Presentation of a New Instrument: The Diagnostic Headache Diary

Cephalalgia ◽  
1992 ◽  
Vol 12 (6) ◽  
pp. 369-374 ◽  
Author(s):  
Michael Bjørn Russell ◽  
Birthe Krogh Rasmussen ◽  
Jannick Brennum ◽  
Helle Klingenberg Iversen ◽  
Rigmor Agnethe Jensen ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Clinical Diagnosis ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Clinical Interview ◽  
New Instrument ◽  
Precise Diagnosis ◽  
Headache Diary ◽  
Ihs Criteria ◽  
Type Headache

A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.

Assessment of International Headache Society Diagnostic Criteria: A Reliability Study

Cephalalgia ◽  
1994 ◽  
Vol 14 (4) ◽  
pp. 280-284 ◽  
Author(s):  
M Leone ◽  
G Filippini ◽  
D D'Amico ◽  
M Farinotti ◽  
G Bussone
Keyword(s):  
Diagnostic Criteria ◽  
Medical Records ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Kappa Statistics ◽  
Reliability Study ◽  
Ihs Criteria ◽  
Craniofacial Pain ◽  
Type Headache

In 1988 the International Headache Society (IHS) introduced new diagnostic criteria for headaches and craniofacial pain. Since headaches can be diagnosed solely on the basis of information provided by the patient, it is essential that the criteria are reproducible and consistent. phenomena to a form designed to reflect the IHS criteria. Interobserver concordance (kappa statistics) in the application of the diagnostic hemicrania; kappa = 0.88 for migraine; kappa = 0.75 for tension-type headache; (ii) “almost perfect” to “substantial” for the second digit migraine without aura; kappa = 0.71 for chronic tension-type headache; kappa = 0.66 for cluster headache-like disorder not fulfilling the eria. These results show that the IHS diagnostic criteria are satisfactorily applicable to high quality medical records abstracted by experienced.

Migraine and Glaucoma: an Epidemiologic Survey of French Ophthalmologists

Cephalalgia ◽  
1998 ◽  
Vol 18 (2) ◽  
pp. 74-76 ◽  
Author(s):  
A Pradalier ◽  
P Hamard ◽  
E Sellem ◽  
L Bringer
Keyword(s):  
Potential Role ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Epidemiologic Survey ◽  
Migraine Prevalence ◽  
Low Tension Glaucoma ◽  
Ihs Criteria ◽  
Type Headache ◽  
Low Tension

Glaucoma is a common ocular disorder; a high intraocular pressure is observed in the majority of glaucoma (HIOPG) cases, but some patients have low-tension glaucoma (LTG). In the literature, some works link LTG and migraine, which is speculative of a potential role of a vasospastic factor or diathesis common to migraine and LTG. Using a standardized questionnaire based on International Headache Society (IHS) criteria, we investigated 954 glaucoma patients; 320 (33.5%) described a headache (migraine or tension-type headache) and 240 (25.1%) presented the IHS criteria for migraine. Migraine prevalence was not significantly different between HIOPG and LTG patients (22.8% and 32%, respectively) in this study.

A Population-Based Analysis of the Diagnostic Criteria of the International Headache Society

Cephalalgia ◽  
1991 ◽  
Vol 11 (3) ◽  
pp. 129-134 ◽  
Author(s):  
Birthe Krogh Rasmussen ◽  
Rigmor Jensen ◽  
Jes Olesen
Keyword(s):  
Physical Activity ◽  
Diagnostic Criteria ◽  
International Headache Society ◽  
Normal Subjects ◽  
Population Based ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Specific Proposal ◽  
Accompanying Symptoms ◽  
Type Headache

In 740 representative normal subjects a diagnostic headache interview and a neurological examination provided the necessary information to classify headache disorders according to the operational diagnostic criteria of the International Headache Society (IHS). Sixteen per cent (n = 119) had migraine, 78% (n = 578) tension-type headache. In migraineurs, pain was of a pulsating quality in 78%, severe in 85%, unilateral in 62%, and aggravated by routine physical activity in 96%. Tension-type headache was of a pressing quality in 78%, mild or moderate in 99%, bilateral in 90%, and 72% had no aggravation by physical activity. The accompanying symptoms of nausea, photo- and phonophobia occurred frequently and were usually moderate or severe in migraine subjects, and if present in subjects with tension-type headache, they were usually mild. Only two subjects had unclassifiable headache. The IHS Classification is thus exhaustive. The criteria may be improved by mandatory demands to the criterion of pain intensity leaving other features of pain as supportive for the diagnosis and by including graded severity of accompanying symptoms. A specific proposal is given.

