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The International Classification of Headache Disorders 3rd edition (beta) 國 際 頭 痛 疾 病 分 類 第 三 版

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  • The International Classification of

    Headache Disorders

    3rd edition (beta)

  • http://www.taiwanheadache.com.tw/

    2014 10

  • 2

    ICHD-3 beta

    3 4 5 6 8 (The primary headaches) 9

    1 (Migraine) . 10 2 (Tension-type headache) ... 17 3 (Trigeminal autonomic cephalalgias) .... 20 4 (Other primary headache disorders) . 24

    (The secondary headaches) 29 5 /

    (Headache attributed to trauma or injury to the head and/or neck) ....

    30 6

    (Headache attributed to cranial or cervical vascular disorder) ...

    33 7

    (Headache attributed to non-vascular intracranial disorder) ...

    42 8

    (Headache attributed to a substance or its withdrawal) ..

    50 9 (Headache attributed to infection) . 58

    10 (Headache attributed to disorder of homoeostasis) 63 11

    (Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure) ...

    68 12 (Headache attributed to psychiatric disorder) 73

    (Painful cranial neuropathies, other facial pains and other headaches) ..

    74 13

    (Painful cranial neuropathies and other facial pains) ...

    75 14 (Other headache disorders) ... 81 82

  • 3

    ICHD-3 beta

    (ICHD)

    beta

    beta

    (WHO)

    (ICD-11)

    ICD-11 ICHD-3 ICD-11

    ICHD-3

    (IHS)

    ICD-11

    ICHD-3WHO

    ICD-11

    Cephalalgia IHS

    ICHD-3

    ICHD-3 ICD-11

    Cephalalgia

    ICHD-3

    ICHD-3 beta

    ICHD-3

    ICHD

    beta

    ICHD-3 beta

    ICHD-2 ICHD-2

    ICHD-3beta

    email

    IHS

    Jes Olesen

  • 4

    ICHD-3 beta

    ICHD-3 beta

    ICD-11 ICHD-3

    beta

    2014 10

  • 5

    ICHD-3 beta

    ICHD-2

    ICHD

    ICHD

    ICHD-3

    ICHD-3

    ICHD-2

    ICHD-3

    ICHD-3

    2014 10

  • 6

    ICHD-3 beta

    Jes Olesen, Denmark () Andr Bes, France Robert Kunkel, USA James W Lance, Australia Giuseppe Nappi, Italy Volker Pfaffenrath, Germany Frank Clifford Rose, United Kingdom Bruce S Schoenberg, USA Dieter Soyka, Germany Peer Tfelt-Hansen, Denmark () K Michael A Welch, USA Marica Wilkinson, United Kingdom

    Jes Olesen, Denmark () Marie-Germaine Bousser, France Hans-Christoph Diener, Germany David Dodick, United States of America Michael First, United States of America Peter J Goadsby, United Kingdom Hartmut Gbel, Germany Miguel JA Lainez, Spain James W Lance, Australia Richard B Lipton, United States of America Giuseppe Nappi, Italy Fumihiko Sakai, Japan Jean Schoenen, Belgium Stephen D Silberstein, United States of America Timothy J Steiner, United Kingdom () Jes Olesen, Denmark () Lars Bendtsen, Denmark David Dodick, United States of America Anne Ducros, France Stefan Evers, Germany Michael First, United States of America Peter J Goadsby, United States of America Andrew Hershey, United States of America Zaza Katsarava, Germany Morris Levin, United States of America Julio Pascual, Spain Michael B Russell, Norway Todd Schwedt, United States of America Timothy J Steiner, United Kingdom () Cristina Tassorelli, Italy Gisela M Terwindt, The Netherlands Maurice Vincent, Brazil Shuu-Jiun Wang, Taiwan

    (Migraine) J Olesen, Denmark () ([email protected]) S Evers, Germany; A Charles, USA; A. Hershey, USA; R Lipton, USA; M First, USA; H Bolay, Turkey; M Lantri-Minet, France; EA MacGregor, UK; T Takeshima, Japan; HW Schytz, Denmark.

    (Tension-type headache) L Bendtsen, Denmark () ([email protected]) S Ashina, USA; MT Goicochea, Argentina; K Hirata, Japan; K Holroyd, USA; C Lampl, Austria; RB Lipton, USA; DD Mitsikostas, Greece; J Schoenen, Belgium.

    (Trigeminal autonomic cephalalgias)

    P Goadsby, USA () ([email protected]) C Boes, USA; C Bordini, Brazil; E Cittadini, UK; A Cohen, UK; M Leone, Italy; A May, Germany; L Newman, USA; J Pareja, Spain; J-W Park, South Korea; T Rozen, USA; E Waldenlind, Sweden.

    (Other primary headache disorders)

    S-J Wang, Taiwan () ([email protected]) A Ducros, France; S Evers, Germany; J-L Fuh, Taiwan; A Ozge, Turkey; JA Pareja, Spain; J Pascual, Spain; M Peres, Brazil; W Young, USA; S-Y Yu, China.

    /(Headache attributed to trauma or injury to the head and/or neck)

    T Schwedt, USA () ([email protected]) I Abu-Arafeh, UK; J Gladstone, Canada; S-J Huang, Taiwan; R Jensen, Denmark; JMA Lainez, Spain; D Obelieniene, Lithuania; P Sandor, Switzerland; AI Scher, USA.

    (Headache attributed to cranial or cervical vascular disorder)

    A Ducros, France () ([email protected]) M Arnold, Switzerland; M Dichgans, Germany; E Houdart, France; J Ferro, Portugal; E Leroux, Canada; Y-S Li, China; A Singhal, USA; G Tietjen, USA.

    (Headache attributed to non-vascular intracranial disorder)

    DW Dodick, USA () ([email protected]) S Evers, Germany; D Friedman, USA; S Kirby, Canada; B Mokri, USA; J Pascual (Spain); M Peres, Brazil; A Purdy, Canada; K Ravishankar, India; P Sandor,

  • 7

    ICHD-3 beta

    Switzerland; W Schievink, USA; R Stark, Australia; F Taylor, USA.

    (Headache attributed to a substance or its withdrawal)

    MB Russell, Norway () ([email protected]) L Bendtsen, Denmark; J-L Fuh, Taiwan; Z Katsarava, Germany; AV Krymchantowski, Brazil; M Leone, Italy; K Ravishankar, India; A Tugrul, Turkey; NJ Wiendels, The Netherlands.

    (Headache attributed to infection)

    C Tassorelli, Italy () ([email protected]) E Marchioni, Italy; V Osipova, Russia; K Ravishankar, India; L Savi, Italy; F Sakai, Japan; JR Berger, (USA).

    (Headache attributed to disorder of homoeostasis)

    J Pascual, Spain () ([email protected]) M Bigal, Brazil; C Bordini, Brazil; J Gonzlez Menacho, Spain; F Mainardi, Italy; A Ozge, Turkey; J Pereira- Monteiro, Portugal; M Serrano-Duens, Ecuador.

    (Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure)

    M Levin, USA () ([email protected]) R Cady, USA; C Fernandez de las Pens, Spain; D Friedman, USA; V Guidetti, Italy; J Lance, Australia; P Svensson, Denmark.

    (Headache attributed to psychiatric disorder)

    M Vincent, Brazil () ([email protected]) M First, USA; E Loder, USA; AE Lake III, USA; F Radat, France; JI Escobar, USA.

    (Painful cranial neuropathies and other facial pains)

    Z Katsarava, Germany() ([email protected]) R Benoliel, Israel; C Sommer, Germany; A Woda, France; J Zakrzewska UK; V Aggarwal, UK; L Bonamico, Argentina; D Ettlin, USA; S Graff-Radford, USA; J-P Goulet, Canada; S Jskelinen, Finland; V Limmroth, Germany; A Michelotti, Italy; D Nixdorf, USA; M Obermann, Germany; R Ohrbach, USA; J Pereira-Monteiro, Portugal; P Pionchon, France; T Renton, UK; S De Siqueira, Brazil; C Wber- Bingl, Austria.

    (Appendix disorders and criteria)

    GM Terwindt, The Netherlands () ([email protected])

    (IHS)(ICHD-3)

    Timothy Steiner

  • 8

    ICHD-3 beta

    1 (Migraine) 2 (Tension-type headache) 3 (Trigeminal autonomic cephalalgias).. 4 (Other primary headache disorders) ... 5 /

    (Headache attributed to trauma or injury to the head and/or neck)

    6 (Headache attributed to cranial or cervical vascular disorder) ..

    7 (Headache attributed to non-vascular intracranial disorder) .

    8 (Headache attributed to a substance or its withdrawal) .

    9 (Headache attributed to infection) .. 10

    (Headache attributed to disorder of homoeostasis) ..

    11 (Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure)

    12 (Headache attributed to psychiatric disorder)... ...

    13 (Painful cranial neuropathies and other facial pains) ....

    14 (Other headache disorders) . ....

  • 9

    ICHD-3 beta

    (Part One: The Primary Headaches)

    1. (Migraine)

    2. (Tension-type headache)

    3. (Trigeminal autonomic cephalalgias)

    4. (Other primary headache disorders)

  • 10

    ICHD-3 beta

    1. (Migraine)

    1.1 Migraine without aura

    1.2 Migraine with aura

    1.2.1 Migraine with typical aura

    1.2.1.1 Typical aura with headache

    1.2.1.2 Typical aura without

    headache

    1.2.2 Migraine with brainstem aura

    1.2.3 Hemiplegic migraine

    1.2.3.1 Familial hemiplegic

    migraine (FHM)

    1.2.3.1.1 Familial

    hemiplegic migraine type 1

    1.2.3.1.2 Familial

    hemiplegic migraine type 2

    1.2.3.1.3 Familial

    hemiplegic migraine type 3

    1.2.3.1.4 Familial

    hemiplegic migraine, other loci

    1.2.3.2 Sporadic hemiplegic

    migraine

    1.2.4 Retinal migraine

    1.3 Chronic migraine

    1.4 Complications of migraine

    1.4.1 Status migrainosus

    1.4.2 Persistent aura without

    infarction

    1.4.3 Migrainous infarction

    1.4.4 Migraine aura-

    triggered seizure

    1.5 Probable migraine

    1.5.1 Probable migraine without

    aura

    1.5.2 Probable migraine with aura

    1.6 Episodic

    syndromes that may be associated with migraine

    1.6.1 Recurrent gastrointestinal

    disturbance

    1.6.1.1 Cyclical vomiting

    syndrome

    1.6.1.2 Abdominal migraine

    1.6.2 Benign paroxysmal vertigo

    1.6.3 Benign paroxysmal torticollis

    1.1 Migraine without aura

    (common migraine)(hemicrania

    simplex)

    4-72

    /

    A. 5 ( 1) B-D

    B. 4-72 () ( 2,3)

    C. 4 2

    1.

    2.

    3.

    4.

    D. 1

    1. /

    2.

    E. ICHD-3

    1.

    5

    5 1.1

    1.5.1

    2.

