremitting from, or almost from, the moment of onset A clear recall of such onset is necessary for the diagnosis If there is or has been within the last 2 mo medication overuse fulfilling criterion B for any of the subforms of 8.2 Medication-overuse headache, the diagnosis cannot be 4.8 New daily-persistent headache ЁЪЩ œvЊЩ ѓŸЈPart 2: The secondary headachesЁ @ џ Њ ŸЈ5. Headache attributed to head and/or neck trauma 6. Headache attributed to cranial or cervical vascular disorder 7. Headache attributed to non-vascular intracranial disorder 8. Headache attributed to a substance or its withdrawal 9. Headache attributed to infection 10. Headache attributed to disorder of homoeostasis 11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures 12. Headache attributed to psychiatric disorderЁ(0_Њ ѓшшŸЈPrimary or secondary headache?Њ ŸЈнPrimary: no other causative disorder Secondary (ie, caused by another disorder): new headache occurring in close temporal relation to another disorder that is a known cause of headache coded as attributed to that disorderЁв  2`2,@аџ  q Њо ѓщъŸЈPrimary or secondary headache?Њ ŸЈі A pre-existing primary headache made worse in close temporal relation to another disorder: judgement required to code either as the primary headache only or as both the primary headache and a secondary headache (attributed to the other disorder)ЁВ`2 џ[`2€  LZЊї ѓ‘ŸЈPrimary or secondary headache?Њ ѓEBŸЈ+Diagnostic criteria for secondary headachesЁ,+Њ, ŸЈеA. Headache with one (or more) of the following [listed] characteristics and fulfilling criteria C and D B. Another disorder known to be able to cause headache has been demonstrated C. Headache occurs in close temporal relation to the other disorder and/or there is other evidence of a causal relationship D. Headache is greatly reduced or resolves within 3 mo (shorter for some disorders) after successful treatment or spontaneous remission of the causative disorder Ё6деўЊж ѓMKŸЈImportant general rulesЊ ŸЈm 8. The last criterion for most secondary headaches D. Headache is greatly reduced or resolves within [specified time] after successful treatment or spontaneous remission of the causative disorder is part of the evidence of causation Before treatment or spontaneous resolution, criterion D is not fulfilled; code as Headache probably attributed to [the disorder]Ёž4@’`&`2‚ 3‘ўў&S/Њn ѓNJŸЈ15. Headache attributed to head and/or neck traumaЁ2@ џ2Њ1 ŸЈ;5.1 Acute post-traumatic headache 5.2 Chronic post-traumatic headache 5.3 Acute headache attributed to whiplash injury 5.4 Chronic headache attributed to whiplash injury 5.5 Headache attributed to traumatic intracranial haematoma 5.6 Headache attributed to other head and/or neck trauma 5.7 Post-craniotomy headacheЁ< <Њ< ѓOLŸЈP5.1.1 Acute post-traumatic headache attributed to moderate or severe head injuryЁQP ЊP ŸЈ A. Headache, no typical characteristics known, fulfilling criteria C and D B. Head trauma with at least one of the following: 1. loss of consciousness for >30 min 2. Glasgow Coma Scale (GCS) <13 3. post-traumatic amnesia for >48 h 4. imaging demonstration of a traumatic brain lesion C. Headache develops within 7 d after head trauma or after regaining consciousness following head trauma D. One or other of the following: 1. headache resolves within 3 mo after head trauma 2. headache persists but 3 mo have not yet passedЁ‚~ ž ‹ e ~ž‹dЊ  ѓPMŸЈW 5.1.1 Acute post-traumatic headache attributed to moderate or severe head injury NotesЁ8XQ ЊW ŸЈЉ Criterion D does not relate to evidence of causation Causation is established by onset in close temporal relation to trauma, whilst it is well recognised that headache after trauma often persists When this occurs, 5.2.1 Chronic post-traumatic headache attributed to moderate or severe head injury is diagnosed Criterion D2 allows a default diagnosis within 3 mo, before it is known whether headache will resolve or persist Ё” `аџЇ@аџ@ џ мLЊЉ ѓQNŸЈS 5.2.1 Chronic post-traumatic headache attributed to moderate or severe head injuryЁTS ЊS ŸЈD As 5.1.1 except: D. Headache persists for >3 mo after head traumaЁn D  3ЊE ѓROŸЈ05.3 Acute headache attributed to whiplash injuryЁ10Њ0 ŸЈЇ A. Headache, no typical characteristics known, fulfilling criteria C and D B. History of whiplash (sudden and significant acceleration/deceleration movement of the neck) associated at the time with neck pain C. Headache develops within 7 d after whiplash injury D. One or other of the following: 1. headache resolves within 3 mo after whiplash injury 2. headache persists but 3 mo have not yet passed since whiplash injuryЁ‚L Л"   "~ЊЇ ѓSPŸЈ7 5.3 Acute headache attributed to whiplash injury NotesЁ,81Њ7 ŸЈ Criterion D does not relate to evidence of causation Causation is established by onset in close temporal relation to whiplash, whilst it is well recognised that headache after whiplash injury may persist When this occurs, 5.4 Chronic headache attributed to whiplash injury is diagnosed Criterion D2 allows a default diagnosis within 3 mo, before it is known whether headache will resolve or persistЁZ @аџ т.Њ ѓTQŸЈ3 5.4 Chronic headache attributed to whiplash injuryЁ&4 2Њ3 ŸЈG As 5.3 except: D. Headache persists for >3 mo after whiplash injury ЁЌ @аџ5  4ЊG ѓъыŸЈ?6. Headache attributed to cranial or cervical vascular disorderЊ?ŸЈŠ6.1 Headache attributed to ischaemic stroke or transient ischaemic attack 6.2 Headache attributed to non-traumatic intracranial haemorrhage 6.3 Headache attributed to unruptured vascular malformation 6.4 Headache attributed to arteritis 6.5 Carotid or vertebral artery pain 6.6 Headache attributed to cerebral venous thrombosis 6.7 Headache attributed to other intracranial vascular disorder Ё0Š ŠЊш & ,     5 ! & ѓыьŸЈB 6.2 Headache attributed to non-traumatic intracranial haemorrhageЊ2 & ŸЈu 6.2.1 Headache attributed to intracerebral haemorrhage 6.2.2 Headache attributed to subarachnoid haemorrhage (SAH) Ё"vuЊN !   ѓ]ZŸЈ56.2.2 Headache attributed to subarachnoid haemorrhageЁ65Њ5 ŸЈ A. Severe headache of sudden onset fulfilling criteria C and D B. Neuroimaging (CT or MRI T2 or flair) or CSF evidence of non-traumatic subarachnoid haemorrhage with or without other clinical signs C. Headache develops simultaneously with haemorrhage D. Headache resolves within 1 mo ЁB@аџЊ ѓьэŸЈ;6.3 Headache attributed to unruptured vascular malformationЊN     ŸЈ>6.3.1 Headache attributed to saccular aneurysm 6.3.2 Headache attributed to arteriovenous malformation (AVM) 6.3.3 Headache attributed to dural arteriovenous fistula 6.3.4 Headache attributed to cavernous angioma 6.3.5 Headache attributed to encephalotrigeminal or leptomeningeal angiomatosis (Sturge Weber syndrome) Ё@/` аџ >Њž                            ѓэюŸЈ$6.4 Headache attributed to arteritisЊ2   ŸЈв 6.4.1 Headache attributed to giant cell arteritis (GCA) 6.4.2 Headache attributed to primary central nervous system (CNS) angiitis 6.4.3 Headache attributed to secondary central nervous system (CNS) angiitis Ё>@аџвбЊЂ # &   (   ѓюяŸЈ16.4.1 Headache attributed to giant cell arteritisЊ1 ŸЈУA. Any new persisting headache fulfilling criteria C and D B. At least one of the following: 1. swollen tender scalp artery with elevated erythrocyte sedimentation rate (ESR) and/or C reactive protein (CRP) 2. temporal artery biopsy demonstrating giant cell arteritis C. Headache develops in close temporal relation to other symptoms and signs of giant cell arteritis D. Headache resolves or greatly improves within 3 d of high-dose steroid treatment ЁЂ;` аџ" Џ З ;"ЎЗЊУ ѓя№ŸЈ?6.7 Headache attributed to other intracranial vascular disorderЊ2 % ŸЈ> 6.7.1 Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) 