Abstract
Following a short analysis of leading principles of the classification and diagnostic criteria of headaches of the International Headache Society (IHS) and a brief description of its nosography of primary headaches, some still debated issues are discussed. The IHS classification shows a good inter-observer reliability both at one- and two-digit levels, even though validation studies are lacking. On the basis of researches carried out in recent years on the evolution of cluster headache, on chronic daily headache, on a possible third diagnostic level of migraine without aura, and on the painful phase of migraine with aura, some proposals of revision of the IHS classification are suggested.
Sommario
Dopo una breve analisi dei principi ispiratori della classificazione e criteri diagnostici delle cefalee della International Headache Society (IHS) del 1988 ed una succinta descrizione della sua sistematizzazione con speciale riferimento alle cefalee primarie, vengono affrontate alcune problematiche ancora aperte. Pur in mancanza di studi specifici di validazione, la classificazione della IHS dimostra una buona riproducibilità interosservatori al primo e secondo livello diagnostico. In base alle ricerche condotte in questi ultimi anni sulle possibilità evolutive della cefalea a grappolo, sulla cefalea cronica quotidiana, su un possibile terzo livello diagnostico dell'emicrania senza aura e sulla fase algica dell'emicrania con aura, vengono suggerite alcune proposte di revisione della classificazione.
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Manzoni, G.C. Classificazione delle cefalee primarie e criteri diagnostici IHS 1988: revisione critica. Ital J Neuro Sci 16, 9–14 (1995). https://doi.org/10.1007/BF02333239
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DOI: https://doi.org/10.1007/BF02333239