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NEUROLOGY 1996;47:871-875
© 1996 American Academy of Neurology

Classification of daily and near-daily headaches

Field trial of revised IHS criteria

Stephen D. Silberstein, MD, FACP, Richard B. Lipton, MD and Martin Sliwinski, PhD

From the Comprehensive Headache Center (Dr. Silberstein), Germantown Hospital and Medical Center, and Temple University School of Medicine, Philadelphia, PA; Headache Unit (Dr. Lipton), Montefiore Medical Center, and Albert Einstein College of Medicine; and Albert Einstein College of Medicine (Dr. Sliwinski), New York, NY.
Received February 1, 1996. Accepted in final form March 25, 1996.
Address correspondence and reprint requests to Dr. Stephen D. Silberstein, One Penn Boulevard, Second Floor, Philadelphia, PA 19144.

Primary chronic daily headache can be subdivided into transformed migraine, chronic tension-type headache, hemicrania continua, and new daily persistent headache. We proposed and tested criteria in 150 consecutive outpatients with chronic daily headache. Based on preliminary analysis, we revised the criteria for transformed migraine. Using the International Headache Society criteria, 43% of the patients could not be classified; using our old criteria, 25% could not be classified; however, using our new criteria, we were able to classify 100%. Seventy-eight percent had transformed migraine, 15.3% had chronic tension-type headache, and 6.7% had other headache disorders.

NEUROLOGY 1996;47: 871-875




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