6.7.2 Mitochondrial Encephalopathy, Lactic Acidosis and Stroke-like episodes (MELAS) 6.7.3 Headache attributed to benign angiopathy of the central nervous system 6.7.4 Headache attributed to pituitary apoplexy Ё:? <Њк            f    %  ѓ_\ŸЈ 6.7.1 CADASILЊ  ŸЈд A. Attacks of migraine with aura, with or without other neurological signs B. Typical white matter changes on MRI T2WI C. Diagnostic confirmation from skin biopsy evidence or genetic testing (Notch 3 mutations) ЁJ@аџггЊд ѓ№ёŸЈ<7. Headache attributed to non-vascular intracranial disorderЊ<ŸЈ-7.1 Headache attributed to high cerebrospinal fluid pressure 7.2 Headache attributed to low cerebrospinal fluid pressure 7.3 Headache attributed to non-infectious inflammatory disease 7.4 Headache attributed to intracranial neoplasm 7.5 Headache attributed to intrathecal injection 7.6 Headache attributed to epileptic seizure 7.7 Headache attributed to Chiari malformation type I 7.8 Syndrome of transient Headache and Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL) 7.9 Headache attributed to other non-vascular intracranial disorder Ё0- -Њ†   S  k     F ѓёђŸЈ<7.1 Headache attributed to high cerebrospinal fluid pressureЊ< ŸЈ 7.1.1 Headache attributed to idiopathic intracranial hypertension (IIH) 7.1.2 Headache attributed to intracranial hypertension secondary to metabolic, toxic or hormonal causes 7.1.3 Headache attributed to intracranial hypertension secondary to hydrocephalus ЁLБ@ џS Њ ѓђѓŸЈ 7.1.1 Headache attributed to IIHЊ  Ÿ ьA. Progressive headache with Г№1 of the following characteristics and fulfilling criteria C and D: 1. daily occurrence 2. diffuse and/or constant (non-pulsating) pain 3. aggravated by coughing or straining B. Intracranial hypertension (criteria on next slide) C. Headache develops in close temporal relation to increased intracranial pressure D. Headache improves after withdrawal of CSF to reduce pressure to 120-170 mm H2O and resolves within 72 h of persistent normalisation of intracranial pressure Ё:b` D '` )` †CD&    ў  ў  ў  ўЂ    чџP    Њі ѓѓєŸЈ 7.1.1 Headache attributed to IIHЊ  ŸЈЭB. Intracranial hypertension fulfilling the following criteria: 1. alert patient with neurological examination that either is normal or demonstrates any of the following abnormalities: a) papilloedema b) enlarged blind spot c) visual field defect (progressive if untreated) d) sixth nerve palsy 2. increased CSF pressure (>200 mm H2O [non-obese], >250 mm H2O [obese]) measured by lumbar puncture in the recumbent position or by epidural or intraventricular pressure monitoring 3. normal CSF chemistry (low CSF protein acceptable) and cellularity 4. intracranial diseases (including venous sinus thrombosis) ruled out by appropriate investigations 5. no metabolic, toxic or hormonal cause of intracranial hypertensionЁ @ y o І @ ўiўoў ўчџчџНЋўЊNЙ  N   Ћ ѓєѕŸЈ;7.2 Headache attributed to low cerebrospinal fluid pressureЊ; ŸЈŠ 7.2.1 Post-dural puncture headache 7.2.2 CSF fistula headache 7.2.3 Headache attributed to spontaneous (or idiopathic) low CSF pressure ЁL@ џŠˆЊ2   y ѓliŸЈ07.2.1 Post-dural (post-lumbar) puncture headacheЊ2     Ÿ ‚A. Headache that worsens within 15 min after sitting or standing and improves within 15 min after lying, with Г№1 of the following and fulfilling criteria C and D: 1. neck stiffness; 2. tinnitus; 3. hypacusia; 4. photophobia; 5. nausea B. Dural puncture has been performed C. Headache develops within 5 d after dural puncture D. Headache resolves either: 1. spontaneously within 1 wk 2. within 48 h after effective treatment of the spinal fluid leak ЁшЃ`. `w`_  n†3.ўўw^  ў  ўЊjЦ     C  † ѓѕіŸЈ? 7.3 Headache attributed to non-infectious inflammatory diseaseЊ? ŸЈь 7.3.1 Headache attributed to neurosarcoidosis 7.3.2 Headache attributed to aseptic (non-infectious) meningitis 7.3.3 Headache attributed to other non-infectious inflammatory disease 7.3.4 Headache attributed to lymphocytic hypophysitisЁээЊb  І       ѓіїŸЈ07.4 Headache attributed to intracranial neoplasmЊ0 ŸЈ 7.4.1 Headache attributed to increased intracranial pressure or hydrocephalus caused by neoplasm 7.4.2 Headache attributed directly to neoplasm 7.4.3 Headache attributed to carcinomatous meningitis 7.4.4 Headache attributed to hypothalamic or pituitary hyper- or hyposecretionЁ$ ЊFЎ   M    ѓmjŸЈ.7.4.2 Headache attributed directly to neoplasmЊ. Ÿ VA. Headache with Г№1 of the following characteristics and fulfilling criteria C and D: 1. progressive 2. localised 3. worse in the morning 4. aggravated by coughing or bending forward B. Intracranial neoplasm shown by imaging C. Headache develops in temporal (and usually spatial) relation to the neoplasm D. Headache resolves within 7 d after surgical removal or volume-reduction of neoplasm or treatment with corticosteroids Ё V b ѓ †C`ўўѓЊЋ ѓrsŸЈ,7.6 Headache attributed to epileptic seizureЊ, ŸЈG 7.6.1 Hemicrania epileptica 7.6.2 Post-seizure (post-ictal) headache ЁJGDЊN       ѓnkŸЈ(7.6.2 Post-seizure (post-ictal) headacheЊ2    ŸЈ5 A. Headache with features of tension-type headache or, in a patient with migraine, of migraine headache and fulfilling criteria C and D B. The patient has had a partial or generalised epileptic seizure C. Headache develops within 3 h following the seizure D. Headache resolves within 72 h after the seizure ЁJ@аџ34Њ5 ѓїјŸЈ78. Headache attributed to a substance or its withdrawalЊ7 ŸЈа 8.1 Headache induced by acute substance use or exposure 8.2 Medication-overuse headache (MOH) 8.3 Headache as an adverse event attributed to chronic medication 8.4 Headache attributed to substance withdrawalЁббЊб ѓјљŸЈ78.1 Headache induced by acute substance use or exposureЊ7 ŸЈ8.1.1 Nitric oxide donor-induced headache 8.1.2 Phosphodiesterase inhibitor-induced headache 8.1.3 Carbon monoxide-induced headache 8.1.4 Alcohol-induced headache. 8.1.5 Headache induced by food components and additives 8.1.6 Cocaine-induced headache 8.1.7 Cannabis-induced headache 8.1.8 Histamine-induced headache 8.1.9 Calcitonin gene-related peptide-induced headache 8.1.10 Headache as an acute adverse event attributed to medication used for other indications 8.1.11 Headache induced by other acute substance useЁ0 *мЊF1     К ѓљњŸЈ+8.1.3 Carbon monoxide (CO)-induced headacheЊ+ ŸЈ A. Bilateral and/or continuous headache, with quality and intensity that may be related to the severity of CO intoxication, fulfilling criteria C and D B. Exposure to CO C. Headache develops within 12 h of exposure D. Headache resolves within 72 h after elimination of COЁ6@Њ ѓњћŸЈ?8.2 Medication-overuse headache New entrant to classificationЁ@@ (Њ? ŸЈ` 8.2.1 Ergotamine-overuse headache 8.2.2 Triptan-overuse headache 8.2.3 Analgesic-overuse headache 8.2.4 Opioid-overuse headache 8.2.5 Combination analgesic-overuse headache 8.2.6 Medication-overuse headache attributed to combination of acute medications 8.2.7 Headache attributed to other medication overuse 8.2.8 Probable medication-overuse headacheЁ>a0Z §bЊ@ў 7 * ѓ21ŸЈ%8.2 Medication-overuse headache NotesЁ2&  Њ% Ÿ ”The most common cause of migraine-like or mixed migraine-like and TTH-like headaches on Г№15 d/mo is overuse of symptomatic migraine drugs and/or analgesics Patients with migraine or TTH who develop new headache or whose migraine or TTH is made markedly worse during medication overuse should be coded for that headache + 8.2 Medication-overuse headache Diagnosis of MOH is important because patients rarely respond to preventative medications until withdrawnЁla`2j X†ьkЊ*a i ѓ:8ŸЈ 8.2 Medication-overuse headache Ё,!