Chronic daily headache. How should it be included in the IHS classification?

Giuseppe Nappi, Franco Granella, Giorgio Sandrini, Gian Camillo Manzoni

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

A number of patients attending specialty headache centers complain of very frequent, almost continuous or continuous headaches, which are usually grouped together under the term chronic daily headache, a category which does not appear in the International Headache Society (IHS) classification. On the basis of the IHS criteria, these patients can only be classified as having a chronic tension-type headache with the possible addition of migraine, if migrainous attacks are superimposed on the 'background' headache. However, several studies have demonstrated that most patients with chronic daily headache originally suffered from migraine and that their migraine has transformed, in the course of time, into a chronic headache picture in which isolated migraine attacks may or may not persist. Despite some differences in the personal opinions of authors involved in the care of patients with chronic daily headache, some views seem to be generally accepted: (1) the great majority of chronic daily headaches are transformations of an original episodic migraine and cannot be included in the chronic tension-type headache category, (2) the current IHS classification does not allow many patients presenting with chronic daily headache to be classified correctly, (3) an important nosological category (transformed migraine) has emerged from all the studies on this subject, (4) it is impossible to diagnose transformed migraine merely by 'photographing' the picture of single attacks. Although some theoretical problems remain unresolved, it seems to us that the next revision of the IHS classification can no longer ignore the existence of chronic daily headache.

Original languageEnglish
Pages (from-to)197-203
Number of pages7
JournalHeadache
Volume39
Issue number3
Publication statusPublished - 1999

Fingerprint

Headache Disorders
Headache
Migraine Disorders
Tension-Type Headache
Patient Care

Keywords

  • Chronic daily headache
  • Classification
  • Transformed migraine

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Nappi, G., Granella, F., Sandrini, G., & Manzoni, G. C. (1999). Chronic daily headache. How should it be included in the IHS classification? Headache, 39(3), 197-203.

Chronic daily headache. How should it be included in the IHS classification? / Nappi, Giuseppe; Granella, Franco; Sandrini, Giorgio; Manzoni, Gian Camillo.

In: Headache, Vol. 39, No. 3, 1999, p. 197-203.

Research output: Contribution to journalArticle

Nappi, G, Granella, F, Sandrini, G & Manzoni, GC 1999, 'Chronic daily headache. How should it be included in the IHS classification?', Headache, vol. 39, no. 3, pp. 197-203.
Nappi G, Granella F, Sandrini G, Manzoni GC. Chronic daily headache. How should it be included in the IHS classification? Headache. 1999;39(3):197-203.
Nappi, Giuseppe ; Granella, Franco ; Sandrini, Giorgio ; Manzoni, Gian Camillo. / Chronic daily headache. How should it be included in the IHS classification?. In: Headache. 1999 ; Vol. 39, No. 3. pp. 197-203.
@article{83fff471de0e46f29a861dce547699a8,
title = "Chronic daily headache. How should it be included in the IHS classification?",
abstract = "A number of patients attending specialty headache centers complain of very frequent, almost continuous or continuous headaches, which are usually grouped together under the term chronic daily headache, a category which does not appear in the International Headache Society (IHS) classification. On the basis of the IHS criteria, these patients can only be classified as having a chronic tension-type headache with the possible addition of migraine, if migrainous attacks are superimposed on the 'background' headache. However, several studies have demonstrated that most patients with chronic daily headache originally suffered from migraine and that their migraine has transformed, in the course of time, into a chronic headache picture in which isolated migraine attacks may or may not persist. Despite some differences in the personal opinions of authors involved in the care of patients with chronic daily headache, some views seem to be generally accepted: (1) the great majority of chronic daily headaches are transformations of an original episodic migraine and cannot be included in the chronic tension-type headache category, (2) the current IHS classification does not allow many patients presenting with chronic daily headache to be classified correctly, (3) an important nosological category (transformed migraine) has emerged from all the studies on this subject, (4) it is impossible to diagnose transformed migraine merely by 'photographing' the picture of single attacks. Although some theoretical problems remain unresolved, it seems to us that the next revision of the IHS classification can no longer ignore the existence of chronic daily headache.",
keywords = "Chronic daily headache, Classification, Transformed migraine",
author = "Giuseppe Nappi and Franco Granella and Giorgio Sandrini and Manzoni, {Gian Camillo}",
year = "1999",
language = "English",
volume = "39",
pages = "197--203",
journal = "Headache",
issn = "0017-8748",
publisher = "wiley",
number = "3",

}

TY - JOUR

T1 - Chronic daily headache. How should it be included in the IHS classification?

AU - Nappi, Giuseppe

AU - Granella, Franco

AU - Sandrini, Giorgio

AU - Manzoni, Gian Camillo

PY - 1999

Y1 - 1999

N2 - A number of patients attending specialty headache centers complain of very frequent, almost continuous or continuous headaches, which are usually grouped together under the term chronic daily headache, a category which does not appear in the International Headache Society (IHS) classification. On the basis of the IHS criteria, these patients can only be classified as having a chronic tension-type headache with the possible addition of migraine, if migrainous attacks are superimposed on the 'background' headache. However, several studies have demonstrated that most patients with chronic daily headache originally suffered from migraine and that their migraine has transformed, in the course of time, into a chronic headache picture in which isolated migraine attacks may or may not persist. Despite some differences in the personal opinions of authors involved in the care of patients with chronic daily headache, some views seem to be generally accepted: (1) the great majority of chronic daily headaches are transformations of an original episodic migraine and cannot be included in the chronic tension-type headache category, (2) the current IHS classification does not allow many patients presenting with chronic daily headache to be classified correctly, (3) an important nosological category (transformed migraine) has emerged from all the studies on this subject, (4) it is impossible to diagnose transformed migraine merely by 'photographing' the picture of single attacks. Although some theoretical problems remain unresolved, it seems to us that the next revision of the IHS classification can no longer ignore the existence of chronic daily headache.

AB - A number of patients attending specialty headache centers complain of very frequent, almost continuous or continuous headaches, which are usually grouped together under the term chronic daily headache, a category which does not appear in the International Headache Society (IHS) classification. On the basis of the IHS criteria, these patients can only be classified as having a chronic tension-type headache with the possible addition of migraine, if migrainous attacks are superimposed on the 'background' headache. However, several studies have demonstrated that most patients with chronic daily headache originally suffered from migraine and that their migraine has transformed, in the course of time, into a chronic headache picture in which isolated migraine attacks may or may not persist. Despite some differences in the personal opinions of authors involved in the care of patients with chronic daily headache, some views seem to be generally accepted: (1) the great majority of chronic daily headaches are transformations of an original episodic migraine and cannot be included in the chronic tension-type headache category, (2) the current IHS classification does not allow many patients presenting with chronic daily headache to be classified correctly, (3) an important nosological category (transformed migraine) has emerged from all the studies on this subject, (4) it is impossible to diagnose transformed migraine merely by 'photographing' the picture of single attacks. Although some theoretical problems remain unresolved, it seems to us that the next revision of the IHS classification can no longer ignore the existence of chronic daily headache.

KW - Chronic daily headache

KW - Classification

KW - Transformed migraine

UR - http://www.scopus.com/inward/record.url?scp=0032948844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032948844&partnerID=8YFLogxK

M3 - Article

VL - 39

SP - 197

EP - 203

JO - Headache

JF - Headache

SN - 0017-8748

IS - 3

ER -