Chronic headaches: a clinician’s experience of ICHD-3 beta
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The International Classification of Headache Disorders, 3rd edition (beta version) has significantly improved the categorization of chronic headaches. From a clinical standpoint, however, it still has a few limitations, both general and specific. Among the former is the fact that international headache classifications are aimed less at defining the disease than at characterizing the features of attacks, meaning that their structure is ill suited to dealing with chronic headaches where the patient must be the focus of the discussion. Among the latter is the fact that the diagnostic criteria for chronic migraine do not distinguish between cases differing widely in severity and that the issue of whether medication overuse headache can be considered an autonomous entity is still unsolved. We propose that changes be made in the systematizations of chronic migraine and medication overuse headache to make them more consistent with clinical practice.
KeywordsChronic migraine Chronic headache Chronic daily headache Medication overuse headache International classification of headache disorders
Conflict of interest
I certify that there is no actual or potential conflict of interest in relation to this article.
- 2.Headache Classification Committee of the International Headache Society (1988) Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 8(suppl 7):1–96Google Scholar
- 3.Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders—2nd edn. Cephalalgia 24(Suppl 1):1–160Google Scholar