    3. ( 18 ) 2-72

    ( 2

    )

    1.2 Migraine with aura

    (classic or classical migraine)

  • 11

    ICHD-3 beta

    (ophthalmichemi- paraesthetic, hemiplegic or

    aphasic migraine) (migraine accompagne)

    (complicated migraine)

    A. 2 B C

    B. 1

    1.

    2.

    3. /

    4.

    5.

    6.

    C. 4 2

    1. 1 5 / 2

    2. 5-60 ( 1)

    3. 1 ( 2)

    4. 60

    D. ICHD-3

    1. 3

    360 72

    2.

    1.2.1 Migraine with typical aura

    //

    /

    1

    A. 2 B C

    B. //

    C. 4 2

    1. 1 5 / 2

    2. 5-60 ( 1)

    3. 1 ( 2)

    4. 60

    D. ICHD-3

    1. 3

    360

    2.

    1.2.1.1 Typical aura with headache

    60

    A. 1.2.1

    B. 60

    1.2.1.2 Typical aura without

    headache

    A. 1.2.1

    B. 60

    1.2.2 Migraine with brainstem aura

    (Basilar artery migraine)

    (basilar migraine)(basilar type migraine)

    A. 2 B-D

  • 12

    ICHD-3 beta

    B. //

    ( 1)

    C. 2

    1.

    2.

    3.

    4. (hypacusia)

    5.

    6.

    7.

    D. 4 2

    1. 1 5 / 2

    2. 5-60 ( 2)

    3. 1 ( 3)

    4. 60

    E. ICHD-3

    1. 1.2.3

    2. 3

    360

    3.

    1.2.3 ( 1) Hemiplegic migraine

    A. 2 B C

    B. 2

    1.

    2. //

    C. 4 2

    1. 1 5 / 2

    2. 5-60

    72 ( 2)

    3. 1 ( 3)

    4. 60

    D. ICHD-3

    1. (plegic)(paralysis)

    2.

    3.

    1.2.3.1 Familial hemiplegic migraine

    (FHM)

    A. 1.2.3

    B. 1.2.3

    1.2.3.1.1 Familial hemiplegic

    migraine type 1

    A. 1.2.3.1

    B. CACNA1A

    1.2.3.1.2 Familial hemiplegic

    migraine type 2

    A. 1.2.3.1

    B. ATP1A2

    1.2.3.1.3 Familial hemiplegic

    migraine type 3

    A. 1.2.3.1

    B. SCN1A

    1.2.3.1.4 Familial hemiplegic

    migraine, other loci

    A. 1.2.3.1

    B. CACNA1AATP1A2 SCN1A

  • 13

    ICHD-3 beta

    1.2.3.2 Sporadic hemiplegic migraine

    A. 1.2.3

    B. 1.2.3

    1.2.4 Retinal migraine

    A. 2 B C

    B. (

    ) 2

    1.

    2. ()

    C. 3 2

    1. 5

    2. 5-60

    3. 60

    D. ICHD-3

    (amaurosis fugax)

    1.3 ( 1,2) Chronic migraine

    15 3

    8

    A. (/)15

    3 B C

    B. 5 1.1

    B-D / 1.2 B C

    C. 8 3 ( 3)

    1. 1.1 C D

    2. 1.2 B C

    3.

    (triptan) (ergot derivative)

    D. ICHD-3

    1. 1.3 2.

    1.3

    2.

    8.2

    50% 1.3

    1.3

    8.2

    (

    )

    1.3

    8.2

    8.2

    8.2

    3.

    http://www.i-h-s.org/

    ( http://www.ihs-headache.org/)

    1.4 Complications of migraine

    1.4.1 Status migrainosus

    72

    A. B C

    B. 1.1 / 1.2

  • 14

    ICHD-3 beta

    C. 2

    1. 72 ( 1)

    2. /( 2)

    D. ICHD-3

    1.

    12

    2. C2 1.5.1

    1.4.2 Persistent aura without

    infarction

    A. B

    B. 1. 2 1

    1

    C.

    D. ICHD-3

    1.4.3 Migrainous infarction

    A. B C

    B. 1. 2 1

    60

    C.

    D.

    1.4.4 Migraine aura-

    triggered seizure

    A.

    B

    B. 1. 2

    1

    C.

    1.5 Probable migraine (Migrainous disorder)

    ()

    A. 1 1.1

    A-D 1.2 A-C

    B. ICHD-3

    C. ICHD-3

    1.5.1 Probable migraine without

    aura

    A. 1 1.1

    A-D

    B. ICHD-3

    C. ICHD-3

    1.5.2 Probable migraine with aura

    A. 1 1. 2

    A-C

    B. ICHD-3

    C. ICHD-3

    1.6 Episodic syndromes that may be associated with migraine

    (Childhood periodic syndromes;

    periodic syndromes of childhood)

  • 15

    ICHD-3 beta

    1.6.1 Recurrent gastrointestinal

    disturbance

    (Chronic abdominal pain)(functional

    abdominal pain)(functional dyspepsia)

    (irritable bowel syndrome)

    (functional abdominal pain syndrome)

    //

    A. 5 //

    /

    B.

    C.

    1.6.1.1 Cyclic vomiting syndrome

    A. 5 B-C

    B.

    C.

    1. 1 4

    2. 1 10

    3. 1

    D.

    E. ( 1)

    1.

    1.6.1.2 Abdominal migraine

    2 72

    (vasomotor)

    A. 5 B-D

    B. 3 2

    1.

    2.

    3.

    C. 2

    1.

    2.

    3.

    4.

    D. 2 72

    E. ( 1)

    1.

    1.6.2 Benign paroxysmal vertigo

    A. 5 B C

    B. ( 1)

    C. 1

    1.

    2.

    3.

    4.

    5.

    D.

    E.

    1.

    1.6.3 Benign paroxysmal torticollis

  • 16

    ICHD-3 beta

    A. ( 1) B C

    B.

    C. 1

    1.

    2.

    3.

    4.

    5. ( 2)

    D.

    E.

    1.

    2.

  • 17

    ICHD-3 beta

    2. (Tension-type headache(TTH))

    2.1 Infrequent episodic tension-

    type headache

    2.1.1

    Infrequent episodic tension-type headache

    associated with pericranial tenderness

    2.1.2

    Infrequent episodic tension-type headache not

    associated with pericranial tenderness

    2.2 Frequent episodic tension-type

    headache

    2.2.1 Frequent

    episodic tension-type headache associated with

    pericranial tenderness

    2.2.2 Frequent

    episodic tension-type headache not associated with

    pericranial tenderness

    2.3 Chronic tension-type headache

    2.3.1 Chronic tension-

    type headache associated with pericranial

    tenderness

    2.3.2 Chronic tension-

    type headache not associated with pericranial

    tenderness

    2.4 Probable tension-type headache

    2.4.1 Probable

    infrequent episodic tension-type headache

    2.4.2 Probable frequent

    episodic tension-type headache

    2.4.3 Probable chronic tension-

    type headache

    (tension headache) (muscle

    contraction headache) (psychomyogenic

    headache) (stress headache)

    (ordinary headache) (essential headache)

    (idiopathic headache) (psycho-

    genic headache)

    (Tension-type-like

    headache)

    2.1 Infrequent episodic tension-type headache

    A. 10 B-D1

    12

    B. 30 7

    C. 4 2

    1.

    2.

    3.

    4.

    D.

    1.

    2. 1

    E. ICHD-3

    2.1.1

    Infrequent episodic tension-type headache associated with pericranial tenderness

    A. 2.1

    B.

    2.1.2

    Infrequent episodic tension-type headache not associated with pericranial tenderness

    A. 2.1

    B.

    2.2 Frequent episodic tension-type headache

  • 18

    ICHD-3 beta

    A. 10 B-D 1-14

    312 180

    B. 30 7

    C. 4 2

    1.

    2.

    3.

    4.

    D. 2

    1.

    2. 1

    E. ICHD-3

    2.2.1 Frequent

    episodic tension-type headache associated with pericranial tenderness

    A. 2.2

    B.

    2.2.2

    Frequent episodic tension-type headache not associated with pericranial tenderness

    A. 2.2

    B.

    2.3 Chronic tension-type headache

    4.10

    A. 15 3180

    B-D

    B.

    C. 4 2

    1.

    2.

    3.

    4.

    D. 2

    1. 1

    2.

    E. ICHD-3

    2.3.1 Chronic tension-

    type headache associated with pericranial tenderness

    A. 2.3

    B.

    2.3.2 Chronic

    tension-type headache not associated with pericranial tenderness :

    A. 2.3

    B.

    2.4 Probable tension-type headache

    1

    2.4.1 Probable

    infrequent episodic tension-type headache

    A. 1

    2.1 A-D

    B. ICHD-3

    C. ICHD-3

  • 19

    ICHD-3 beta

    2.4.2 Probable

    frequent episodic tension-type headache

    A. 1 2.2

    A-D

    B. ICHD-3

    C. ICHD-3

    2.4.3 Probable chronic

    tension-type headache

    A. 1 2.3

    A-D

    B. ICHD-3

    C. ICHD-3

  • 20

    ICHD-3 beta

    3. (Trigeminal autonomic cephalalgias)

    3.1 Cluster headache

    3.1.1 Episodic cluster headache

    3.1.2 Chronic cluster headache

    3.2 Paroxysmal hemicrania

    3.2.1 Episodic paroxysmal

    hemicrania

    3.2.2 Chronic paroxysmal

    hemicrania (CPH)

    3.3 Short-lasting unilateral

    neuralgiform headache attacks

    3.3.1

    Short-lasting unilateral neuralgiform headache

    attacks with conjunctival injection and tearing

    (SUNCT)

    3.3.1.1 SUNCT Episodic SUNCT

    3.3.1.2 SUNCT Chronic SUNCT

    3.3.2

    Short-lasting unilateral neuralgiform headache

    attacks with cranial autonomic symptoms (SUNA)

    3.3.2.1 SUNA Episodic SUNA

    3.3.2.2 SUNA Chronic SUNA

    3.4 Hemicrania continua

    3.4.1 Hemicrania continua,

    remitting subtype

    3.4.2 Hemicrania continua,

    unremitting subtype

    3.5 Probable trigeminal

    autonomic cephalalgia

    3.5.1 Probable cluster headache

    3.5.2 Probable paroxysmal

    hemicrania

    3.5.3 Short-lasting

    unilateral neuralgiform headache attacks

    3.5.4 Probable hemicrania

    continua

    3.1 Cluster headache (Ciliary neuralgia)

    (erythro-melalgia of the head) Bing

    (erythroprosopalgia of Bing)(hemicrania

    angioparalytica) (hemicrania

    neuralgiformis chronica)(histaminic cephalalgia)

    Horton (Hortons headache)Harris-Horton

    (Harris-Hortons disease)(Harris )

    (migrainous neuralgia (of Harris))(Gardner )

    (petrosal neuralgia (of Gardner))Sluder(Sluders

    neuralgia)(sphenopalatine neuralgia)

    (vidian neuralgia)

    15 180

    2 1 8

    //

    A. 5 B-D

    B. /

    15 180 ( 1)

    C. 2 1

    1. 1

    a) /

    b) /

    c)

    d)

    e)

    f)

    g) /

    2.