Headache Prevalence Among Adolescents — The German DMKG Headache Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
K Fendrich ◽  
M Vennemann ◽  
V Pfaffenrath ◽  
S Evers ◽  
A May ◽  
...  
Keyword(s):  
International Headache Society ◽  
Primary Headache ◽  
Population Based ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Primary Headache Disorders ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

This population-based cross-sectional study examined the 3-month prevalence of headache, migraine and tension-type headache (TTH) among adolescents aged 12-15 years in Germany Students ( n = 3324) from 20 schools completed a questionnaire on general and headache-specific pain which included a sociodemographic module. The headache-specific questionnaire complied with the respective revised criteria of the International Headache Society (IHS). 'Modified criteria' changed the item 'duration' in migraine (>30 min instead of >4 h). The overall 3-month prevalence of headache was 69.4% (boys 59.5%, girls 78.9%), with 4.4% of the adolescents suffering from frequent (≥ 14 days/3 months) and severe (grade 8-10 on a 10-point visual analogue scale) headache and 1.4% (boys 0.9%, girls 1.9%) from headache ≥15 days/month. The 3-month prevalence of migraine was 2.6% (boys 1.6%, girls 3.5%) applying strict IHS criteria and 6.9% (boys 4.4%, girls 9.3%) with modified criteria; 12.6% (boys 8.3%, girls 16.7%) suffered from probable migraine, 0.07% fulfilled the criteria for chronic migraine, 4.5% (boys 4.6%, girls 4.3%) suffered from TTH, 0.2% from chronic TTH and 15.7% (boys 14.5%, girls 16.9%) from probable TTH. Headache and migraine were more common in girls than in boys and in teenagers, especially in girls, aiming at higher education. Recurrent headache and primary headache disorders are common complaints among German adolescents, especially among girls.

Evaluation of Chronic Daily Headache—Comparison to Criteria for Chronic Tension-Type Headache

Cephalalgia ◽  
1992 ◽  
Vol 12 (6) ◽  
pp. 365-368 ◽  
Author(s):  
Seymour Solomon ◽  
Richard B Lipton ◽  
Lawrence C Newman
Keyword(s):  
Chronic Daily Headache ◽  
Medication Overuse ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Ihs Classification ◽  
Analgesic Medication ◽  
Daily Headache ◽  
Ihs Criteria ◽  
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.

Diagnosis of Headache in Childhood and Adolescence: A Study in 437 Patients

Cephalalgia ◽  
1995 ◽  
Vol 15 (1) ◽  
pp. 13-21 ◽  
Author(s):  
C Wöber-Bingöl ◽  
C Wöber ◽  
A Karwautz ◽  
C Vesely ◽  
C Wagner-Ennsgraber ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Outpatient Clinic ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Childhood And Adolescence ◽  
Highly Sensitive ◽  
Ihs Criteria ◽  
Type Headache ◽  
Structured Questionnaire

We investigated whether the criteria for idiopathic headache published by the International Headache Society (IHS) are useful in childhood and adolescence and compared the diagnoses according to this classification with those of Vahlquist. We used a semi-structured questionnaire to examine a total of 437 children and adolescents referred consecutively to a headache outpatient clinic. Twenty-eight of 437 patients were excluded because of symptomatic or unclassifiable headache. Of 409 patients with idiopathic headache, 70.4% had definite migraine or tension-type headache (IHS 1.1, 1.2, 2.1, 2.2), 20.5% had a migrainous disorder (IHS 1.7) and 9.1% had headache of the tension-type not fulfilling the criteria (IHS 2.3). In the differential diagnosis of migraine and tension-type headache the intensity of pain, aggravation of headache by physical activity, nausea and vomiting were the most important features. The quality of pain, photo- and phonophobia were less helpful and location least important. The duration of migraine attacks was less than 2 h in 19.0% of the migraine patients. In general, the diagnostic criteria of migraine were highly specific but less sensitive, and those of tension-type headache highly sensitive but less specific. The agreement between IHS criteria and those of Vahlquist was marked (kappa = 0.57). We conclude that the IHS criteria are useful for classifying headache in children and adolescents referred to a headache outpatient clinic. A forthcoming modification of the IHS criteria should consider a reduction of the minimum duration of migraine attacks from 2 h to I h and should try to increase the sensitivity of the criteria for migraine and the specificity of the criteria for tension-type headache.

Regional Variations in the Prevalence of Migraine and Tension-Type Headache Applying the new IHS Criteria: The German DMKG Headache Study

Cephalalgia ◽  
2009 ◽  
Vol 29 (1) ◽  
pp. 48-57 ◽  
Author(s):  
V Pfaffenrath ◽  
K Fendrich ◽  
M Vennemann ◽  
C Meisinger ◽  
K-H Ladwig ◽  
...  
Keyword(s):  
International Headache Society ◽  
Epidemiological Studies ◽  
Population Based ◽  
Tension Type Headache ◽  
Regional Variations ◽  
Face To Face ◽  
German Regions ◽  
Ihs Criteria ◽  
Probable Migraine ◽  
Type Headache

The prevalence of migraine and tension-type headache (TTH) varies considerably with respect to gender, age group and geographic regions. Methodological differences in the assessment and classification of cases are a major cause of this variability across studies, limiting the ability to perform true regional comparisons. We conducted three population-based studies in different German regions and assessed headache prevalence and headache characteristics in face-to-face interviews, applying standardized methods. We analysed the 6-month prevalence of migraine, TTH and their probable subtypes based on the new criteria of the International Headache Society (IHS). Among the 7417 participants in all three regions, the pooled 6-month prevalence of migraine, probable migraine, TTH and probable TTH was 6.75, 4.40, 19.86 and 11.61%, respectively. Despite the application of standardized classification methods, regional variations between 4.39 and 8.00% for migraine and 15.44 and 23.64% for TTH were observed, indicating differences in the local headache burden. Application of the new IHS criteria yielded headache categories that were not mutually exclusive, indicating a need for further discussion about the value of probable headache types in epidemiological studies.