Њ  Ÿ иA. Headache present on e"15 d/mo fulfilling criteria C and D B. Regular overuse for >3 mo of one or more drugs that can be taken for acute and/or symptomatic treatment of headache C. Headache has developed or markedly worsened during medication overuse D. Headache resolves or reverts to its previous pattern within 2 mo after discontinuation of overused medicationЁL<0Z 1 ;1Њ$? sЛ ѓќ§ŸЈ!8.2.1 Ergotamine-overuse headacheЊ! Ÿ  A. Headache fulfilling criteria A, C and D for 8.2 Medication-overuse headache B. Ergotamine intake on Г№10 d/mo on a regular basis for >3 moЁ^5†%Њ ѓ§ўŸЈ8.2.2 Triptan-overuse headacheЊ Ÿ : A. Headache fulfilling criteria A, C and D for 8.2 Medication-overuse headache B. Triptan intake (any formulation) on Г№10 d/mo on a regular basis for >3 moЁ^ž5(†%Њž ѓўџŸЈ 8.2.3 Analgesic-overuse headacheЊ  Ÿ 0 A. Headache fulfilling criteria A, C and D for 8.2 Medication-overuse headache B. Intake of simple analgesics on Г№15 d/mo on a regular basis for >3 moЁ^™5#†%Њ:T  $ ѓџŸЈ& 8.2.3 Analgesic-overuse headache NoteЁ6'! Њ& Ÿ  Expert opinion rather than formal evidence suggests that use on Г№15 d/mo rather than Г№10 d/mo is needed to induce analgesic-overuse headacheЁ`@ џB††7ЊŽ ѓŸЈG 8.2.5 Combination analgesic-overuse headache Name-change in ICHD-IIR1Ё,H.ЊG Ÿ L A. Headache fulfilling criteria A, C and D for 8.2 Medication-overuse headache B. Intake of combination analgesic medications* on Г№10 d/mo on a regular basis for >3 mo *Combinations typically implicated are those containing simple analgesics combined with opioids, butalbital and/or caffeine Ё’ZЈ}@ џ34†ЃЊ' ѓ;9ŸЈe 8.2.6 MOH attributed to combination of acute medications New entrant to classification in ICHD-IIR1 Ё4f9*Њd Ÿ М A. Headache fulfilling criteria A, C and D for 8.2 Medication-overuse headache B. Intake of any combination of ergotamine, triptans, analgesics and/or opioids on Г№10 d/mo on a regular basis for >3 mo without overuse of any single class alone* *Diagnose 8.2.1-8.2.5 if criterion B is fulfilled in respect of any single class(es) of these medicationsЁ†P Ѕj@ џ3T†ЛЊNї  A ѓŸЈ9 8.2.8 Probable MOH Renumbered (from 8.2.7) in ICHD-IIR1Ё6: %Њ9 ŸЈw A. Headache fulfilling criteria A and C for 8.2 Medication-overuse headache B. Medication overuse fulfilling criterion B for any one of the subforms 8.2.1 to 8.2.7 C. One or other of the following: 1. overused medication has not yet been withdrawn 2. medication overuse has ceased within the last 2 mo but headache has not so far resolved or reverted to its previous patternЁvM zБ1zБЊx ѓŸЈ8.2.8 Probable MOHЊ ŸЈˆ8.2.8.1 Probable ergotamine-overuse headache 8.2.8.2 Probable triptan-overuse headache 8.2.8.3 Probable analgesic-overuse headache 8.2.8.4 Probable opioid-overuse headache 8.2.8.5 Probable combination analgesic-overuse headache 8.2.8.6 Headache probably attributed to overuse of acute medication combinations (new in ICHD-IIR1) 8.2.8.7 Headache probably attributed to other medication overuseЁ6‰ 5AЊ2ь IB ѓŸЈA8.3 Headache as an adverse event attributed to chronic medicationЊA ŸЈe8.3.1 Exogenous hormone-induced headache A. Headache or migraine fulfilling criteria C and D B. Regular use of exogenous hormones C. Headache or migraine develops or markedly worsens within 3 mo of commencing exogenous hormones D. Headache or migraine resolves or reverts to its previous pattern within 3 mo after total discontinuation of exogenous hormonesЁ@)@аџ=( =Њf ѓŸЈ/8.4 Headache attributed to substance withdrawalЊ/ ŸЈЕ 8.4.1 Caffeine-withdrawal headache 8.4.2 Opioid-withdrawal headache 8.4.3 Oestrogen-withdrawal headache 8.4.4 Headache attributed to withdrawal from chronic use of other substancesЁ&$ 2’ЖЊЕ ѓŸЈ"8.4.1 Caffeine-withdrawal headacheЊ" ŸЈ@ A. Bilateral and/or pulsating headache fulfilling criteria C and D B. Caffeine consumption of >200 mg/d for >2 wk, which is interrupted or delayed C. Headache develops within 24 h after last caffeine intake and is relieved within 1 h by 100 mg of caffeine D. Headache resolves within 7 d after total caffeine withdrawalЁAAЊA ѓŸЈ#8.4.3 Oestrogen-withdrawal headacheЊ# Ÿ и A. Headache or migraine fulfilling criteria C and D B. Daily use of exogenous oestrogen for Г№3 wk, which is interrupted C. Headache or migraine develops within 5 d after last use of oestrogen D. Headache or migraine resolves within 3 dЁ>э]†Њэ ѓ™˜ŸЈ#9. Headache attributed to infectionЊ# ŸЈЈ 9.1 Headache attributed to intracranial infection 9.2 Headache attributed to systemic infection 9.3 Headache attributed to HIV/AIDS 9.4 Chronic post-infection headacheЁz@ џЈ"# " ! "HЊЈ ѓš™ŸЈ19.1 Headache attributed to intracranial infectionЁ>2 #  eЊ1 ŸЈъ 9.1.1 Headache attributed to bacterial meningitis 9.1.2 Headache attributed to lymphocytic meningitis 9.1.3 Headache attributed to encephalitis 9.1.4 Headache attributed to brain abscess 9.1.5 Headache attributed to subdural empyema Ёn@ џщ ccc$cccccccg Њі             ѓ›šŸЈ19.1.1 Headache attributed to bacterial meningitisЁR2     c Њ2  Ÿ ЎA. Headache with Г№1 of the following characteristics and fulfilling criteria C and D: 1. diffuse pain 2. intensity increasing to severe 3. associated with nausea, photophobia and/or phonophobia B. Evidence of bacterial meningitis from examination of CSF C. Headache develops during the meningitis D. One or other of the following: 1. headache resolves within 3 mo after relief from meningitis 2. headache persists but 3 mo have not yet passed since relief from meningitisЁ V0Zl0Z‰0Z0Z†Cl‰Њи ѓžŸЈ8 9.1.1 Headache attributed to bacterial meningitis NotesЁH9, Њ:  ŸЈ~ Criterion D does not relate to evidence of causation Causation is established by onset during diagnosed bacterial meningitis, whilst it is well recognised that this headache often persists When this occurs, 9.4.1 Chronic post-bacterial meningitis headache is diagnosed Criterion D2 allows a default diagnosis within 3 mo, before it is known whether headache will resolve or persistЁP6I@аџе*Њ} ѓ ŸЈ09.4.1 Chronic post-bacterial meningitis headacheЊ0 Ÿ ŽA. Headache with Г№1 of the following characteristics and fulfilling criteria C and D: 1. diffuse continuous pain 2. associated with dizziness 3. associated with difficulty in concentrating and/or loss of memory B. Evidence of previous intracranial bacterial infection from CSF examination or neuroimaging C. Headache is a direct continuation of 9.1.1 Headache attributed to bacterial meningitis D. Headache persists for >3 mo after resolution of infectionЁаV } ѕ  & &  І  & & &    $&$(( ,&, 004&488<&<&  & &  & $$(&(,, 0&0448&8<<&+%&ЊЧ ѓŸžŸЈ-9.2 Headache attributed to systemic infectionЁB.`! `eЊ- Ÿ  A. Headache with Г№1 of the following characteristics and fulfilling criteria C and D: 1. diffuse pain 2. intensity increasing to moderate or severe 3. associated with fever, general malaise or other symptoms of systemic infection B. Evidence of systemic infection C. Headache develops during the systemic infection D. Headache resolves within 72 h after effective treatment of the infectionЁhV> R` Ё` †C&  &  &&*& & Ё  Њ‡ ѓœ›ŸЈ-9.2 Headache attributed to systemic infectionЁB.`! `eЊ- ŸЈІ 9.2.1 Headache attributed to systemic bacterial infection 9.2.2 Headache attributed to systemic viral infection 9.2.3 Headache attributed to other systemic infectionЁ@ џІc c  cc  $c$((,c,004c4 88 ЊЎ  *  •        ѓНМŸЈ$ 13.18 Central causes of facial painЁ%$ўЊ$ ŸЈН 13.18.1 Anaesthesia dolorosa 13.18.2 Central post-stroke pain 13.18.3 Facial pain attributed to multiple sclerosis 13.18.4 Persistent idiopathic facial pain 13.18.5 Burning mouth syndrome ЁRМўЛўЊН ѓŸЈ13.18.1 Anaesthesia dolorosaЁ Њ ŸЈ3A. Persistent pain and dysaesthesia within the area of distribution of one or more divisions of the trigeminal nerve or of the occipital nerves B. Diminished sensation to pin-prick and sometimes other sensory loss over the affected area C. There is a lesion of the relevant nerve or its central connections Ё<3@22ўўЊ2    ѓŸЈ 13.18.2 Central post-stroke painЁ!  Њ  ŸЈЗA. Pain and dysaesthesia in one half of the face, associated with loss of sensation to pin-prick, temperature and/or touch and fulfilling criteria C and D B. One or both of the following: 1. history of sudden onset suggesting a vascular lesion (stroke) 2. demonstration by CT or MRI of a vascular lesion in an appropriate site C. Pain and dysaesthesia develop within 6 mo after stroke D. Not explicable by a lesion of the trigeminal nerve ЁvМ‹ pМў‹oў ў ЊN    ;   X ѓРНŸЈV 13.18.4 Persistent idiopathic facial pain Previously used term: Atypical facial painЁBW**ЊV ŸЈw A. Pain in the face, present daily and persisting for all or most of the day, fulfilling criteria B and C B. Pain is confined at onset to a limited area on one side of the face, and is deep and poorly localised C. Pain is not associated with sensory loss or other physical signs D. Investigations including X-ray of face and jaws do not demonstrate any relevant abnormality Ё4@аџw wЊw ѓŸЈ13.18.5 Burning mouth syndromeЁ Њ ŸЈ  A. Pain in the mouth present daily and persisting for most of the day B. Oral mucosa is of normal appearance C. Local and systemic diseases have been excluded Ё<Ÿ@2 ўЊ  ѓСРŸЈF 14. Other headache, cranial neuralgia, central or primary facial painЊF ŸЈB 14.1 Headache not elsewhere classified 14.2 Headache unspecifiedЁ$@ џBCЊC ѓТСŸЈN 14. Other headache, cranial neuralgia, central or primary facial pain NotesЁFOG  ЊN ŸЈt There are probably headache entities still to be described; until classified, they can be coded as 14.1 Headache not elsewhere classified. When very little information is available (the patient is dead, unable to communicate or unavailable), allowing only to state that headache is or was present but not which type of headache, it is coded as 14.2 Headache unspecifiedЁ– Y@@iў!ўў ўгўўўЊu ѓУТŸЈ' 14.1 Headache not elsewhere classifiedЁ('Њ' ŸЈЕ A. Headache with characteristic features suggesting that it is a unique diagnostic entity B. Does not fulfil criteria for any of the headache disorders described in chapters 1-13 Ё@Г@2ЕўЊЕ ѓФУŸЈ14.2 Headache unspecifiedЁЊ ŸЈˆ A. Headache is or has been present B. Not enough information is available to classify the headache at any level of this classificationЁ4‡@2ˆўЊˆ ѓ“‘ŸЈAppendixЁ Њ ŸЈOPresents research criteria for a number of novel entities that have not been sufficiently validated Presents alternative diagnostic criteria that may be preferable but for which the evidence is insufficient Is a first step in eliminating disorders included in the 1st edition for which sufficient evidence has still not been published Ё0Я@O ЊP ѓЬЬŸЈ A1. MigraineЁ Њ  ŸЈ€Alternative diagnostic criteria: A1.1 Migraine without aura Proposed new subclassification: A1.1.1 Pure menstrual migraine without aura A1.1.2 Menstrually-related migraine without aura A1.1.3 Non-menstrual migraine without aura Other proposed but unvalidated criteria: A1.2.7 Migraine aura status A1.3.4 Alternating hemiplegia of childhood A1.3.5 Benign paroxysmal torticollis Ёъ!@аџ @аџ‹ )@аџo  ‹(nЊ†J      <   (    ѓХХŸЈ;A1.1 Migraine without aura Alternative diagnostic criteriaЁ6<Њ; Ÿ і 1.1 Migraine without aura D. During headache Г№1 of the following: 1. nausea and/or vomiting 2. photophobia and phonophobiaЁ (`29  †ў8Њ{  Ÿ   A1.1 Migraine without aura D. During headache Г№2 of the following: 1. nausea 2. vomiting 3. photophobia 4. phonophobia 5. osmophobiaЁœ(`2B  ўў†ўўAЊ$|   ѓЦЦŸЈA1.1 Migraine without aura NoteЁ2  Њ$ ŸЈz Whilst the alternative criterion D appears easier both to understand and to apply, it is not yet sufficiently validatedЁ>xyЊzѓЧЧŸЈ:A1.1 Migraine without aura Proposed new subclassification*ЁD;Њ2(   ŸЈж A1.1.1 Pure menstrual migraine without aura A1.1.2 Menstrually-related migraine without aura A1.1.3 Non-menstrual migraine without aura *This proposed subclassification is applicable only to menstruating women ЁŒ-@аџ1+@аџ шџJ шџˆK  Њ2š  + ѓШШŸЈ+A1.1.1 Pure menstrual migraine without auraЊ+ Ÿ № A. Attacks, in a menstruating woman, fulfilling criteria for 1.1 Migraine without aura B. Attacks occur exclusively on day 1 Б 2 (ie, days  2 to +3) of menstruation in at least two out of three menstrual cycles and at no other times of the cycle Ёœ@аџі@2Bўў,ўўrўЊј ѓЩЩŸЈ2 A1.1.1 Pure menstrual migraine without aura NotesЁ<3, Њ2 Ÿ  The first day of menstruation is day 1 and the preceding day is day  1; there is no day 0 For the purposes of this classification, menstruation is endometrial bleeding resulting from either the normal menstrual cycle or withdrawal of exogenous progestogens (combined oral contraceptives or cyclical hormone replacement therapy)ЁT@аџH@аџƒ ЙЊH ѓЪЪŸЈ0A1.1.2 Menstrually-related migraine without auraЊ0 Ÿ ъ A. Attacks, in a menstruating woman, fulfilling criteria for 1.1 Migraine without aura B. Attacks occur on day 1 Б 2 (ie, days  2 to +3) of menstruation in at least two out of three menstrual cycles and additionally at other times of the cycleЁŽ@аџє@2Bўў ўў{ўЊѕ ѓ,+ŸЈ*A1.1.3 Non-menstrual migraine without auraЊ* ŸЈ‚ A. Attacks, in a menstruating woman, fulfilling criteria for 1.1 Migraine without aura B. Attacks have no menstrual relationshipЁd@аџ@2Bўў+ўЊ‚ ѓŸЈ9A2. Tension-type headache Alternative diagnostic criteriaЁ,:Њ9 Ÿ T 2. Tension-type headache C. Headache has Г№2 of the following characteristics: D. Both of the following: 1. no nausea or vomiting 2. not >1 of photo- or phonophobia Ё@@5 0Z0Z =  ў†ў#ўўўў<    ЊЊ  Ÿ T A2. Tension-type headache C. Headache has Г№3 of the following characteristics: D. Both of the following: 1. no nausea or vomiting 2. no photophobia or phonophobiaЁ8@@5 0Z0Z <  ў†ў";    ЊЋ ѓЯаŸЈA2. Tension-type headache NotesЁ,  Њ$ ŸЈ˜ These alternative diagnostic criteria C and D are very specific, but have low sensitivity The purpose is that TTH does not become a default diagnosis Ё^@ џ–@ џ•Њ$– ѓŸЈ‡ A3.3 Short-lasting Unilateral Neuralgiform headache attacks with cranial Autonomic symptoms (SUNA) Proposed but unvalidated disorder Ё<ˆd !Њ2r     Ÿ Š A. At least 20 attacks fulfilling criteria B-E B. Attacks of unilateral orbital, supraorbital or temporal stabbing or pulsating pain lasting from 2 sec to 10 min C. Pain is accompanied by one of: 1. conjunctival injection and/or lacrimation 2. nasal congestion and/or rhinorrhoea 3. eyelid oedema D. Attack frequency is Г№1/d for >50% of the time E. No refractory period follows attacks triggered from trigger areas F. Not attributed to another disorderЁzХ e œ Хўeў†ў„ўЊ2R   g ѓ*)ŸЈA3.3 SUNA NotesЁ2  Њ ŸЈM3.3 SUNCT may be a subform of a broader problem of A3.3 SUNA This proposal requires validation The proposed criteria for A3.3 SUNA (as an alternative to 3.3 SUNCT) are for research purposes and need to be tested Cranial autonomic features should be prominent to distinguish this disorder from ophthalmic division trigeminal neuralgiaЁœN@ џ/AЌЊ$_ юѓббŸЈH A9. Headache attributed to infection Proposed but unvalidated criteria Ё:I%!