    D. 2

    1 8

    E. ICHD-3

    1. ()

    /

  • 21

    ICHD-3 beta

    3.1.1 Episodic cluster headache

    7 1 1

    A. 3.1 ()

    B. 7 1()

    1

    3.1.2 Chronic cluster headache

    1

    1

    A. 3.1 B

    B. 11

    3.2 Paroxysmal hemicranias

    2 30

    /

    indomethacin

    A. 20 B-E

    B.

    2-30

    C. 1

    1. /

    2. /

    3.

    4.

    5.

    6.

    7. /

    D. 5

    E. indomethacin ( 1)

    F. ICHD-3

    1. indomethacin 150mg

    225mg 100-200 mg

    3.2.1 Episodic paroxysmal

    hemicranias

    7 1

    1

    A. 3.2

    B. 2 7 1()

    1

    3.2.2 Chronic paroxysmal

    hemicranias

    1

    1

    A. 3.2

    B. 11

    3.3 Short-lasting unilateral neuralgiform headache attacks

    1

    A. 20 B-D

    B. /

    1-600

    C. 1

    1. /

    2. /

    3.

    4.

  • 22

    ICHD-3 beta

    5.

    6.

    7. /

    D. 1

    E. ICHD-3

    3.3.1

    Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)

    A. 3.3

    B.

    3.3.1.1 SUNCT Episodic SUNCT

    SUNCT 7 1 1

    A. 3.3.1 SUNCT

    B. 2 7 1()

    1

    3.3.1.2 SUNCT Chronic SUNCT

    SUNCT 1 1

    A. 3.3.1 SUNCT B

    B. 11

    3.3.2Short-lasting unilateral neuralgiform headache attacks

    with cranial autonomic symptoms (SUNA)

    A. 3.3

    B.

    3.3.2.1 SUNA Episodic SUNA

    SUNA 7 1

    A. 3.3.2 SUNA

    B. 2 7 11

    3.3.2.2 SUNA Chronic SUNA

    SUNA 1 1

    A. 3.3.2 SUNA B

    B. 11

    3.4 Hemicrania continua

    / /

    indomethacin

    A. B-D

    B. 3

    C. 1 2

    1. 1

    a) /

    b) /

    c)

    d)

    e)

    f)

    g) /

    2.

    D. indomethacin( 1)

    E. ICHD-3

    1. indomethacin 150 mg

    225 mg 100-200 mg

  • 23

    ICHD-3 beta

    3.4.1 Hemicrania

    continua, remitting subtype

    1

    A. 3.4 B

    B. 1

    3.4.2 Hemicrania

    continua, unremitting subtype

    1

    1

    A. 3.4 B

    B. 11

    3.5 Probable trigeminal autonomic cephalalgias

    3.

    A. 1 3.1

    A-D3.2 A-E3.3

    A-D 3.4

    A-D

    B. ICHD-3

    C. ICHD-3

    (

    3.5.1

    3.5.2 3.5.3

    3.5.4 )

  • 24

    ICHD-3 beta

    4. (Other primary headache disorders)

    4.1 Primary cough headache

    4.1.1 Probable primary cough

    headache

    4.2 Primary exercise headache

    4.2.1 Probable primary exercise

    headache

    4.3 Primary headache associated

    with sexual activity

    4.3.1 Probable

    primary headache associated with sexual activity

    4.4 Primary thunderclap headache

    4.5 Cold-stimulus headache

    4.5.1 Headache attributed to

    external application of a cold stimulus

    4.5.2 Headache

    attributed to ingestion or inhalation of a cold

    stimulus

    4.5.3 Probable cold-stimulus

    headache

    4.5.3.1 Headache

    probably attributed to external application of a

    cold stimulus

    4.5.3.2

    Headache probably attributed to ingestion or

    inhalation of a cold stimulus

    4.6 External-pressure headache

    4.6.1 External-compression headache

    4.6.2 External-traction headache

    4.6.3 Probable external-pressure

    headache

    4.6.3.1 Probable external-

    compression headache

    4.6.3.2 Probable external-

    traction headache

    4.7 Primary stabbing headache

    4.7.1 Probable primary

    stabbing headache

    4.8 Nummular headache

    4.8.1 Probable nummular headache

    4.9 Hypnic headache

    4.9.1 Probable hypnic headache

    4.10 New daily persistent headache

    (NDPH)

    4.10.1 Probable new

    daily persistent headache

    4.1 Primary cough headache

    (Benign cough headache)Valsalva

    (Valsalva-manoeuvre headache)

    Valsalva()

    A. 2 B-D

    B. / Valsalva

    C.

    D. 1 2

    E. ICHD-3

    4.1.1 Probable primary cough

    headache

    A. 1

    1. B-D

    2. 2 B C D

    B. / Valsalva

    C.

    D. 1 2

    E. ICHD-3

    F. ICHD-3

    4.2 Primary exercise headache

    (Primary exertional headache)

    (Benign exertional headache)

  • 25

    ICHD-3 beta

    1.

    A. 2 B C

    B.

    C. 48

    D. ICHD-3

    4.2.1 Probable primary

    exercise headache

    A. 1

    1. B C

    2. 2 B C

    B.

    C. 48

    D. ICHD-3

    E. ICHD-3

    4.3 Primary headache associated with sexual activity

    (Benign sex headache)

    (Benign vascular sexual headache) (Coital

    cephalalgia)(Intercourse headache)

    (Orgasmic cephalalgia) (Orgasmic headache)

    (Sexual headache)

    7.2.3

    A. 2/ B-D

    B.

    C. 1 2

    1.

    2. ()

    D. 1 24/

    72

    E. ICHD-3

    4.3.1 Probable

    primary headache associated with sexual activity

    A. 1

    1. B-D

    2. 2 B C D

    B.

    C. 1 2:

    1.

    2. ()

    D. 1 24/

    72

    E. ICHD-3

    F. ICHD-3

    4.4 Primary thunderclap headache

    (Benign thunderclap headache)

    4.14.2 4.3

    A. B C

  • 26

    ICHD-3 beta

    B. 1

    C. 5

    D. ICHD-3

    4.5 Cold-stimulus headache

    4.5.1 Headache attributed

    to external application of a cold stimulus :

    A. 2 B C

    B.

    C. 30

    D. ICHD-3

    4.5.2 Headache

    attributed to ingestion or inhalation of a cold stimulus

    (Ice-cream headache) (Brain-freeze

    headache)

    ()

    (palate)/

    A. 2 B C

    B. /

    C. 10

    D. ICHD-3

    4.5.3 Probable cold-stimulus

    headache

    A. B C

    B.

    C. 10

    D. ICHD-3

    E. ICHD-3

    4.6 External-pressure headache :

    4.6.1 External-compression headache

    A. 2 B-D

    B.

    1

    C.

    D. 1

    E. ICHD-3

    4.6.2 External-traction headache

    (Ponytail headache)

    A. 2 B-D

    B.

    C.

    D. 1

    E. ICHD-3

    4.6.3 Probable external-

    pressure headache

    A. 1

  • 27

    ICHD-3 beta

    1. B-D

    2. 2 B C D

    B. /

    C.

    D. 1

    E. ICHD-3

    F. ICHD-3

    4.7 Primary stabbing headache

    (Ice-pick pains)(Jabs and jolts)

    (Needle in the eye syndrome)(Ophthalmo-

    dynia periodica)(Sharp short-lived head pain)

    A. B-D

    B.

    C. 1 1

    D.

    E. ICHD-3

    4.7.1 Probable primary

    stabbing headache

    A. B-D

    2

    B.

    C. 1 1

    D.

    E. ICHD-3

    F. ICHD-3

    4.8 Nummular headache

    (Coin-shaped headache)

    A. B

    B. 4

    1.

    2.

    3.

    4. 1-6

    C. ICHD-3

    4.8.1 Probable nummular

    headache

    A. B

    B. 4 3

    1.

    2.

    3.

    4. 1-6

    C. ICHD-3

    D. ICHD-3

    4.9 Hypnic headache

    (Hypnic headache syndrome)

    (Alarm clock headache)

    4

    A. B-E

    B.

    C. 103

    D. 15 4

    E.

    F. ICHD-3

  • 28

    ICHD-3 beta

    4.9.1 Probable hypnic headache

    A. B C-E 2

    B.

    C. 103

    D. 15 4

    E.

    F. ICHD-3

    G. ICHD-3

    4.10 New daily persistent headache (NDPH)

    (De novo chronic headache)

    (Chronic headache with acute onset)

    A. B C

    B. 24

    C. 3

    D. ICHD-3

    4.10.1 Probable new

    daily persistent headache

    A. B C

    B. 24

    C. 3

    D. ICHD-3

    E. ICHD-3

  • 29

    ICHD-3 beta

    (Part Two: The Secondary Headaches)

    5. / (Headache attributed to trauma or injury to the head and/or neck)

    6. (Headache attributed to cranial or cervical vascular disorder)

    7. (Headache attributed to non-vascular intracranial disorder)

    8. (Headache attributed to a substance or its withdrawal)

    9. (Headache attributed to infection)

    10. (Headache attributed to disorder of homoeostasis)

    11. (Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure)

    12. (Headache attributed to psychiatric disorder)

  • 30

    ICHD-3 beta

    5. / (Headache attributed to trauma or injury to the head and/or neck)

    5.1 Acute headache attributed

    to traumatic injury to the head

    5.1.1 Acute

    headache attributed to moderate or severe traumatic

    injury to the head

    5.1.2 Acute headache

    attributed to mild traumatic injury to the head

    5.2 Persistent headache

    attributed to traumatic injury to the head

    5.2.1 Persistent

    headache attributed to moderate or severe traumatic

    injury to the head

    5.2.2 Persistent

    headache attributed to mild traumatic injury to the

    head

    5.3 Acute headache

    attributed to whiplash injury

    5.4 Persistent headache

    attributed to whiplash injury

    5.5 Acute headache

    attributed to craniotomy

    5.6 Persistent headache

    attributed to craniotomy

    5.1 Acute headache attributed to traumatic injury to the head

    5.3

    5.5

    A. C D

    B. ( 1)

    C. 1 7

    1.

    2.

    3.

    D. 1

    1. 3

    2. 3

    E. ICHD-3

    1.

    5.1.1 Acute

    headache attributed to moderate or severe traumatic injury to the head

    A. 5.1

    B. 1

    1. 30

    2. Glasgow (GCS)13

    3. 24( 1)

    4. 24

    5. /

    1.

    24

    5.1.2 Acute

    headache attributed to mild traumatic injury to the head

    A. 5.1

    B. 2

    1. 1

    a) 30

    b) Glasgow (GCS)13

    c) 24

    d) 24

  • 31

    ICHD-3 beta

    e) /

    2. 1 /

    a)

    b)

    c) 2

    //

    5.2 Persistent headache attributed to traumatic injury to the head

    5.4

    5.6

    3

    A. C D

    B. ( 1)

    C. 1 7

    1.

    2.

    3.

    D. 3

    E. ICHD-3

    1.

    5.2.1

    Persistent headache attributed to moderate or severe traumatic injury to the head

    A. 5.2

    B. 1

    1. 30

    2. Glasgow (GCS)13

    3. 24 ( 1)

    4. 24

    5. /

    1.

    24

    5.2.2 Persistent

    headache attributed to mild traumatic injury to the head

    A. 5.2

    B. 2

    1. 1

    a) 30

    b) Glasgow (GCS)13

    c) 24

    d) 24

    e) /

    2. 1/

    a)

    b)

    c) 2

    //

    5.3 Acute headache attributed to whiplash 3

    A. C D

    B. ( 1)/

    C. 7

    D. 1

    1. 3

    2. 3

    E. ICHD-3

  • 32

    ICHD-3 beta

    1.

    5.4 Persistent headache attributed to whiplash

    A. C D

    B. ( 1)/

    C. 7

    D. 3

    E. ICHD-3

    1.

    5.5 Acute headache attributed to craniotomy 3

    A. C D

    B. ( 1)

    C. 1 7

    1.

    2.

    3.

    D. 1

    1. 3

    2. 3

    E. ICHD-3

    1. 5.1.1

    5.6 (Persistent headache attributed to craniotomy) 3

    A. C D

    B. ( 1)

    C. 1 7

    1.

    2.

    3.

    D. 3

    E. ICHD-3

    1. 5.2.1

  • 33

    ICHD-3 beta

    6. (Headache attributed to cranial or cervical vascular disorder)

    6.1 Headache

    attributed to ischaemic stroke or transient ischaemic

    attack

    6.1.1() Headache

    attributed to ischaemic stroke (cerebral infarction)

    6.1.2(TIA) Headache

    attributed to transient ischaemic attack (TIA)

    6.2 Headache attributed

    to non-traumatic intracranial haemorrhage

    6.2.1 Headache attributed

    to non-traumatic intracerebral haemorrhage

    6.2.2(SAH)

    Headache attributed to non-traumatic subarachnoid

    haemorrhage (SAH)

    6.2.3(ASDH)

    Headache attributed to non-traumatic acute subdural

    haemorrhage (ASDH)

    6.3 Headache attributed

    to unruptured vascular malformation

    6.3.1 Headache

    attributed to unruptured saccular aneurysm

    6.3.2(AVM) Headache

    attributed to arteriovenous malformation (AVM)

    6.3.3(DAVF) Headache

    attributed to dural arteriovenous fistula (DAVF)

    6.3.4 Headache attributed to

    cavernous angioma

    6.3.5 (Sturge

    Weber) Headache attributed to

    encephalotrigeminal or leptomeningeal

    angiomatosis (Sturge Weber syndrome)

    6.4 Headache attributed to arteritis

    6.4.1(GCA) Headache

    attributed to giant cell arteritis(GCA)

    6.4.2(PACNS)

    Headache attributed to primary angiitis of the

    central nervous system (PACNS)

    6.4.3(SACNS)

    Headache attributed to secondary angiitis of the

    central nervous system (SACNS)

    6.5 Headache

    attributed to cervical carotid or vertebral artery

    disorder

    6.5.1

    Headache or facial or neck pain

    attributed to cervical carotid or vertebral artery

    dissection

    6.5.2 Post-endarterectomy

    headache

    6.5.3

    Headache attributed to carotid or vertebral

    angioplasty

    6.6 (CVT) Headache attributed

    to cerebral venous thrombosis (CVT)

    6.7 Headache

    attributed to other acute intracranial arterial disorder

    6.7.1 Headache attributed

    to an intracranial endovascular procedure

    6.7.2 Angiography headache

    6.7.3(RCVS)

    Headache attributed to reversible cerebral

    vasoconstriction syndrome (RCVS)

    6.7.3.1

    (RCVS) Headache probably attributed to

    reversible cerebral vasoconstriction syndrome

    (RCVS)

    6.7.4 Headache attributed

    to intracranial arterial dissection

    6.8 Headache attributed to

    genetic vasculopathy

    6.8.1

    (CADASIL) Cerebral Autosomal Dominant

    Arteriopathy with Subcortical Infarcts and

    Leukoencephalopathy (CADASIL)

    6.8.2(MELAS)

    Mitochondrial Encephalopathy, Lactic Acidosis and

    Stroke-like episodes (MELAS)

    6.8.3 Headache

    attributed to another genetic vasculopathy

  • 34

    ICHD-3 beta

    6.9 Headache attributed to

    pituitary apoplexy

    6.1 Headache attributed to ischaemic stroke or transient ischaemic attack

    6.1.1 () Headache

    attributed to ischaemic stroke (cerebral infarction)

    A. C

    B.

    C. 1

    1. /

    2.

    D. ICHD-3

    6.1.2 (TIA) Headache

    attributed to transient ischaemic attack (TIA)

    (TIA)

    24

    A. C

    B. (TIA)

    C. 2

    1. (TIA)/

    2. 24

    D. ICHD-3

    6.2 Headache attributed to non-traumatic intracranial haemorrhage

    /

    5.1.1

    5.2.1

    (

    )

    6.2.1 Headache

    attributed to non-traumatic intracerebral haemorrhage

    A. C

    B. ( 1)

    C. 2

    1. /

    2.

    3. 3

    a)

    b)

    c)

    D. ICHD-3

    1.

    6.2.2(SAH) Headache attributed to non-traumatic subarachnoid

    haemorrhage (SAH)

    (SAH)

    ()

  • 35

    ICHD-3 beta

    A. C

    B. (SAH)

    C. 2

    1. /

    2.

    3.

    D. ICHD-3

    6.2.3(ASDH) Headache attributed to non-traumatic acute

    subdural haemorrhage (ASDH)

    (ASDH)

    ()

    A. C

    B. (ASDH)

    C. 2

    1. /

    2. 1 2

    a)

    b)

    3. 1 2

    a)

    b)

    D. ICHD-3

    6.3 Headache attributed to unruptured vascular malformation

    6.2.1 (

    ) 6.2.2 ()

    6.2.3

    ()

    6.3.1 Headache

    attributed to unruptured saccular aneurysm

    A. C

    B.

    C. 2

    1. /

    2. 1 2

    a)

    b)

    3. 1 2

    a)

    b)

    D. ICHD-3

    6.3.2 (AVM) Headache

    attributed to arteriovenous malformation (AVM)

    A. C

    B. (AVM)

    C. 2

    1. /

    2. 1 2

    a)

    b)

    3.

    D. ICHD-3

  • 36

    ICHD-3 beta

    6.3.3 (DAVF)

    Headache attributed to dural arteriovenous fistula (DAVF)

    A. C

    B. (DAVF)

    C. 2

    1. /

    2. 1 2

    a)

    b)

    3. 1

    a)

    b)

    c) //

    4.

    D. ICHD-3

    6.3.4 Headache

    attributed to cavernous angioma

    6.2.1 7.6

    A. C

    B.

    C. 2

    1. /

    2. 1 2

    a)

    b)

    3.

    D. ICHD-3

    6.3.5 (Sturge Weber ) Headache attributed to

    encephalotrigeminal or leptomeningeal angiomatosis (Sturge Weber syndrome)

    Sturge Weber

    7.6

    A. C

    B.

    C. 2

    1. /

    /

    2.

    3.

    D. ICHD-3

    6.4 Headache attributed to arteritis

    /

    A. C

    B.

    C. 1 2

    1. /

    2. 1 2

    a)

    b)

    D. ICHD-3

    6.4.1 (GCA) Headache

    attributed to giant cell arteritis (GCA)

  • 37

    ICHD-3 beta

    (Temporal arteritis)

    A. C

    B.

    C. 2

    1. /

    2. 1 2

    a)

    b) 3

    3. /

    (jaw claudication)

    D. ICHD-3

    6.4.2 (PACNS) Headache attributed to primary angiitis of the

    central nervous system (PACNS)

    (Isolated CNS angiitis)

    (granulomatous CNS angiitis)

    A. C

    B.

    C. 1 2

    1.

    /

    2. 1 2

    a)

    b) /

    D. ICHD-3

    (RCVS)

    6.4.3 (SACNS) Headache attributed to secondary angiitis of the

    central nervous system (SACNS)

    A. C

    B. (

    )

    C. 1 2

    1.

    /

    2. 1 2

    a)

    b) /

    D. ICHD-3

    6.5Headache attributed to cervical carotid or vertebral artery disorder

    ///

    ()

    A. / C

    B.

    C. 2

    1.

  • 38

    ICHD-3 beta

    2. 1 2

    a)

    b) 1

    3.

    D. ICHD-3

    6.5.1 Headache or facial or neck pain

    attributed to cervical carotid or vertebral artery dissection

    //

    (

    )

    A. / C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b) 1

    3. 1 2

    a)

    b)

    4.

    D. ICHD-3

    6.5.2 Post-endarterectomy

    headache

    ()

    A. C

    B.

    C. 2

    1. 1

    2. 1

    3.

    3

    a)

    b) 1 1 2 2-3

    c)

    D. ICHD-3

    6.5.3

    Headache attributed to carotid or vertebral angioplasty

    ()

    A. C

    B.

    C.

    1. 1

    2. 1

    3.

    D. ICHD-3

    6.6 (CVT) Headache attributed to cerebral venous thrombosis (CVT)

    ()

    A. C

    B. (CVT)

    C. 2

  • 39

    ICHD-3 beta

    1. /

    2. 1 2

    a)

    b)

    D. ICHD-3

    6.7 Headache attributed to other acute intracranial arterial disorder

    6.7.1 Headache

    attributed to an intracranial endovascular procedure

    24

    A. C

    B.

    C.

    1.

    2. 24

    3.

    D. ICHD-3

    6.7.2 (Angiography headache)

    A. C

    B.

    C. 2

    1.

    2. 72

    3. 2

    a)

    b) 1.1 1.2

    D. ICHD-3

    6.7.3(RCVS)

    Headache attributed to reversible cerebral vasoconstriction syndrome (RCVS)

    1-2Valsalva

    /

    A. C

    B. (RCVS)

    C. 1

    1. /()/

    2. 1

    a) 1

    b) Valsalva

    /

    3. 1

    D. ICHD-3

    6.7.3.1(RCVS)

    Headache probably attributed to reversible

    cerebral vasoconstriction syndrome(RCVS)

    1-2Valsalva

    /

    RCVS

    A. C

    B. (RCVS)

    C.

    1. 1 3

    a) 1

  • 40

    ICHD-3 beta

    b)

    c) 5

    2. 1

    a) ()

    b)

    c) Valsalva

    d)

    e) /

    f)

    3. 1

    D. ICHD-3

    E. ICHD-3

    6.7.4 Headache attributed

    to intracranial arterial dissection

    ()

    ()

    A. C

    B.

    C. 2

    1. /

    2. 1

    3. 1 2

    a)

    b)

    4.

    D. ICHD-3

    6.8 Headache attributed to genetic vasculopathy

    A. C

    B.

    C.

    1.

    2.

    D. ICHD-3

    6.8.1(CADASIL) Cerebral Autosomal Dominant

    Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL)

    (

    )

    (

    )

    A.

    C

    B. NOTCH 3 /

    (CADASIL)

    C. 1 2

    1. CADASIL

    2. CADASIL(

    /)

    D. ICHD-3

    6.8.2

    (MELAS) Mitochondrial Encephalopathy, Lactic Acidosis and Stroke-like episodes (MELAS)

    (

    /)

    A. C

  • 41

    ICHD-3 beta

    B. MELAS

    C. 1 2

    1.

    2. /

    D. ICHD-3

    6.8.3 Headache

    attributed to another genetic vasculopathy

    A. C

    B.

    C.

    D. ICHD-3

    6.9 Headache attributed to pituitary apoplexy

    ()

    /

    A. C

    B.

    C. 2

    1. /

    2. 1 2

    a) /

    b) /

    3.

    D. ICHD-3

  • 42

    ICHD-3 beta

    7. (Headache attributed to non-vascular intracranial disorder)

    7.1 Headache attributed

    to increased cerebrospinal fluid pressure

    7.1.1 Headache

    attributed to idiopathic intracranial hypertension

    (IIH)

    7.1.2

    Headache attributed to intracranial

    hypertension secondary to metabolic, toxic or

    hormonal causes

    7.1.3 Headache

    attributed to intracranial hypertension secondary to

    hydrocephalus

    7.2 Headache attributed to low

    cerebrospinal fluid pressure

    7.2.1 Post-dural puncture headache

    7.2.2 CSF fistula headache

    7.2.3 Headache

    attributed to spontaneous intracranial hypotension

    7.3 Headache

    attributed to non-infectious inflammatory intracranial

    disease

    7.3.1 Headache attributed

    to neurosarcoidosis

    7.3.2 () Headache

    attributed to aseptic (non-infectious) meningitis

    7.3.3 Headache

    attributed to other non-infectious inflammatory

    intracranial disease

    7.3.4 Headache

    attributed to lymphocytic hypophysitis

    7.3.5

    (HaNDL) Syndrome of transient Headache

    and Neurological Deficits with cerebrospinal fluid

    Lymphocytosis (HaNDL)

    7.4 Headache attributed to

    intracranial neoplasia

    7.4.1 Headache attributed to

    intracranial neoplasm

    7.4.1.1 Headache

    attributed to colloid cyst of the third ventricle

    7.4.2 Headache attributed to

    carcinomatous meningitis

    7.4.3

    Headache attributed to hypothalamic or

    pituitary hyper- or hyposecretion

    7.5 Headache attributed to

    intrathecal injection

    7.6 Headache attributed to epileptic

    seizure

    7.6.1 Hemicrania epileptica

    7.6.2 Post-ictal headache

    7.7 Chiari(CM1) Headache

    attributed to Chiari malformation type I (CM1)

    7.8 Headache

    attributed to other non-vascular intracranial disorder

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4.

    D. ICHD-3

    7.1 Headache attributed to increased cerebrospinal fluid pressure

    7.4.1 (Headache attributed to

    intracranial neoplasm)

  • 43

    ICHD-3 beta

    /

    A. C

    B. (250mm CSF)

    ()

    C. 1 2

    1.

    2.

    D. ICHD-3

    7.1.1 Headache

    attributed to idiopathic intracranial hypertension (IIH)

    (Headache attributed to benign

    intracranial hypertension)(pseudotumor cerebri)

    (meningeal hydrops) (serous

    meningitis)

    (idiopathic intracranial hypertension,

    IIH) IIH /

    A. C

    B. (idiopathic intracranial

    hypertension, IIH)250mm CSF (

    )

    C. 2

    1.

    2.

    3.

    D. ICHD-3

    7.1.2 Headache attributed to intracranial hypertension

    secondary to metabolic, toxic or hormonal causes

    8.1.11

    /

    A. C

    B.

    250mm CSF (

    )

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    7.1.3 Headache

    attributed to intracranial hypertension secondary to hydrocephalus

    /

    A. C

    B. 250mm CSF (

    )

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

  • 44

    ICHD-3 beta

    7.2 Headache attributed to low cerebrospinal fluid pressure

    ()

    /

    A. C

    B. (60mm CSF)/

    C.

    D. ICHD-3

    7.2.1 Post-dural puncture headache

    /

    A. C

    B.

    C.

    D. ICHD-3

    7.2.2 CSF fistula headache

    A. C

    B. 2

    1. (procedure)

    ()

    2. (60mm CSF)/MRI

    CT

    C.

    D. ICHD-3

    7.2.3 Headache

    attributed to spontaneous intracranial hypotension

    (Headache attributed to

    spontaneous low CSF pressure)(primary

    intracranial hypotension)(low CSF-

    volume headache) (hypoliquorrhoeic

    headache)

    A. C

    B. (60mm CSF)/

    C.

    D. ICHD-3

    7.3 Headache attributed to non-infectious inflammatory intracranial disease

    A. C

    B.

    C. 1 2

    1.

    2. 1 2

    a)

  • 45

    ICHD-3 beta

    b)

    D. ICHD-3

    7.3.1 Headache

    attributed to neurosarcoidosis

    MRI

    / MRI

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 1

    D. ICHD-3

    7.3.2 ()

    Headache attributed to aseptic (non-infectious) meningitis

    (meningeal

    irritation)

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. /

    ( meningismus)/

    D. ICHD-3

    7.3.3

    Headache attributed to other non-infectious inflammatory intracranial disease

    /

    A. C

    B.

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    7.3.4 Headache

    attributed to lymphocytic hypophysitis

    ()

    A. C

    B.

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    7.3.5 (HaNDL) Syndrome of transient Headache and

    Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL)

  • 46

    ICHD-3 beta

    (migraine with

    cerebrospinal pleocytosis)

    (pseudomigraine with lymphocytic pleocytosis)

    ( 1 12 )

    /

    A. B C

    B. 2

    1. 14

    a)

    b)

    c)

    2. (15 WBC/l)

    C. 1 2

    1.

    2.

    D. ICHD-3

    7.4 Headache attributed to intracranial neoplasia

    A. C

    B.

    C. 1

    1.

    2.

    3.

    D. ICHD-3

    7.4.1 Headache attributed to

    intracranial neoplasm

    Valsalva

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 3 1

    a)

    b)

    c) Valsalva

    D. ICHD-3

    7.4.1.1 Headache

    attributed to colloid cyst of the third ventricle

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    7.4.2 Headache attributed

    to carcinomatous meningitis

  • 47

    ICHD-3 beta

    /

    A. C

    B. (

    )

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. /

    D. ICHD-3

    7.4.3 Headache attributed to hypothalamic or pituitary

    hyper- or hyposecretion

    /

    A. C

    B.

    ([GH]/

    [ACTH])

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 1

    a)

    b)

    c) /

    D. ICHD-3

    7.5 Headache attributed to intrathecal injection

    4 14

    A. C

    B.

    C. 2

    1. 4

    2. 14

    3. (meningeal irritation)

    D. ICHD-3

    7.6 Headache attributed to epileptic seizure

    1.

    (benign occipital epilepsy) rolandic(benign

    rolandic epilepsy)

    (corticoreticular epilepsy with absence seizure)

    1.

    (MELAS)

    ( migralepsy) 1.4.4

    /

    3

    A. C

    B.

    C. 2

    1.

    2.

    D. ICHD-3

  • 48

    ICHD-3 beta

    7.6.1 Hemicrania epileptica

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    7.6.2 Post-ictal headache

    3

    72

    A. C

    B.

    C. 2

    1. 3

    2. 72

    D. ICHD-3

    7.7 Chiari(CM1) Headache attributed to Chiari malformation type I (CM1)

    Chiari

    (suboccipital)( 5)

    Valsalva Chiari

    A. C

    B. Chiari(CM1) ( 1)

    C. 2

    1. 1 2

    a) Chiari

    b) Chiari 3

    2. 3 1

    a) / Valsalva

    b) /(suboccipital)

    c) 5

    3. /

    /

    D. ICHD-3 ( 2)

    1. Chiari MRI

    (cerebellar tonsils)(caudal descent) 5mm

    3mm 1

    (supraocciput)

    (tentorium)(medulla)

    2. MRI

    CM1

    Valsalva

    ( 7.2.3 )

    CM1

    7.8 Headache attributed to other non-vascular intracranial disorder

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

  • 49

    ICHD-3 beta

    4.

    D. ICHD-3

  • 50

    ICHD-3 beta

    8. (Headache attributed to a substance or its withdrawal)

    8.1 Headache attributed to

    use of or exposure to a substance

    8.1.1 Nitric oxide (NO)

    donor-induced headache

    8.1.1.1

    Immediate NO donor-induced headache

    8.1.1.2 Delayed

    NO donor-induced headache

    8.1.2 Phosphodiesterase (PDE)

    Phosphodiesterase (PDE) inhibitor-induced

    headache

    8.1.3 Carbon monoxide (CO)-

    induced headache

    8.1.4 Alcohol-induced headache

    8.1.4.1 Immediate alcohol-

    induced headache

    8.1.4.2 Delayed alcohol-

    induced headache

    8.1.5 / Headache induced

    by food and/or additive

    8.1.5.1 (MSG)

    Monosodium glutamate (MSG)-induced

    headache

    8.1.6 Cocaine-induced headache

    8.1.7 Histamine-induced headache

    8.1.7.1 Immediate

    histamine-induced headache

    8.1.7.2 Delayed histamine-

    induced headache

    8.1.8 Calcitonin gene-related peptide (CGRP)

    Calcitonin gene-related peptide (CGRP)-induced

    headache

    8.1.8.1 CGRP Immediate CGRP-

    induced headache

    8.1.8.2 CGRP Delayed CGRP-

    induced headache

    8.1.9 Headache

    attributed to exogenous acute pressor agent

    8.1.10

    Headache attributed to occasional use

    of non-headache medication

    8.1.11

    Headache attributed to long-term use

    of non-headache medication

    8.1.12 Headache attributed

    to exogenous hormone

    8.1.13 Headache

    attributed to use of or exposure to other substance

    8.2 (MOH) Medication-overuse headache

    (MOH)

    8.2.1 Ergotamine-overuse

    headache

    8.2.2 Triptan-overuse headache

    8.2.3 Simple analgesic-

    overuse headache

    8.2.3.1 . Paracetamol

    (acetaminophen)-overuse headache

    8.2.3.2 ()

    Acetylsalicylic acid-overuse headache

    8.2.3.3

    Other non-steroidal anti-inflammatory drug

    (NSAID)-overuse headache

    8.2.4 Opioid-overuse headache

    8.2.5 Combination-

    analgesic-overuse headache

    8.2.6

    Medication-overuse headache attributed to

    multiple drug classes not individually overused

    8.2.7

    Medication-overuse headache attributed to

    unverified overuse of multiple drug classes

    8.2.8 Medication-overuse

    headache attributed to other medication

    8.3 Headache attributed to

    substance withdrawal

    8.3.1 Caffeine-withdrawal headache

    8.3.2 Opioid-withdrawal headache

    8.3.3 Oestrogen-withdrawal

    headache

    8.3.4

  • 51

    ICHD-3 beta

    Headache attributed to withdrawal from chronic use

    of other substance

    7.1.2

    7.3.2 ()

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    8.1 Headache attributed to use of or exposure to a substance

    8.1.1 Nitric oxide (NO)

    donor-induced headache

    8.1.1.1 Immediate

    NO donor-induced headache

    (Nitroglycerine headache)

    (dynamite headache) (hot dog headache)

    A. C

    B.

    C.

    1. 1

    2. 1

    3. 4

    a)

    b)

    c)

    d)

    D. ICHD-3

    8.1.1.2 Delayed NO

    donor-induced headache

    A.

    C

    B.

    C. 2

    1. 2-12

    2. 72

    D. ICHD-3

    8.1.2 Phosphodiesterase (PDE)

    Phosphodiesterase (PDE) inhibitor-induced headache

    Phosphodiesterase (PDE) 72

    A. C

    B. PDE

    C.

    1. PDE5

    2. 72

    3. 4

    a)

    b)

    c)

    d)

    D. ICHD-3

    8.1.3 Carbon monoxide-induced

    headache

    (Warehouse workers' headache)

  • 52

    ICHD-3 beta

    72

    A. C

    B.

    C.

    1. 12

    2.

    3. 72

    D. ICHD-3

    8.1.4 Alcohol-induced headache

    ()

    8.1.4.1 Immediate alcohol-

    induced headache

    (Cocktail headache)

    A. C

    B.

    C.

    1. 3

    2. 72

    3. 3

    a)

    b)

    c)

    D. ICHD-3

    8.1.4.2 Delayed alcohol-induced

    headache

    (Hangover headache)

    ()

    72

    A. C

    B.

    C.

    1. 5-12

    2. 72

    3. 3

    a)

    b)

    c)

    D. ICHD-3

    8.1.5 / Headache

    induced by food components and additives

    (Dietary headache)

    1.

    A. C

    B.

    C.

    1. 12

    2. 72

    3. 4

    a)

    b)

    c)

    d)

    D. ICHD-3

    8.1.5.1 (MSG) Monosodium

    glutamate-induced headache

  • 53

    ICHD-3 beta

    (Chinese restaurant syndrome)

    ()

    1.

    A. C

    B. (MSG)

    C.

    1. 1

    2. 72

    3. 5

    a)

    b)

    c)

    d)

    /

    e)

    D. ICHD-3

    8.1.6 Cocaine-induced headache

    A. C

    B.

    C.

    1. 1

    2. 72

    3. 4

    a)

    b)

    c)

    d)

    D. ICHD-3

    8.1.7 Histamine-induced headache

    8.1.7.1 Immediate histamine-

    induced headache

    A. C

    B.

    C.

    1. 1

    2. 1

    3. 4

    a)

    b)

    c)

    d)

    D. ICHD-3

    8.1.7.2 Delayed histamine-

    induced headache

    A.

    C

    B.

    C. 2

    1. 2-12

    2. 72

    D. ICHD-3

    8.1.8 Calcitonin gene-related peptide (CGRP) Calcitonin gene-related peptide (CGRP)-induced

    headache

    CGRP

    8.1.8.1 CGRP Immediate CGRP-

    induced headache

    A. C

    B. CGRP

    C.

    1. CGRP1

    2. CGRP1

    3. 4

    a)

  • 54

    ICHD-3 beta

    b)

    c)

    d)

    D. ICHD-3

    8.1.8.2 CGRP Delayed CGRP-

    induced headache

    A.

    C

    B. CGRP

    C. 2

    1. CGRP2-12

    2. CGRP72

    D. ICHD-3

    8.1.9 Headache

    attributed to exogenous acute pressor agent

    A. C

    B.

    C. 2

    1. 1

    2. 72

    D. ICHD-3

    8.1.10 Headache attributed to occasional use of

    non-headache medication

    A. C

    B.

    C. 2

    1.

    2. 72

    D. ICHD-3

    8.1.11 Headache attributed to long-term use of

    non-headache medication

    8.1.12

    8.2

    A. 15 C

    B.

    C. 2

    1.

    2. 1

    a)

    b)

    c)

    3.

    D. ICHD-3

    8.1.12 Headache

    attributed to exogenous hormone

    A. C

    B.

    C. 2

    1.

    2. 1

    a)

    b)

    c)

  • 55

    ICHD-3 beta

    D. ICHD-3

    8.1.13 Headache

    attributed to use of or exposure to other substance

    A. C

    B.

    C. 2

    1. 12

    2. 72

    D. ICHD-3

    8.2 (MOH) Medication-overuse headache (MOH)

    (Rebound headache) (drug-

    induced headache) (medication-misuse

    headache)

    , 8.2

    1.3 8.2

    3( 10 15)

    15

    A. 15

    B. /

    3( 1)

    C. ICHD-3

    1.

    8.2

    8.2.2

    8.2.3

    8.2.5

    8.2.5

    8.2.6

    8.2.7

    8.2.1 Ergotamine-overuse

    headache

    A. 8.2

    B. 10 3

    8.2.2 Triptan-overuse headache

    A. 8.2

    B. (triptan)( 1)

    10 3

    1.

    8.2.3 Simple analgesic-

    overuse headache

    8.2.3.1 Paracetamol

    (acetaminophen)-overuse headache

    A. 8.2

    B. 153

    8.2.3.2 ()

  • 56

    ICHD-3 beta

    Acetylsalicylic acid-overuse headache

    A. 8.2

    B. ()153

    8.2.3.3 Other

    non-steroidal anti-inflammatory drug (NSAID)-overuse

    headache

    A. 8.2

    B.

    ( 1)153

    1. NSAID(s)

    8.2.4 Opioid-overuse headache

    A. 8.2

    B. ( 1)10 3

    1.

    8.2.5 Combination-

    analgesic-overuse headache

    A. 8.2

    B. ( 1 2)10

    3

    1.

    2.

    8.2.6 Medication-overuse headache attributed to

    multiple drug classes not individually overused

    A. 8.2

    B.

    /( 1)

    103

    ( 2)

    1.

    2.

    8.2.1-8.2.5 B

    8.2.7

    Medication-overuse headache attributed to unverified overuse of multiple drug classes

    A. 8.2

    B. 2

    1.

    /10

    3

    2.

    8.2.8 Medication-overuse

    headache attributed to other medication

    A. 8.2

    B.

    ( 1)103

    1.

    8.3 Headache attributed to substance withdrawal

    8.3.1 Caffeine-withdrawal

    headache

    200mg 2 24

    7

  • 57

    ICHD-3 beta

    A. C

    B. 200 mg2

    C. 2

    1. 24

    2. 1 2

    a) 100 mg1

    b) 7

    D. ICHD-3

    8.3.2 Opioid-withdrawal headache

    3 24

    7

    A. C

    B. 3

    C. 2

    1. 24

    2. 7

    D. ICHD-3

    8.3.3 Oestrogen-withdrawal

    headache

    3

    5(

    )

    3

    A. C

    B. 3

    C. 2

    1. 5

    2. 3

    D. ICHD-3

    8.3.4

    Headache attributed to withdrawal from chronic use of other substances

    A. C

    B. 3

    C. 2

    1.

    2. 3

    D. ICHD-3

  • 58

    ICHD-3 beta

    9. (Headache attributed to infection)

    9.1 Headache attributed to

    intracranial infection

    9.1.1

    Headache attributed to bacterial meningitis or

    meningoencephalitis

    9.1.1.1

    Acute headache attributed to bacterial meningitis or

    meningoencephalitis

    9.1.1.2

    Chronic headache attributed to bacterial meningitis

    or meningoencephalitis

    9.1.1.3

    Persistent headache attributed to past

    bacterial meningitis or meningoencephalitis

    9.1.2 Headache

    attributed to viral meningitis or encephalitis

    9.1.2.1 Headache

    attributed to viral meningitis

    9.1.2.2 Headache attributed

    to viral encephalitis

    9.1.3

    Headache attributed to intracranial fungal or other

    parasitic infection

    9.1.3.1

    Acute headache attributed to intracranial fungal

    or other parasitic infection

    9.1.3.2

    Chronic headache attributed to intracranial

    fungal or other parasitic infection

    9.1.4 Headache attributed to brain

    abscess

    9.1.5 Headache attributed

    to subdural empyema

    9.2 Headache attributed to

    systemic infection

    9.2.1 Headache

    attributed to systemic bacterial infection

    9.2.1.1 Acute

    headache attributed to systemic bacterial infection

    9.2.1.2 Chronic

    headache attributed to systemic bacterial infection

    9.2.2 Headache

    attributed to systemic viral infection

    9.2.2.1 Acute

    headache attributed to systemic viral infection

    9.2.2.2 Chronic

    headache attributed to systemic viral infection

    9.2.3 Headache

    attributed to other systemic infection

    9.2.3.1 Acute

    headache attributed to other systemic infection

    9.2.3.2 Chronic

    headache attributed to other systemic infection

    11.

    1. C

    2.

    3. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4. ICHD-3

    9.1 Headache attributed to intracranial infection

    9.1.1

    Headache attributed to bacterial meningitis or meningoencephalitis

  • 59

    ICHD-3 beta

    /

    /

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.1.1.1

    Acute headache attributed to bacterial meningitis or

    meningoencephalitis

    A. 9.1.1

    C

    B.

    C. 3

    9.1.1.2

    Chronic headache attributed to bacterial meningitis or

    meningoencephalitis

    A. 9.1.1

    C

    B.

    3

    C. 3

    9.1.1.3

    Persistent headache attributed to past bacterial

    meningitis or meningoencephalitis

    A. 9.1.1

    C

    B.

    C. 3

    D. ICHD-3

    9.1.2 Headache

    attributed to viral meningitis or encephalitis

    /

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.1.2.1 Headache attributed

    to viral meningitis

    A. 9.1.2

    B.

    9.1.2.2 Headache attributed to

    viral encephalitis

    A. 9.1.2

    B. 1 2

    1.

  • 60

    ICHD-3 beta

    2. 1

    a)

    b)

    c)

    9.1.3

    Headache attributed to intracranial fungal or other parasitic infection

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4. ( 1) 1 2

    a)

    b)

    D. ICHD-3

    1.

    9.1.3.1

    Acute headache attributed to intracranial fungal or other

    parasitic infection

    A. 9.1.3

    C

    B.

    C. 3

    9.1.3.2

    Chronic headache attributed to intracranial fungal or other

    parasitic infection

    A. 9.1.3

    C

    B.

    3

    C. 3

    9.1.4 Headache attributed to

    brain abscess

    /()

    A. C

    B.

    C. 2

    1.

    2. 1

    a) /

    b)

    c)

    3.

    4. 3 1

    a)

    b) Valsalva

    c)

    D. ICHD-3

    9.1.5 Headache

    attributed to subdural empyema

    (meningeal irritation)/

  • 61

    ICHD-3 beta

    A. C

    B.

    C. 2

    1.

    2.

    1

    a)

    b)

    c)

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.2 Headache attributed to systemic infection

    9.1

    9.2.1 Headache

    attributed to systemic bacterial infection

    /

    A. C

    B. 2

    1.

    2.

    C. 2

    1.

    2.

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.2.1.1 Acute

    headache attributed to systemic bacterial infection

    A. 9.2.1

    C

    B.

    C. 3

    9.2.1.2 Chronic

    headache attributed to systemic bacterial infection

    A. 9.2.1

    C

    B. 3

    C. 3

    9.2.2 Headache

    attributed to systemic viral infection

    /

    A. C

    B. 2

    1.

    2.

    C. 2

    1.

    2.

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.2.2.1 Acute

    headache attributed to systemic viral infection

  • 62

    ICHD-3 beta

    A. 9.2.2

    C

    B.

    C. 3

    9.2.2.2 Chronic

    headache attributed to systemic viral infection

    A. 9.2.2

    C

    B. 3

    C. 3

    9.2.3 Headache

    attributed to other systemic infection

    /

    A. C

    B. 2

    1.

    2.

    C. 2

    1.

    2.

    3.

    4. 1 2

    a)

    b)

    D. ICHD-3

    9.2.3.1 Acute

    headache attributed to other systemic infection

    A. 9.2.3

    C

    B.

    C. 3

    9.2.3.2 Chronic

    headache attributed to other systemic infection

    A. 9.2.3

    C

    B. 3

    C. 3

  • 63

    ICHD-3 beta

    10. (Headache attributed to disorder of homoeostasis)

    10.1 / Headache

    attributed to hypoxia and/or hypercapnia

    10.1.1 High-altitude headache

    10.1.2 Headache attributed to

    aeroplane travel

    10.1.3 Diving headache

    10.1.4 Sleep apnoea headache

    10.2 Dialysis headache

    10.3 Headache attributed to

    arterial hypertension

    10.3.1 Headache attributed to

    phaeochromocytoma

    10.3.2

    Headache attributed to hypertensive crisis without

    hypertensive encephalopathy

    10.3.3 Headache

    attributed to hypertensive encephalopathy

    10.3.4 Headache

    attributed to pre-eclampsia or eclampsia

    10.3.5 Headache

    attributed to autonomic dysreflexia

    10.4 Headache attributed

    to hypothyroidism

    10.5 Headache attributed to fasting

    10.6 Cardiac cephalalgia

    10.7 Headache attributed

    to other disorder of homoeostasis

    7.1.2

    Headache attributed to intracranial hypertension secondary to

    metabolic, toxic or hormonal causes

    10.

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    D. ICHD-3

    10.1 / Headache attributed to hypoxia and/or hypercapnia

    / 1

    2

    A. C

    B. /

    C. 1

    1.

    2. 1 2

    a) /

    b) /

    D. ICHD-3

    10.1.1 High-altitude headache

    2500

    24

    A. C

    B. 2500

    C. 2

    1.

    2. 1 2

    a)

    b) 250024

    3. 3 2

    a)

  • 64

    ICHD-3 beta

    b)

    c) (straining)/

    D. ICHD-3

    10.1.2 Headache attributed to

    aeroplane travel

    A. 2 C

    B.

    C. 2

    1.

    2. 1 2

    a) /

    b) 30

    3. 3 2

    a)

    b) ()

    c) ()

    D. ICHD-3

    10.1.3 Diving headache

    1.2.4.24.5

    4.6.1 11.2.1

    ()

    10

    (decompression

    illness)

    3

    A. C

    B. 2

    1. 10

    2. (decompression illness)

    C. 1

    1.

    2. 1 2

    a)

    b)

    (i) 3

    (ii) 100%1

    3. 1(CO2)

    a)

    b)

    c)

    d)

    e)

    D. ICHD-3

    10.1.4 Sleep apnoea headache

    4

    A. C

    B. (-[AHI,

    apnoea-hypopnoea index]5) ( 1)

    C. 1

    1.

    2. 1 2

    a)

    b)

    3. 3 1

    a) 15

    b)

    (i)

    (ii)

    (iii)

    c) 4

    D. ICHD-3

  • 65

    ICHD-3 beta

    1. -(apnoea-hypopnoea index, AHI)

    (5-

    15/=15-30/=30/=)

    10.2 Dialysis headache

    72

    A. 3 C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b) 72

    3.

    D. ICHD-3

    10.3 Headache attributed to arterial hypertension

    (180mmHg /120mmHg)

    A. C

    B. 180 mmHg/

    120 mmHg

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

    10.3.1 Headache attributed

    to phaeochromocytoma

    10.3.3

    10.3.2

    (

    1)/

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 1

    a)

    b)

    c)

    d)

    4.

    D. ICHD-3

    10.3.2

    Headache attributed to hypertensive crisis without hypertensive encephalopathy

    10.3.1

    (180mmHg /

    120mmHg)

    A. C

    B. 2

    1. ( 1)

  • 66

    ICHD-3 beta

    2.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 3 1

    a)

    b)

    c)

    D. ICHD-3

    1. (

    180mmHg)/120mmHg)

    10.3.3 Headache

    attributed to hypertensive encephalopathy

    180/120mmHg

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 3 2

    a)

    b)

    c)

    D. ICHD-3

    10.3.4 Headache

    attributed to pre-eclampsia or eclampsia

    (immediate puerperium)

    A. ( 4)

    C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 3 2

    a)

    b)

    c)

    D. ICHD-3

    10.3.5 Headache

    attributed to autonomic dysreflexia

    ()

    A. C

    B.

    30 mmHg/

    20 mmHg

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 4 2

    a)

    b) ()

    c)

    d)

  • 67

    ICHD-3 beta

    D. ICHD-3

    10.4 Headache attributed to hypothyroidism

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 3 1

    a)

    b)

    c) (constant over time)

    D. ICHD-3

    10.5 Headache attributed to fasting

    1.

    8

    A. 1.

    C

    B. 8

    C. 2

    1.

    2.

    D. ICHD-3

    10.6 Cardiac cephalalgia

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 4 2

    a)

    b)

    c)

    d)

    4.

    D. ICHD-3

    10.7 Headache attributed to other disorder of homoeostasis

    A. C

    B.

    C. 1 2

    1.

    2. 1 2

    a)

    b)

    D. ICHD-3

  • 68

    ICHD-3 beta

    11.

    Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure

    11.1 Headache attributed to

    disorder of cranial bone

    11.2 Headache attributed to

    disorder of the neck

    11.2.1 Cervicogenic headache

    11.2.2 Headache attributed

    to retropharyngeal tendonitis

    11.2.3 Headache

    attributed to craniocervical dystonia

    11.3 Headache attributed to disorder

    of the eyes

    11.3.1 Headache attributed to

    acute glaucoma

    11.3.2 Headache attributed to

    refractive error

    11.3.3 Headache attributed

    to heterophoria or heterotropia (latent or persistent

    squint)

    11.3.4 Headache attributed

    to ocular inflammatory disorder

    11.3.5 Headache

    attributed to trochleitis

    11.4 Headache attributed to disorder

    of the ears

    11.5 Headache attributed to

    disorder of the nose or paranasal sinuses

    11.5.1 Headache

    attributed to acute rhinosinusitis

    11.5.2

    Headache attributed to chronic or recurring

    rhinosinusitis

    11.6 Headache attributed to

    disorder of the teeth or jaw

    11.7 Headache attributed to

    temporomandibular disorder (TMD)

    11.8 Head or

    facial pain attributed to inflammation of the stylohyoid

    ligament

    11.9

    Headache or facial pain attributed to other disorder of

    cranium, neck, eyes, ears, nose, sinuses, teeth, mouth

    or other facial or cervical structure

    5./

    / 13.

    A. C

    B. /

    C.

    D. ICHD-3

    11.1 Headache attributed to disorder of cranial bone

    A. C

    B. /

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4.

    D. ICHD-3

  • 69

    ICHD-3 beta

    11.2 Headache attributed to a disorder of the neck

    5./

    11.2.1 Cervicogenic headache

    ()

    2.1.1

    2.2.1 2.3.1

    A11.2.5

    2.

    /

    A. C

    B. /

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.2.2 Headache

    attributed to retropharyngeal tendonitis

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. /

    4. 3

    D. ICHD-3

    11.2.3 Headache

    attributed to craniocervical dystonia

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.3 Headache attributed to

    disorder of the eyes

    11.3.1 Headache attributed

    to acute glaucoma

  • 70

    ICHD-3 beta

    A. C

    B.

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.3.2 Headache attributed to

    refractive error

    A. C

    B.

    C. 2

    1. /

    2.

    3.

    4.

    D. ICHD-3

    11.3.3 Headache

    attributed to heterophoria or heterotropia (latent or persistent squint)

    A. C

    B. 1

    1.

    2.

    3. /

    C. 2

    1.

    2.

    3.

    4. /

    D. ICHD-3

    11.3.4 Headache

    attributed to ocular inflammatory disorder

    A. C

    B. /

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. 1 2

    a)

    b)

    4.

    D. ICHD-3

    11.3.5 Headache

    attributed to trochleitis

    1.

    /

  • 71

    ICHD-3 beta

    A. / C

    B. /

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.4 Headache attributed to disorder of the ears

    /

    A. C

    B. /

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4.

    D. ICHD-3

    11.5 Headache attributed to disorder of the nose or paranasal sinuses

    11.5.1 Headache

    attributed to acute rhinosinusitis

    /

    A. C

    B. /

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4.

    D. ICHD-3

    11.5.2

    Headache attributed to chronic or recurring rhinosinusitis

    /

    A. C

    B. /

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.6 Headache

  • 72

    ICHD-3 beta

    attributed to disorder of the teeth or jaw

    /

    A. C

    B. //

    C. 2

    1.

    2. 1 2

    a)

    b)

    3.

    4.

    D. ICHD-3

    11.7 (TMD) Headache

    attributed to temporomandibular disorder (TMD)

    A. C

    B. //

    C. 2

    1.

    2. 1 2

    a)

    b)

    3. /

    4.

    D. ICHD-3

    11.8

    Headache or facial pain attributed to inflammation of the stylohyoid ligament

    Eagles

    /

    A. / C

    B.

    C. 2

    1.

    2.

    3.

    4.

    D. ICHD-3

    11.9

    Headache or facial pain attributed to other disorder

    of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure

    /

    A. / C

    B.

    C. 2

    1. /

    2. 1 2

    a) /

    b) /

    3. /

    4. /

    D. ICHD-3

  • 73

    ICHD-3 beta

    12. Headache attributed to psychiatric disorder

    12.1 Headache attributed to

    somatization disorder

    12.2 Headache attributed to psychotic

    disorder

    ()

    8.

    12.1 Headache attributed to somatisation disorder

    A. C

    B. 2

    1. 30

    multiple somatic complaints

    2. 4

    a) 4

    /

    /

    b) 2

    /

    c) 1

    /

    d) 1 (pseudo-

    neurolgoical)

    /

    C. 1

    1.

    2.

    3.

    D. ICHD-3

    12.2 Headache attributed to psychotic disorder

    A. C

    B.

    C. 1 2

    1.

    2.

    D. ICHD-3

  • 74

    ICHD-3 beta

    (Part Three: Painful cranial neuropathies, other facial pains

    and other headaches)

    13. (Painful cranial neuropathies and other facial pains)

    14. (Other headache disorders)

  • 75

    ICHD-3 beta

    13. (Painful cranial neuropathies and other facial pains)

    13.1 Trigeminal neuralgia

    13.1.1 Classical trigeminal neuralgia

    13.1.1.1 , Classical

    trigeminal neuralgia, purely paroxysmal

    13.1.1.2

    Classical trigeminal neuralgia with

    concomitant persistent facial pain

    13.1.2 Painful trigeminal

    neuropathy

    13.1.2.1

    Painful trigeminal neuropathy attributed to

    acute Herpes zoster

    13.1.2.2 Post-herpetic

    trigeminal neuropathy

    13.1.2.3 Painful post-

    traumatic trigeminal neuropathy

    13.1.2.4

    Painful trigeminal neuropathy

    attributed to multiple sclerosis (MS) plaque

    13.1.2.5

    Painful trigeminal neuropathy attributed to

    space-occupying lesion

    13.1.2.6

    Painful trigeminal neuropathy attributed to

    other disorder

    13.2 Glossopharyngeal neuralgia

    13.3 () Nervus intermedius (facial

    nerve) neuralgia

    13.3.1 Classical nervus intermedius

    neuralgia

    13.3.2 Nervus

    intermedius neuropathy attributed to Herpes zoster

    13.4 Occipital neuralgia

    13.5 Optic neuritis

    13.6 Headache

    attributed to ischaemic ocular motor nerve palsy

    13.7 Tolosa-Hunt Tolosa-Hunt syndrome

    13.8 Paratrigeminal

    oculosympathetic (Raeders) syndrome

    13.9 Recurrent painful

    ophthalmoplegic neuropathy

    13.10 Burning mouth syndrome (BMS)

    13.11 Persistent idiopathic facial

    pain (PIFP)

    13.12 Central neuropathic pain

    13.12.1

    Central neuropathic pain attributed to multiple

    sclerosis (MS)

    13.12.2 Central post-stroke pain (CPSP)

    ( 1)

    (pain)

    (Neuropathic pain)

    (somatosensory)(

    )

    (Central neuropathic pain)

    (somatosensory)(

    )

    (Peripheral neuropathic pain)

    (somatosensory)

    ()

    (Neuropathy)

    ( mono-

    neuropathy

    mononeuropathy multiplex

    polyneuropathy)

    (neurapraxia)(neurotmesis)

    (

    neurogenic )

    (Neuralgia)(

    (paraoxysmal)

    )

    1. (IASP)(Taxonomy)

    URL http://www.iasp-pain.org/

  • 76

    ICHD-3 beta

    13.1 Trigeminal neuralgia

    (innocuous)

    13.1.1 Classical trigeminal neuralgia

    (Tic douloureux)

    A. 3 B C

    B.

    C. 4 3

    1. 1 2

    2.

    3.

    4. (innocuous)( 1)

    D. ( 2)

    E. ICHD-3

    1. 3

    2. (hypoaesthesia)

    (hypoalgesia)

    (hyperalgesia)

    13.1.1.1 , Classical

    trigeminal neuralgia, purely paroxysmal

    A. 13.1.1

    B.

    C. ICHD-3

    13.1.1.2 Classical

    trigeminal neuralgia with concomitant persistent facial pain

    (Atypical trigeminal neuralgia)

    (trigeminal neuralgia type 2)

    A. 13.1.1

    B.

    C. ICHD-3

    13.1.2 Painful trigeminal

    neuropathy

    /

    13.1.2.1

    Painful trigeminal neuropathy attributed to acute Herpes

    zoster

    / 3

    /

    A. /3 C

    B. 1 2

    1.

    2. (varicella zoster virus )DNA

    (PCR)

    C. 2

  • 77

    ICHD-3 beta

    1. 7

    2.

    D. ICHD-3

    13.1.2.2. Post-herpetic trigeminal

    neuropathy

    (Post-herpetic trigeminal neuralgia)

    / 3

    A. /3

    C

    B.

    C. 2

    1.

    2.

    D. ICHD-3

    13.1.2.3 Painful post-

    traumatic trigeminal neuropathy

    (Anaesthesia dolorosa)

    ICHD-3 beta

    /

    A. C

    B. ( 1)

    ((allodynia))/

    ()

    C. 2

    1.

    2. 3 6

    D. ICHD-3

    1.

    13.1.2.4

    Painful trigeminal neuropathy attributed to multiple

    sclerosis (MS) plaque

    /

    A. / 13.1.1

    B.

    C.

    ()

    D. ICHD-3

    13.1.2.5

    Painful trigeminal neuropathy attributed to space-

    occupying lesion

    /

    A. 13.1.1 /

    C

    B.

    C.

    D. ICHD-3

    13.1.2.6

    Painful trigeminal neuropathy attributed to other disorder

  • 78

    ICHD-3 beta

    A. / 13.1.1

    B.

    C.

    D. ICHD-3

    13.2 Glossopharyngeal neuralgia

    (Vagoglossopharyngeal neuralgia)

    /

    A. 3 B C

    B. /

    C. 4 3

    1. 2

    2.

    3.

    4.

    D.

    E. ICHD-3

    13.3 () Nervus intermedius (facial nerve) neuralgia

    13.3.1 Classical nervus intermedius

    neuralgia

    A. 3 B C

    B.

    C. 4 3

    1.

    2.

    3.

    4. /

    D.

    E. ICHD-3

    13.3.2

    Secondary nervus intermedius neuropathy attributed to acute Herpes Zoster

    Ramsay Hunt

    A. C

    B. /

    C. 2

    1. 7

    2.

    D.

    E. ICHD-3

    13.4 Occipital neuralgia

    3

    (dysaesthesia)

    A. B-E

    B. /

    C. 3 2

  • 79

    ICHD-3 beta

    1.

    2.

    3.

    D. 2

    1. /

    2. 1 2

    a)

    b) C2

    E.

    F. ICHD-3

    13.5 Optic neuritis ( Retrobulbar neuritis)

    A. C

    B. , , /

    .

    C. 2

    1.

    2. 1 2

    a) , ,

    b)

    D. ICHD-3

    13.6 Headache attributed to ischaemic ocular motor nerve palsy

    /

    A. C

    B.

    C. 2

    1.

    2.

    D. ICHD-3

    13.7 Tolosa-Hunt Tolosa-Hunt syndrome

    / 1

    A. C

    B. 2

    1.

    2. / 1

    C. 2

    1. /2

    2.

    D. ICHD-3

    13.8 Paratrigeminal oculosympathetic (Raeders) syndrome

    Horners

    A. C

    B.

    C. 2

    1.

    2. 1 2

    a)

    b)

    D. Honers

    E. ICHD-3

    13.9 Recurrent painful ophthalmoplegic neuropathy

    Ophthalmoplegic migraine

  • 80

    ICHD-3 beta

    ()

    A. 2 B

    B. 12 3

    C.

    D. ICHD-3

    13.10 Burning mouth syndrome (BMS)

    (Stomatodynia)(glossodynia).

    2 3

    A. B C

    B. 2 3

    C. 2

    1.

    2.

    D.

    E. ICHD-3

    13.11 persistent idiopathic facial pain (PIFP)

    (Atypical facial pain)

    / 2

    3

    A. / B C

    B. 2 3

    C. 2

    1.

    2.

    D.

    E.

    F. ICHD-3

    13.12 Central neuropathic pain

    13.12.1

    Central neuropathic pain attributed to multiple sclerosis (MS)

    A. / C

    B.

    C.

    D. ICHD-3

    13.12.2 Central post-stroke pain

    (CPSP)

    /

    6

    A. / C

    B.

    C. 2

    1. 6

    2. ()

    D. ICHD-3

  • 81

    ICHD-3 beta

    14. (Other headache disorders)

    14.1 (Headache not elsewhere

    classified)

    14.2 (Headache unspecified)

    14.1 Headache not elsewhere classified (Headache not classifiable)

    A.

    B.

    14.2 Headache unspecified (Headache not classifiable)

    A.

    B.

  • 82

    ICHD-3 beta

    (Appendix) A1. Migraine

    A1.1 Migraine without aura

    A1.1.1 Pure menstrual migraine without aura

    A1.1.2 Menstrually related migraine without aura

    A1.1.3 Non-menstrual migraine without aura

    A1.2 () Migraine with aura (alternative criteria)

    A1.2.1() Migraine with typical aura (alternative criteria)

    A1.3 () Chronic migraine (alternative criteria)

    A1.3.1 Chronic migraine with pain-free periods

    A1.3.2 Chronic migraine with continuous pain

    A1.4 Complications of migraine

    A1.4.5 Migraine aura status

    A1.6 Episodic syndromes that may be associated with migraine

    A1.6.4 Infantile colic

    A1.6.5 Alternating hemiplegia of childhood

    A1.6.6 Vestibular migraine

    A2. () Tension-type headache (alternative criteria)

    A3. Cluster headache and other trigeminal autonomic cephalalgias

    A3.6 Undifferentiated trigeminal autonomic cephalalgias

    A4. Other primary headache disorders

    A4.11 Epicrania fugax

    A5. / Headache attributed to trauma or injury to the head and/or neck

    A5.1 Acute headache attributed to traumatic injury to the head

    A5.1.1.1 Delayed-onset acute headache attributed to moderate or severe

    traumatic injury to the head

    A5.1.2.1 Delayed-onset acute headache attributed to mild traumatic injury to the

    head

    A5.2 Persistent headache attributed to traumatic injury to the head

    A5.2.1.1 Delayed-onset persistent headache attributed to moderate or

    severe traumatic injury to the head

    A5.2.2.1 Delayed-onset persistent headache attributed to mild traumatic injury

    to the head

    A5.7 Headache attributed to radiosurgery of the brain

    A5.8 / Acute headache attributed to other trauma or injury to the head and/or

    neck

    A5.9/ Persistent headache attributed to other trauma or injury to the

    head and/or neck

    A6. Headache attributed to cranial or cervical vascular disorder

    A6.10 Persistent headache attributed to past cranial or cervical vascular disorder

    A7. Headache attributed to non-vascular intracranial disorder

  • 83

    ICHD-3 beta

    A 7.6 Headache attributed to epileptic seizure

    A7.6.3 (ECT) Post-electroconvulsive therapy (ECT) headache

    A7.9 Persistent headache attributed to past non-vascular intracranial disorder

    A8. Headache attributed to a substance or its withdrawal

    A8.4 Persistent headache attributed to past use of or exposure to a substance

    A9. Headache attributed to infection

    A9.1 Headache attributed to intracranial infection

    A9.1.3.3 Persistent headache attributed to past intracranial fungal

    or other parasitic infection

    A9.1.6 Headache attributed to other infective space-occupying lesion

    A9.3 (HIV) Headache attributed to human immunodeficiency virus (HIV) infection

    A10. Headache attributed to disorder of homoeostasis

    A10.7 ()/ Head and/or neck pain attributed to orthostatic (postural)

    hypotension

    A10.8 Headache attributed to other disorder of homoeostasis

    A10.8.1 Headache attributed to travel in space

    A10.8.2 Headache attributed to other metabolic or systemic disorder

    A10.9 Persistent headache attributed to past disorder of homoeostasis

    A11. Headache or facial

    pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical

    structure

    A11.2 Headache attributed to disorder of the neck

    A11.2.4 Headache attributed to upper cervi