The Usefulness and Applicability of a Basic Headache Diary Before First Consultation: Results of a Pilot Study Conducted In Two Centres

Cephalalgia ◽  
2008 ◽  
Vol 28 (10) ◽  
pp. 1023-1030 ◽  
Author(s):  
C Tassorelli ◽  
G Sances ◽  
M Allena ◽  
N Ghiotto ◽  
L Bendtsen ◽  
...  
Keyword(s):  
Medication Overuse Headache ◽  
Tension Type Headache ◽  
Clinical Interview ◽  
Diagnostic Purpose ◽  
Headache Centre ◽  
Combined Use ◽  
Headache Diary ◽  
Type Headache ◽  
Level Of Agreement ◽  
Headache Patients

We tested the usefulness and applicability of a simplified headache diary in the diagnosis of migraine (M), tension-type headache (TTH) and medication overuse headache (MOH). The diary was given to headache patients before their first consultation at the headache centre. Seventy-six naive headache patients completed the study. Their understanding of the diary proved highly satisfactory. The patients' level of compliance was also good, with 71± returning the diary completely filled in. The data entered in the diary were deemed complete for the diagnostic purpose in 93± of cases. The level of agreement between headache information gathered through clinical interview and the headache diary was satisfactory. When comparing the diary with the clinical interview, sensitivity was 92± for M, 75± for TTH and MOH. Specificity was 58± for M and TTH, 87± for MOH. Combined use of a diagnostic diary and clinical interview is recommended from the first consultation for headache.

IHS Criteria and Gender: A Study on Migraine and Tension-Type Headache in Children and Adolescents

Cephalalgia ◽  
1996 ◽  
Vol 16 (2) ◽  
pp. 107-112 ◽  
Author(s):  
C Wöber-Bingöl ◽  
C Wöber ◽  
C Wagner-Ennsgraber ◽  
K Zebenholzer ◽  
C Vesely ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Diagnostic Criteria ◽  
Migraine With Aura ◽  
Outpatient Clinic ◽  
Tension Type Headache ◽  
Ihs Criteria ◽  
Accompanying Symptoms ◽  
And Gender ◽  
Type Headache

The aim of this study was to investigate whether the IHS criteria for migraine and tension-type headache depend on gender. Among 409 children and adolescents with recurrent idiopathic headache seen at a university outpatient clinic, girls had significantly more often migraine with aura. Also, there was a trend towards a higher frequency of tension-type headache in girls. In migraine, aggravation of headache by physical activity and occurrence of aura symptoms were more common in females, whereas vomiting and phonophobia occurred more often in males. In tension-type headache, females more often reported mild intensity of headache. All other criteria were similar in both sexes. Age influenced the expression of some of the accompanying symptoms in the various types of migraine, but had only minimal influence on other diagnostic criteria of migraine and tension-type headache in females as well as in males. Our study suggests that the frequency of migraine (except that of migraine with aura) is similar among girls and boys, that tension-type headache may occur more often in girls, and that gender has some influence on the IHS criteria for migraine, but almost no influence on those of tension-type headache.

Validation of diagnostic criteria for migraine in the Zürich longitudinal cohort study

Cephalalgia ◽  
1993 ◽  
Vol 13 (12_suppl) ◽  
pp. 47-53 ◽  
Author(s):  
Kathleen Ries Merikangas ◽  
Amy E Whitaker ◽  
Jules Angst
Keyword(s):  
Young Adults ◽  
General Population ◽  
Diagnostic Criteria ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Gastrointestinal Symptoms ◽  
Tension Type Headache ◽  
Peak Period ◽  
Systematic Assessment ◽  
Ihs Criteria

This paper reports the results of a systematic assessment of the validity of the specific diagnostic criteria for migraine without aura, as defined by the International Headache Society (IHS), in a longitudinal epidemiologic sample of young adults who were selected from the general population of Zürich, Switzerland. Systematic modification of each of the IHS criteria for migraine without aura yielded one-year weighted prevalence rates ranging from 24% for the unmodified IHS criteria to 9% for the most restrictive definition of migraine. The major implications of the findings for the IHS criteria are: (a) they provide adequate coverage to classify the majority of subjects with headache in the general population; (b) there is little overlap between migraine and tension-type headache, suggesting that the criteria define moderately independent subgroups; (c) the criteria for migraine without aura appear to be too unrestrictive for application in the community, particularly among young adults at the peak period of incidence of migraine; (d) the criteria for “aura” need more precise operationalization; and (e) models of validation of the diagnostic criteria suggest that Criterion D of the IHS criteria for migraine without aura should be modified to require both gastrointestinal symptoms and photophobia and phonophobia.

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