Њ23     ŸЈг A9.1.6 Headache attributed to space-occupying intracranial infectious lesion or infestation A9.1.7 Headache attributed to intracranial parasitic infestation A9.4.2 Chronic post-non-bacterial infection headache ЁМž@аџ5E" "  ""4      Њг ѓггŸЈT A12. Headache attributed to psychiatric disorder Proposed but unvalidated criteriaЁ8U1"Њ2@     ŸЈ A12.3 Headache attributed to major depressive disorder A12.4 Headache attributed to panic disorder A12.5 Headache attributed to generalised anxiety disorder A12.6 Headache attributed to undifferentiated somatoform disorder A12.7 Headache attributed to social phobia A12.8 Headache attributed to separation anxiety disorder A12.9 Headache attributed to post-traumatic stress disorderЁ€ €Њ€ ѓ32ŸЈ8 A12. Headache attributed to psychiatric disorder NotesЁ<91 Њ8 ŸЈˆ The proposed candidate criteria sets are to facilitate research into the possible causal relationships between certain psychiatric disorders and headache When using them it is crucial to establish that the headache in question occurs exclusively during the course of the psychiatric disorder (ie, is manifest only during times when the symptoms of the psychiatric disorder are also manifest)ЁL‰@аџ&` Њ*› э ѓддŸЈ9A13. Cranial neuralgias and central causes of facial painЁ:9Њ9 ŸЈ= A13.7.1 Nummular headache A. Mild to moderate head pain fulfilling criteria B and C B. Pain is felt exclusively in a rounded or elliptical area typically 2-6 cm in diameter C. Pain is chronic and either continuous or interrupted by spontaneous remissions lasting weeks to months D. Not attributed to another disorderЁV` џ џ#  "Њ= ѓŸЈ3Second Headache Classification Subcommittee MembersЊ3 ŸЈ‹Jes Olesen, Denmark (Chairman) Marie-Germaine Bousser, France Hans-Christoph Diener, Germany David Dodick, USA Michael First, USA Peter J Goadsby, United Kingdom Hartmut Gіbel, Germany Miguel JA Lainez, Spain James W Lance, Australia Richard B Lipton, USA Giuseppe Nappi, Italy Fumihiko Sakai, Japan Jean Schoenen, Belgium Stephen D Silberstein, USA Timothy J Steiner, United Kingdom (Secretary)ЁjŒ b Њl   $         !        @      S ѓˆ†ŸЈ CopyrightŸЈЇThe International Classification of Headache Disorders, 2nd edition (ICHD-II) is published in Cephalalgia 2004; 24 (Suppl 1) The first revision (ICHD-IIR1) (with changes affecting only section 8.2) is published in Cephalalgia 2005; 25: 460-465 Both may be reproduced freely for scientific or clinical uses by institutions, societies or individuals Otherwise, copyright belongs exclusively to International Headache Society Ё0\@L6   ;  ”ЊЇѓ)(ъј‰ я `№ џџџ€€€Ь™33ЬЬЬџВВВ`№ џџџџџџџ™џџџ–––`№ џџЬff3€€3™3€3ЬџЬf`№ џџџ333ннн€€€MMMъъъ`№ џџџ€€€џЬfџЬЬРРР`№ џџџ€€€РРРfџџ™`№ џџџ€€€3™џ™џЬЬЬВВВЃ>џ§?" dd@џџяџџџџџџ$fџўЃ~џ§?" ddи@џџяџџџџџџ fџў€ д €" а@€ №`€Л€ Ѓnџ§?" dd@џџяџџџџџџ   @@``€€PЃR    @ ` €`Ѓ pЃ>€Ѓ> С№Й№ №Q№( № №№в № “ №6€vК‡ƒПРџ №РАа№У К №TŸЈ Click to edit Master title styleЂ!Њ !№ № ƒ №0€ШxКƒПРџ № Аа№У К №žŸЈRClick to edit Master text styles Second level Third level Fourth level Fifth levelЂ!    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№0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №№0№( № x №№x № c №$€P56Пџˆ№РАа№У  6 № ž№x № c №$€ј56Пџˆ№ Аа№У 6 № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜А№№0№( № x №№x № c №$€”;6Пџˆ№РАа№У  6 № ž№x № c №$€P<6Пџˆ№ Аа№У 6 № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜Р№№0№( № x №№x № c №$€6Пџˆ№РАа№У  6 № ž№x № c №$€Ф6Пџˆ№ Аа№У 6 № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜а№(№0№( №шЫp\^ №(№x №( c №$€€@6Пџˆ№РАа№У  6 № ž№x №( c №$€№( №pЫœаy №„№x №„ c №$€œ&7Пџˆ№РАа№У  7 № ž№† №„ c №$€,§6Пџˆ№ Аа№У 7 №žІh№H №„ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І0№T№>№( №žw №T№x №T c №$€Ќ"kПџˆ№РАа№У  k № ž№† №T c №$€\§jПџˆ№ Аа№У k №žІh№H №T ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’@№l№*№( № x №l№x №l c №$€ŒQ7Пџˆ№РАа№У  7 № ž№r №l S №€HR7Пџˆ№№Аа№У 7 № ž№H №l ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№ЌP№д№D№( №žw №д№x №д c №$€`7Пџˆ№РАа№У  7 № ž№Œ №д S №€№( №žw №№x № c №$€б7Пџˆ№РАа№У  7 № ž№† № c №$€аРkПџˆ№ Аа№У 7 №žІр№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Ір№№>№( №žw №№x № c №$€tс7Пџˆ№Ь€œ№У  7 № ž№† № c №$€ќц7Пџˆ№ Аа№У 7 №žІ№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюІя € V№N№№”№ц№( № x №”№r №” S №€Pю7Пџˆ№а€ №У  7 № ž№– №” c №$€жkПџˆ№"А №У 7 №*žІјX„аŒќ”œ №– №” c №$€ŒФkПџˆ№"p а№У 7 №*žІјX„аŒќ”œ №H №” ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№Œ№>№( № x №Œ№x №Œ c №$€(9Пџˆ№РАа№У  9 № ž№† №Œ c №$€Ьђ7Пџˆ№ Аа№У 9 №žІЄ№H №Œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№№0№( № x №№x № c №$€P9Пџˆ№РАа№У  9 № ž№x № c №$€ 9Пџˆ№ Аа№У 9 № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №№0№( №žw №№x № c №$€ќ9Пџˆ№РАа№У  9 № ž№x № c №$€И9Пџˆ№ Аа№У 9 № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Њ0№\№B№( №$@ №\№x №\ c №$€М9Пџˆ№РАа№У  9 № ž№Š №\ c №$€/9Пџˆ№ Аа№У 9 №žІ X№H №\ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюќя € Ќ№Є@№œ№<№( № x №œ№r №œ S №€ 19Пџ№РАа№У  9 № ž№Š №œ S №€`ПkПџ№`А0№У 9 №$žІX№H №œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € И№АP№D№H№( № №D№x №D c №$€C9Пџˆ№РАа№У  9 № ž№ №D c №$€ЩsПџˆ№`А0№У 9 №$žІX№H №D ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Њ`№р№B№( №žw №р№x №р c №$€€Q9Пџˆ№РАа№У  9 № ž№Š №р c №$€јZ9Пџˆ№ Аа№У 9 №žІ Є№H №р ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Њp№№B№( №žw №№x № c №$€œ79Пџˆ№Р€№У  9 № ž№Š № c №$€h9Пџˆ№ Аа№У 9 №žІ Є№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ€№Д№D№( № x №Д№x №Д c №$€Ьl9Пџˆ№РАа№У  9 № ž№Œ №Д c №$€Јt9Пџˆ№`Аа№У 9 № žІ 1DшX№H №Д ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ№ф№D№( №žw №ф№x №ф c №$€№x9Пџˆ№РАа№У  9 № ž№Œ №ф c №$€Ф”9Пџˆ№ Аа№У 9 № žІ и№H №ф ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №И№>№( № x №И№x №И c №$€ž9Пџˆ№РАа№У  9 № ž№† №И c №$€Ќ„lПџˆ№ Аа№У 9 №žІD№H №И ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№ЌА№ш№D№( №žw №ш№x №ш c №$€tЁ9Пџˆ№РАа№У  9 № ž№Œ №ш c №$€t—lПџˆ№ Аа№У 9 № žІ и№H №ш ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№ІР№Р№>№( № x №Р№x №Р c №$€иА9Пџˆ№РАа№У  9 № ž№† №Р S №€ЬЖ9Пџˆ№А0№У 9 № žІ 1DшX№H №Р ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќа№ь№D№( №žw №ь№x №ь c №$€hа9Пџˆ№РАа№У  9 № ž№Œ №ь c №$€HФ9Пџˆ№ Аа№У 9 № žІ и№H №ь ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Ір№Ш№>№( № x №Ш№x №Ш c №$€дК9Пџˆ№РАа№У  9 № ž№† №Ш c №$€№иlПџˆ№Аа№У 9 №žІ№H №Ш ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№№№№>№( №žw №№№x №№ c №$€Мс9Пџˆ№РАа№У  9 № ž№† №№ c №$€Dч9Пџˆ№€Аа№У 9 №žІЈ№H №№ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ№є№D№( №žw №є№x №є c №$€8і9Пџˆ№Р€№У  9 № ž№Œ №є c №$€`ї9Пџˆ№€А`№У 9 № žІ Јh№H №є ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№ №>№( №žw № №x №  c №$€МН9Пџˆ№РАа№У  9 № ž№† №  c №$€ЌglПџˆ№`А`№У 9 №žІЈ№H №  ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € И№А №ј№H№( № №ј№x №ј c №$€а:Пџˆ№РАа№У  : № ž№ №ј c №$€ˆ:Пџˆ№№А`№У : №$žІЈX№H №ј ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜0№ќ№0№( №žw №ќ№x №ќ c №$€:Пџˆ№РАа№У  : № ž№x №ќ c №$€L:Пџˆ№ААа№У : № ž№H №ќ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Ш№Р@№L№X№( № №L№Œ №L s №*€œ!:‚„Пџˆ"ёП`№Р€№У  : № ž№– №L c №$€$':Пџˆ№ А 0 №У : №*žІјр„аŒќ”œ №– №L c №$€є)mПџˆ№ p а0 №У : №*žІјр„аŒќ”œ №PЂ №L ƒ №0€ mПƒПРџ№ Аm №№ŸЈ^Default diagnosis until periodicity is determined or 1 y is 3.1.1 Episodic cluster headache Ё8_ DЊ$=! І Є№H №L ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю"я € в№ЪP№H№b№( №žw №H№’ №H ƒ №0€Д3:‚„Пџˆ"ёП`№Р€№У  : № ž№ №H c №$€L6mПџˆ№№А`№У : №$žІЈX№H №H ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € И№А`№P№H№( №žw №P№x №P c №$€dA:Пџˆ№Р€№У  : № ž№ №P c №$€XГlПџˆ№№ `№У : №$žІЈX№H №P ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюоя € Ž№†p№ф№№( № №ф№r №ф S №€lR:Пџ№РАа№У  : № ž№l №ф C №€(S:Пџ№pА0№У : № ž№H №ф ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’€№А№*№( №žw №А№x №А c №$€x_:Пџˆ№РАа№У  : № ž№r №А S №€4`:Пџˆ№Аа№У : № ž№H №А ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’№и№*№( №žw №и№x №и c №$€Hh:Пџˆ№РАа№У  : № ž№r №и S №€i:Пџˆ№€Аа№У : № ž№H №и ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №є№>№( № №є№~ №є C №€hƒ:Пџ№€€P№У  : №žІ  №€ №є S №€œ:Пџ№€Аа№У : №žІ,№H №є ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюњя € Њ№ЂА№ј№:№( № №ј№r №ј S №€Р‘:Пџ№РАа№У  : № ž№ˆ №ј S №€€l:Пџ№ Аа№У : №"žІрh˜№H №ј ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюія € І№žР№№6№( № x №№r № S №€ˆЁ:Пџ№РАа№У  : № ž№„ № S №€РЉ:Пџ№ Аа№У : №žІ Є№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Ња№l№B№( №žw №l№x №l c №$€”Џ:Пџˆ№РАа№У  : № ž№Š №l c №$€рК:Пџˆ№ Аа№У : №žІ Є№H №l ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € А№Јр№,№@№( № x №,№r №, S №€П:Пџˆ№РР№№У  : № ž№Ž №, c №$€ЄЕmПџˆ№РАа№У : №"žІЄр№H №, ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ №№№8№( № №№x № c №$€ДС:Пџˆ№РАа№У  : № ž№€ № S №€$Ъ:Пџˆ№рА№У : №žІр№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Т№К№№R№( №Oрw@ №№’ № ƒ №0€hн:‚„Пџˆ"ёП`№РАа№У  : № ž№€ № S №€фгmПџˆ№рP`№У : №žІр№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Т№К№№R№( №žw №№’ № ƒ №0€Јс:‚„Пџˆ"ёП`№РАа№У  : № ž№€ № S №€мчmПџˆ№№€Р№У : №žІр№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№  № №8№( №фЫtАQ № №x №  c №$€Є;Пџˆ№Р€№У  ; № ž№€ №  S №€d§:Пџˆ№№А0№У ; №žІр№H №  ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ 0№№8№( №žw №№x № c №$€Р;Пџˆ№Р€№У  ; № ž№€ № S №€јя:Пџˆ№№А0№У ; №žІр№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю я € К№В@№№J№( №žw №№x № c №$€Ј;Пџˆ№РАа№У  ; № ž№’ № S №€0;Пџˆ№РР№№У ; №,žІљxh”рœ ЄЌ№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜P№№0№( № №№x № c №$€Д*;Пџˆ№РАа№У  ; № ž№x № c №$€p+;Пџˆ№ А`№У ; № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜`№№0№( №’“ №№x № c №$€X/;Пџˆ№РАа№У  ; № ž№x № c №$€€;Пџˆ№ Аа№У ; № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюєя € Є№œp№œ№4№( №žw №œ№r №œ S №€мё:Пџˆ№РРР№У  : № ž№‚В №œ0 “ №6€A ?Пџˆ№],ДХ№С У :№H №œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ &rџЬ€€€Ь™___ЬЬџВВВюјя € Ј№ €№H№8№( №ƒП №H№x №H c №$€,nПџˆ№РАа№У  n № ž№€ №H S №€ HmПџˆ№р€№У n №žІр№H №H ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№p№0№( №Ь™33ЬЬЬџВВВ №p№x №p c №$€Р1;Пџˆ№РАа№У  ; № ž№x №p c №$€|2;Пџˆ№ P`№У ; № ž№H №p ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюья € œ№” №l№,№( №$@ №l№r №l S №€\9;Пџ№РАа№У  ; № ž№z №l C №€м;;Пџ№P №У ; №žІh№H №l ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№ŒА№x№$№( № x №x№r №x S №€N;Пџ№Р€№У  ; № ž№r №x S №€аN;Пџ№ Аа№У ; № ž№H №x ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜Р№|№0№( № x №|№x №| c №$€HY;Пџˆ№Р€№У  ; № ž№x №| c №$€Z;Пџˆ№€РР№У ; № ž№H №| ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜а№„№0№( №žw №„№x №„ c №$€ќp;Пџˆ№РАа№У  ; № ž№x №„ c №$€Иq;Пџˆ№рАа№У ; № ž№H №„ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜р№ˆ№0№( №žw №ˆ№x №ˆ c №$€`y;Пџˆ№РАа№У  ; № ž№x №ˆ c №$€z;Пџˆ№ Аа№У ; № ž№H №ˆ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№№Œ№0№( №žw №Œ№x №Œ c №$€„`;Пџˆ№РАа№У  ; № ž№x №Œ c №$€@a;Пџˆ№ААа№У ; № ž№H №Œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№№0№( №žw №№x № c №$€h‘;Пџˆ№РАа№У  ; № ž№x № c №$€ Ÿ;Пџˆ№ААа№У ; № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Њ№ №B№( №žw № №x №  c №$€\Ё;Пџˆ№Р€№У  ; № ž№Š №  c №$€$Ћ;Пџˆ№№№Р№У ; №žІ Є№H №  ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € В№Њ №$№B№( №€Š+ №$№x №$ c №$€ŒЏ;Пџˆ№Р€№У  ; № ž№Š №$ c №$€мЗ;Пџˆ№€Аа№У ; №žІ Є№H №$ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ0№Д№$№( № x №Д№r №Д S №€0Н;Пџ№РАа№У  ; № ž№r №Д S №€ П;Пџ№ Аа№У ; № ž№H №Д ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜@№(№0№( №И Р”&TФ&T №(№x №( c №$€pС;Пџˆ№Р€№У  ; № ž№x №( c №$€,Т;Пџˆ№€P`№У ; № ž№H №( ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜P№,№0№( №  №,№x №, c №$€0Ы;Пџˆ№Р€№У  ; № ž№x №, c №$€ьЫ;Пџˆ№ Аа№У ; № ž№H №, ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜`№0№0№( №žw №0№x №0 c №$€”Ч;Пџˆ№Р€№У  ; № ž№x №0 c №$€єм;Пџˆ№ А0№У ; № ž№H №0 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜p№4№0№( №žw №4№x №4 c №$€ с;Пџˆ№Р€№У  ; № ž№x №4 c №$€мс;Пџˆ№ А0№У ; № ž№H №4 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ€№М№$№( № x №М№r №М S №€€э;Пџ№РАа№У  ; № ž№r №М S №€<ю;Пџ№ Аа№У ; № ž№H №М ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№8№>№( №žw №8№x №8 c №$€Xј;Пџˆ№Р€№У  ; № ž№† №8 c №$€ьх;Пџˆ№ №Р№У ; №žІh№H №8 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №<№0№( №žw №<№x №< c №$€а=Пџˆ№Р€№У  = № ž№x №< c №$€Œ=Пџˆ№ Аа№У = № ž№H №< ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜А№@№0№( №žw №@№x №@ c №$€Р =Пџˆ№Р€№У  = № ž№x №@ c №$€P =Пџˆ№ А0№У = № ž№H №@ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜Р№D№0№( № №D№x №D c №$€ "=Пџˆ№Р€№У  = № ž№x №D c №$€м"=Пџˆ№ЇРР‡№У = № ž№H №D ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜а№H№0№( № №H№x №H c №$€48=Пџˆ№Р€№У  = № ž№x №H c №$€№8=Пџˆ№ Аа№У = № ž№H №H ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюоя € Ž№†р№№№№( № x №№№r №№ S №€ @=Пџ№Р€№У  = № ž№l №№ C №€\A=Пџ№ А0№У = № ž№H №№ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№№L№0№( №žw №L№x №L c №$€G=Пџˆ№Р€№У  = № ž№x №L c №$€LH=Пџˆ№ААа№У = № ž№H №L ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№P№0№( № №P№x №P c №$€МZ=Пџˆ№Р€№У  = № ž№x №P c №$€d[=Пџˆ№ Аа№У = № ž№H №P ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ№є№$№( № x №є№r №є S №€Аa=Пџ№РАа№У  = № ž№r №є S №€lb=Пџ№ Аа№У = № ž№H №є ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ №№$№( № x №№r № S №€s=Пџ№РАа№У  = № ž№r № S №€иs=Пџ№ Аа№У = № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ0№ј№$№( № x №ј№r №ј S №€Pz=Пџ№Р€№У  = № ž№r №ј S №€ {=Пџ№ Аа№У = № ž№H №ј ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І@№T№>№( №žw №T№x №T c №$€Д=Пџˆ№Р€№У  = № ž№† №T c №$€hŠ=Пџˆ№ Аа№У = №žІЄ№H №T ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№ЌP№X№D№( №žw №X№x №X c №$€€=Пџˆ№Р€№У  = № ž№Œ №X c №$€x›oПџˆ№ №Р№У = № žІ Є№H №X ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І`№\№>№( №žw №\№x №\ c №$€ŒЃ=Пџˆ№Р€№У  = № ž№† №\ c №$€ШЉ=Пџˆ№ А0№У = №žІЄ№H №\ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќp№`№D№( №žw №`№x №` c №$€(Е=Пџˆ№Р€№У  = № ž№Œ №` c №$€p•=Пџˆ№ Аа№У = № žІ ЄX№H №` ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ€№X№D№( №žw №X№x №X c №$€єТ=Пџˆ№Р€№У  = № ž№Œ №X c №$€Я=Пџˆ№ €`№У = № žІ ЄX№H №X ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ№Œ№D№( № №Œ№x №Œ c №$€(б=Пџˆ№Р€№У  = № ž№Œ №Œ c №$€Мл=Пџˆ№ €`№У = № žІ ЄX№H №Œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №h№>№( № №h№x №h c №$€Јс=Пџˆ№Р€№У  = № ž№† №h c №$€0ч=Пџˆ№ А0№У = №žІЄ№H №h ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Ю№ЦА№l№^№( № №l№x №l c №$€LьoПџˆ№Р€№У  o № ž№І №l “ №6€рGoП‚„Пџˆ"ёП`№ А0№У o №žІЄ№H №l ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№ІР№p№>№( №žw №p№x №p c №$€ё=Пџˆ№Р€№У  = № ž№† №p c №$€ї=Пџˆ№ А0№У = №žІЄ№H №p ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Іа№t№>№( №žw №t№x №t c №$€€о=Пџˆ№Р€№У  = № ž№† №t c №$€рўoПџˆ№ А0№У = №žІЄ№H №t ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Ір№x№>№( № №x№x №x c №$€tWpПџˆ№Р€№У  p № ž№† №x c №$€$?Пџˆ№yА0Y№У p №žІЄ№H №x ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Ш№Р№№№X№( № №№x № c №$€4 ?Пџˆ№Р€№У  ? № ž№  № ƒ №0€H)p‚„Пџˆ"ёП`№xА0X№У ? №žІЄ№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Ю№Ц№„№^№( №žw №„№x №„ c №$€H?Пџˆ№Р€№У  ? № ž№І №„ “ №6€а?П‚„Пџˆ"ёП`№ А0№У ? №žІ№№H №„ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№|№>№( №Oрw@ №|№x №| c №$€<+?Пџˆ№Р€№У  ? № ž№† №| c №$€Ф0?Пџˆ№MА§ №У ? №žІ№№H №| ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №ˆ№>№( №žw №ˆ№x №ˆ c №$€;?Пџˆ№Р€№У  ? № ž№† №ˆ c №$€ A?Пџˆ№PА№У ? №žІ№№H №ˆ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ0№Œ№D№( №žw №Œ№x №Œ c №$€шJ?Пџˆ№Р€№У  ? № ž№Œ №Œ c №$€tG?Пџˆ№PА№У ? № žІ №X№H №Œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќ@№№D№( №žw №№x № c №$€иZ?Пџˆ№Р€№У  ? № ž№Œ № c №$€d(?Пџˆ№PА№У ? № žІ №X№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№ЌP№”№D№( №žw №”№x №” c №$€Иa?Пџˆ№Р€№У  ? № ž№Œ №” c №$€8k?Пџˆ№PА№У ? № žІ №X№H №” ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюђя € Ђ№š`№М№2№( №žw №М№r №М S №€`p?Пџ№РАа№У  ? № ž№€ №М S №€шu?Пџ№ Аа№У ? №žІЄ№H №М ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюя € Д№Ќp№Ф№D№( № x №Ф№x №Ф c №$€|?Пџˆ№РАа№У  ? № ž№Œ №Ф c №$€DtpПџˆ№ Аа№У ? № žІ ЄX№H №Ф ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ €№Ш№8№( № x №Ш№x №Ш c №$€˜‘?Пџˆ№РАа№У  ? № ž№€ №Ш S №€h”pПџˆ№е Е№У ? №žІЄ№H №Ш ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ№и№$№( №žw №и№r №и S №€œЄ?Пџ№РАа№У  ? № ž№r №и S №€дЇ?Пџ№€Аа№У ? № ž№H №и ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №˜№0№( № №˜№x №˜ c №$€h­?Пџˆ№РАа№У  ? № ž№x №˜ c №$€$Ў?Пџˆ№еАаЕ№У ? № ž№H №˜ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№ІА№м№>№( № x №м№x №м c №$€pБ?Пџˆ№РАа№У  ? № ž№† №м c №$€$У?Пџˆ№ Аа№У ? №žІД№H №м ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№ІР№Ь№>№( №$@ №Ь№x №Ь c №$€(Е?Пџˆ№РАа№У  ? № ž№† №Ь c №$€ѕpПџˆ№ Аа№У ? №žІД№H №Ь ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Іа№а№>№( № №а№x №а c №$€ќэpПџˆ№РАа№У  p № ž№† №а c №$€ЖpПџˆ№ Аа№У p №žІЄ№H №а ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюья € œ№”р№ф№,№( №žw №ф№r №ф S №€р qПџ№РАа№У  q № ž№z №ф C №€dФpПџ№Š€Њ№У q №žІр№H №ф ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’№№ш№*№( № x №ш№x №ш c №$€€ё?Пџˆ№РАа№У  ? № ž№r №ш S №€ќѓ?Пџˆ№р `№У ? № ž№H №ш ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюђя € Ђ№š №ь№2№( №žw №ь№r №ь S №€lќ?Пџ№РАа№У  ? № ž№€ №ь S №€ш}pПџ№ Аа№У ? №žІа№H №ь ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №№№>№( № x №№№x №№ c №$€ˆпpПџˆ№РАа№У  p № ž№† №№ c №$€(уpПџˆ№  Р№У p №žІ№H №№ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І №œ№>№( №žw №œ№x №œ c №$€ @Пџˆ№Р€№У  @ № ž№† №œ c №$€( @Пџˆ№хqaЅ№У @ №žІ№H №œ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І0 № №>№( №žw № №x №  c №$€Ш@Пџˆ№Р€№У  @ № ž№† №  c №$€P@Пџˆ№ Аа№У @ №žІа№H №  ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І@ №Є№>№( №žw №Є№x №Є c №$€˜$@Пџˆ№Р€№У  @ № ž№† №Є c №$€LCqПџˆ№ Аа№У @ №žІа№H №Є ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№ІP №Ј№>№( № №Ј№x №Ј c №$€а0@Пџˆ№Р€№У  @ № ž№† №Ј c №$€ј7@Пџˆ№ААа№У @ №žІа№H №Ј ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І` №Ќ№>№( №№AT №Ќ№x №Ќ c №$€F@Пџˆ№Р€№У  @ № ž№† №Ќ c №$€мL@Пџˆ№ Аа№У @ №žІ”№H №Ќ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Іp №А№>№( №žw №А№x №А c №$€иP@Пџˆ№Р€№У  @ № ž№† №А c №$€`V@Пџˆ№€Аа№У @ №žІ”№H №А ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І€ №Д№>№( №žw №Д№x №Д c №$€b@Пџˆ№Р€№У  @ № ž№† №Д c №$€i@Пџˆ№Аа‚№У @ №žІ”№H №Д ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюоя € Ž№† №0№№( №žw №0№r №0 S №€8p@Пџ№РАа№У  @ № ž№l №0 C №€єp@Пџ№р№Р№У @ № ž№H №0 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І  №И№>№( №žw №И№x №И c №$€Єx@Пџˆ№Р€№У  @ № ž№† №И c №$€иŒ@Пџˆ№№№У @ №žІ”№H №И ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюђя € Ђ№šА №4№2№( №žw №4№r №4 S №€ќ@Пџ№РАа№У  @ № ž№€ №4 S №€(ƒ@Пџ№ Аа№У @ №žІр№H №4 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ Р №8№8№( № x №8№x №8 c №$€Єž@Пџˆ№РАа№У  @ № ž№€ №8 S №€ШЂqПџˆ№рА`№У @ №žІр№H №8 ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№Іа №<№>№( №žw №<№x №< c №$€4Ѓ@Пџˆ№РАа№У  @ № ž№† №< c №$€0Љ@Пџˆ№ ра№У @ №žІр№H №< ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ р №@№8№( №Oрw@ №@№x №@ c №$€ В@Пџˆ№РАа№У  @ № ž№€ №@ S №€ИИ@Пџˆ№р Р№У @ №žІр№H №@ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜№ №№0№( № №№x № c №$€шП@Пџˆ№РАа№У  @ № ž№x № c №$€ЄР@Пџˆ№ Аа№У @ № ž№H № ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №L№0№( №žw №L№x №L c №$€ŒЦ@Пџˆ№РАа№У  @ № ž№x №L c №$€HЧ@Пџˆ№РАа№У @ № ž№H №L ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №P№0№( №žw №P№x №P c №$€8б@Пџˆ№РАа№У  @ № ž№x №P c №$€єб@Пџˆ№Р№Р№У @ № ž№H №P ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №h№0№( №žw №h№x №h c №$€tф@Пџˆ№РАа№У  @ № ž№x №h c №$€0х@Пџˆ№РАа№У @ № ž№H №h ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюјя € Ј№ 0 №T№8№( №žw №T№r №T S №€„ь@Пџ№РАа№У  @ № ž№† №T S №€ ї@Пџ№ Аа№У @ № žІ а”№H №T ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ@ №X№$№( №žw №X№r №X S №€мqПџ№РАа№У  q № ž№r №X S №€АмqПџ№ Аа№У q № ž№H №X ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюоя € Ž№†P №\№№( №žw №\№r №\ S №€DAПџ№Р€№У  A № ž№l №\ C №€дAПџ№рА№У A № ž№H №\ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ` №`№$№( №žw №`№r №` S №€дAПџ№РАа№У  A № ž№r №` S №€AПџ№ Аа№У A № ž№H №` ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜p №М№0№( №žw №М№x №М c №$€„+AПџˆ№Р€№У  A № ž№x №М c №$€@,AПџˆ№ Аа№У A № ž№H №М ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜€ №Р№0№( № №Р№x №Р c №$€ШAПџˆ№Р€№У  A № ž№x №Р c №$€„ AПџˆ№ Аа№У A № ž№H №Р ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВю№я €  №˜ №d№0№( №žw №d№r №d S №€ŒAПџ№РАа№У  A № ž№~ №d C №€и5AПџ№рАР№У A №žІ  №H №d ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюќя € Ќ№Є  №Ф№<№( №žw №Ф№x №Ф c №$€ЌQAПџˆ№Р€№У  A № ž№„ №Ф S №€[AПџˆ№рА`№У A №žІ Д№H №Ф ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’А №Ш№*№( №Ь™33ЬЬЬџВВВ №Ш№x №Ш c №$€$_AПџˆ№Р€№У  A № ž№r №Ш S №€№6AПџˆ№ P`№У A № ž№H №Ш ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№ŒР №h№$№( № №h№r №h S №€dcAПџ№Р€№У  A № ž№r №h S №€(gAПџ№ Аа№У A № ž№H №h ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюъя € š№’а №Ь№*№( №Oрw@ №Ь№x №Ь c №$€\qAПџˆ№Р€№У  A № ž№r №Ь S №€rAПџˆ№рА№У A № ž№H №Ь ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюђя € Ђ№šр №t№2№( №žw №t№r №t S №€}AПџ№РАа№У  A № ž№€ №t S №€МƒAПџ№ Аа№У A №žІ№H №t ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюўя € Ў№І№ №x№>№( №žw №x№x №x c №$€4ŒAПџˆ№Р€№У  A № ž№† №x c №$€и„rПџˆ№рАа№У A №žІ№H №x ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ №|№$№( №žw №|№r №| S №€4“AПџ№РАа№У  A № ž№r №| S №€№“AПџ№ Аа№У A № ž№H №| ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ №€№$№( №dЫxX€ №€№r №€ S №€pAПџ№РАа№У  A № ž№r №€ S №€,žAПџ№ Аа№У A № ž№H №€ ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюфя € ”№Œ № №$№( №žw № №r №  S №€LЂAПџ№РАа№У  A № ž№r №  S №€ЃAПџ№  `№У A № ž№H №  ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюія € І№ž0 №Є№6№( №žw №Є№r №Є S №€PЇAПџ№РАа№У  A № ž№„ №Є S №€ ВrПџ№ Аа№У A №žІ „№H №Є ƒ №0ƒ“ŽŸ‹”оНhПџ ?№ џџџ€€€Ь™33ЬЬЬџВВВюXя € №@ №ˆ№˜№( №žw №ˆ№r №ˆ S №€УAПџ№РАа№У  A № ž№r №ˆ S №€ЬУAПџ№ А 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&џџџџўџеЭеœ.“—+,љЎ0(&ˆЈдмфь є ќ $ ,  %фOn-screen Show$Imperial College School of Medicinek4С  ЩTimes New RomanVerdanaGeorgia Book AntiquaArialSymbolDefault DesignMicrosoft Word DocumentR INTERNATIONAL CLASSIFICATION of HEADACHE DISORDERS 2nd edition (1st revision) HistoryHistoryBasisSystemImportant general rulesImportant general rulesImportant general rulesImportant general rulesImportant general rulesImportant general rulesImportant general rules Structure Structure StructureClassificationPrimary or secondary headache?Primary or secondary headache?ClassificationClassificationClassificationClassification Part 1: The primary headaches 1. Migraine'1. Migraine Reclassification 1988-20041.1 Migraine without aura! 1.1 Migraine without aura Notes, ‘Not attributed to another disorder’ Note1.2 Migraine with aura1.2 Migraine with aura7 1.2 Migraine with aura Subtypes new to classification+1.2.1 Typical aura with migraine headache +1.2.1 Typical aura with migraine headache .1.2.2 Typical aura with non-migraine headache$1.2.3 Typical aura without headache*1.2.4 Familial hemiplegic migraine (FHM) *1.2.4 Familial hemiplegic migraine (FHM) 1.2.6 Basilar-type migraine : 1.2.6 Basilar-type migraine Terminology change 1988-2004L 1.3 Childhood periodic syndromes that are commonly precursors of migraine1.3.2 Abdominal migraine1.5 Complications of migraine: 1.5 Complications of migraine Reclassification 1988-20046 1.5.1 Chronic migraine New entrant to classification 1.5.1 Chronic migraine Notes ‘Chronic’ Notes1.6 Probable migraine1.6 Probable migraine1.6 Probable migraine2. Tension-type headache< Infrequent/frequent episodic TTH New subdivision 1988-20042.1 Infrequent episodic TTH2.1 Infrequent episodic TTH2.2 Frequent episodic TTH2.2 Frequent episodic TTH2.3 Chronic TTH2.3 Chronic TTH2.4 Probable TTH2.4.3 Probable chronic TTHB 3. Cluster headache and other trigeminal autonomic cephalalgias3.1 Cluster headache3.1 Cluster headache‘Chronic’ Notes=Episodic/chronic cluster headache Reclassification 1988-2004>Episodic/chronic cluster headache Definition change 1988-2004E3.1.2 Chronic cluster headache Abandoned subclassification 1988-20043.2 Paroxysmal hemicrania 8 3.2 Paroxysmal hemicrania New subdivision 1988-2004 B Episodic/chronic paroxysmal hemicrania New subdivision 1988-2004„ 3.3 Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing New entrant to classification 3.4 Probable TAC4. Other primary headaches9 4. Other primary headaches Terminology change 1988-200454.4 Primary headache associated with sexual activity34.5 Hypnic headache New entrant to classification!4.6 Primary thunderclap headache64.7 Hemicrania continua New entrant to classificationA4.8 New daily-persistent headache New entrant to classification(4.8 New daily-persistent headache Notes Part 2: The secondary headachesPrimary or secondary headache?Primary or secondary headache?Primary or secondary headache?,Diagnostic criteria for secondary headachesImportant general rules25. Headache attributed to head and/or neck traumaQ5.1.1 Acute post-traumatic headache attributed to moderate or severe head injuryX 5.1.1 Acute post-traumatic headache attributed to moderate or severe head injury NotesT 5.2.1 Chronic post-traumatic headache attributed to moderate or severe head injury15.3 Acute headache attributed to whiplash injury8 5.3 Acute headache attributed to whiplash injury Notes4 5.4 Chronic headache attributed to whiplash injury@6. Headache attributed to cranial or cervical vascular disorderC 6.2 Headache attributed to non-traumatic intracranial haemorrhage66.2.2 Headache attributed to subarachnoid haemorrhage<6.3 Headache attributed to unruptured vascular malformation%6.4 Headache attributed to arteritis26.4.1 Headache attributed to giant cell arteritis@6.7 Headache attributed to other intracranial vascular disorder6.7.1 CADASIL=7. Headache attributed to non-vascular intracranial disorder=7.1 Headache attributed to high cerebrospinal fluid pressure!7.1.1 Headache attributed to IIH!7.1.1 Headache attributed to IIH<7.2 Headache attributed to low cerebrospinal fluid pressure17.2.1 Post-dural (post-lumbar) puncture headache@ 7.3 Headache attributed to non-infectious inflammatory disease17.4 Headache attributed to intracranial neoplasm/7.4.2 Headache attributed directly to neoplasm-7.6 Headache attributed to epileptic seizure)7.6.2 Post-seizure (post-ictal) headache88. Headache attributed to a substance or its withdrawal88.1 Headache induced by acute substance use or exposure,8.1.3 Carbon monoxide (CO)-induced headache@8.2 Medication-overuse headache New entrant to classification&8.2 Medication-overuse headache Notes!8.2 Medication-overuse headache "8.2.1 Ergotamine-overuse headache8.2.2 Triptan-overuse headache!8.2.3 Analgesic-overuse headache' 8.2.3 Analgesic-overuse headache NoteH 8.2.5 Combination analgesic-overuse headache Name-change in ICHD-IIR1f 8.2.6 MOH attributed to combination of acute medications New entrant to classification in ICHD-IIR1 : 8.2.8 Probable MOH Renumbered (from 8.2.7) in ICHD-IIR18.2.8 Probable MOHB8.3 Headache as an adverse event attributed to chronic medication08.4 Headache attributed to substance withdrawal#8.4.1 Caffeine-withdrawal headache$8.4.3 Oestrogen-withdrawal headache$9. Headache attributed to infection29.1 Headache attributed to intracranial infection29.1.1 Headache attributed to bacterial meningitis9 9.1.1 Headache attributed to bacterial meningitis Notes19.4.1 Chronic post-bacterial meningitis headache.9.2 Headache attributed to systemic infection.9.2 Headache attributed to systemic infection$9.3 Headache attributed to HIV/AIDS410. Headache attributed to disorder of homoeostasisR 10. Headache attributed to disorder of homoeostasis Terminology change 1988-2004710.1 Headache attributed to hypoxia and/or hypercapnia210.3 Headache attributed to arterial hypertension” 11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures11.2.1 Cervicogenic headache11.2.1 Cervicogenic headache$ 11.2.1 Cervicogenic headache Notes-11.3 Headache attributed to disorder of eyes-11.3.1 Headache attributed to acute glaucoma+11.5 Headache attributed to rhinosinusitis2 11.5 Headache attributed to rhinosinusitis NotesL11.7 Headache or facial pain attributed to temporomandibular joint disorderO 12. Headache attributed to psychiatric disorder New section in classification7 12. Headache attributed to psychiatric disorder Notes212.1 Headache attributed to somatisation disorder/12.2 Headache attributed to psychotic disorderR Part 3: Cranial neuralgias, central and primary facial pain and other headaches913. Cranial neuralgias and central causes of facial pain913. Cranial neuralgias and central causes of facial paink 13. Cranial neuralgias and central causes of facial pain Terminology and section number change 1988-200413.1 Trigeminal neuralgia' 13.1.1 Classical trigeminal neuralgia) 13.1.2 Symptomatic trigeminal neuralgia13.8 Occipital neuralgia!13.17 Ophthalmoplegic ‘migraine’= 13.17 Ophthalmoplegic ‘migraine’ Reclassification 1988-2004% 13.18 Central causes of facial pain13.18.1 Anaesthesia dolorosa!13.18.2 Central post-stroke painW 13.18.4 Persistent idiopathic facial pain Previously used term: Atypical facial pain13.18.5 Burning mouth syndromeG 14. Other headache, cranial neuralgia, central or primary facial painO 14. Other headache, cranial neuralgia, central or primary facial pain Notes( 14.1 Headache not elsewhere classified14.2 Headache unspecified Appendix A1. Migraine<A1.1 Migraine without aura Alternative diagnostic criteria A1.1 Migraine without aura Note;A1.1 Migraine without aura Proposed new subclassification*,A1.1.1 Pure menstrual migraine without aura3 A1.1.1 Pure menstrual migraine without aura Notes1A1.1.2 Menstrually-related migraine without aura+A1.1.3 Non-menstrual migraine without aura:A2. Tension-type headache Alternative diagnostic criteria A2. Tension-type headache Notesˆ A3.3 Short-lasting Unilateral Neuralgiform headache attacks with cranial Autonomic symptoms (SUNA) Proposed but unvalidated disorder A3.3 SUNA NotesI A9. Headache attributed to infection Proposed but unvalidated criteria U A12. Headache attributed to psychiatric disorder Proposed but unvalidated criteria9 A12. Headache attributed to psychiatric disorder Notes:A13. Cranial neuralgias and central causes of facial pain4Second Headache Classification Subcommittee Members CopyrightPowerPoint Presentation  Fonts UsedDesign TemplateEmbedded OLE Servers Slide TitlesСі(_Р‘уєђє~JEFFREY A CARMENJEFFREY A CARMEN ўџџџ !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~€‚ƒ„…†‡ˆ‰Š‹ŒŽ‘’“”•–—˜™š›œžŸ ЁЂЃЄЅІЇЈЉЊЋЌ­ЎЏАБВГДЕЖЗИЙКЛМНОПРСТУФХЦЧШЩЪЫЬЭЮЯабвгдежзийклмнопрстуфхцчшщъыьэюя№ёђѓєѕіїјљњћќ§ўџ      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~€‚ƒ„…†‡ˆ‰Š‹ŒŽ‘’“”•–—˜™š›œžŸ ЁЂЃЄЅІЇЈЉЊЋЌ­ЎЏАБВГДЕЖЗИЙКЛМНОПРСТУФХЦЧШЩЪЫЬЭЮЯабвгдежзийклмнопрстуфхцчшщъыьэюя№ёђѓєѕіїјљњћќ§ўџ    ўџџџ !"#$%&'()*+,-./0123456ўџџџ89:;<=>?@ABCDEFGHIJўџџџLMNOPQRўџџџ§џџџ§џџџ§џџџ§џџџ§џџџYўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџd›OЯ†ъЊЙ)шўџџџPicturesџџџџџџџџџџџџS%Current UserџџџџџџџџKSummaryInformation(џџџџ