Evaluation of chronic daily headache--comparison to criteria for chronic tension-type headache.
The purpose of this study was to evaluate the adequacy of the International Headache Society (IHS) criteria for chronic tension-type headache and, if appropriate, suggest modifications of the IHS classification. We evaluated 100 consecutive patients with chronic daily headache. Approximately two-thirds of our patients fulfilled the criteria for chronic tension-type headache. Most of the patients who failed to meet the criteria did so because they had more than one migrainous feature. Approximately 50% of patients took excessive amounts of analgesic medication. We conclude that the IHS criteria should be modified to include chronic daily headache evolving from migraine; subtypes with and without medication overuse should be distinguished.
Solomon
S
S
Department of Neurology, Albert Einstein College of Medicine, Bronx, New York.
Lipton
R B
RB
Newman
L C
LC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002908:Chronic Disease; D005260:Female; D006261:Headache / Q000145:classification* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged