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Headache Classification Committee of the International Headache Society (IHS)
IHS)
The International Classification of Headache Disorders,3rd edition (beta version)
3beta
Copyright
The International Classification of Headache Disorders, 3rd edition (beta version), may be reproduced freely for scientific, educational or clinical uses by institutions, societies or individuals.
3 ()
Otherwise, copyright belongs exclusively to the International Headache Society.
Reproduction of any part or parts in any manner for commercial uses requires the Societys permission, which will be granted on payment of a fee.
Please contact the publisher at the address below.
International Headache Society 2013.
Applications for copyright permissions should be submitted to Sage Publications Ltd,
Sage Publications Ltd,
1 Olivers Yard, 55 City Road, London EC1Y 1SP, United Kingdom (tel: t44 (0) 20 7324 8500; fax: t44 (0) 207 324 8600) (www.sagepub.co.uk).
Translations
The International Headache Society expressly permits translations of all or parts of ICHD-3 beta for purposes of field testing and/or education, but will not endorse them.
ICHD-3
Endorsements may be given by member national societies; where these exist, such endorsement should be sought.
All translations are required to be registered with the International Headache Society.
Before embarking upon translation, prospective translators are advised to enquire whether a translation exists already.
All translators should be aware of the need to use rigorous translation protocols.
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ICHD-3
First Headache Classification Committee
Jes Olesen, Denmark (Chairman)
Jes Olesen, Denmark ()
Andre. 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 (Secretary)
K Michael A Welch, USA
Marica Wilkinson, United Kingdom
Second Headache Classification Committee
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Jes Olesen, Denmark (Chairman)
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 Gobel, 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 (Secretary)
Third Headache Classification Committee
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Jes Olesen, Denmark (Chairman)
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 (Secretary)
Cristina Tassorelli, Italy
Gisela M Terwindt, The Netherlands
Maurice Vincent, Brazil
Shuu-Jiun Wang, Taiwan
Members of third headache classification working groups
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Working group on migraine:
J Olesen, Denmark (Chairman)
J Olesen, Denmark ()
S Evers, Germany; A Charles, USA; A. Hershey, USA; R Lipton, USA; M First, USA; H Bolay, Turkey; M Lanteri-Minet, France; EA MacGregor, UK; T Takeshima, Japan; HW Schytz, Denmark.
Working group on tension-type headache:
L Bendtsen, Denmark (Chairman)
L Bendtsen, Denmark ()
S Ashina, USA; MT Goicochea, Argentina; K Hirata, Japan; K Holroyd, USA; C Lampl, Austria; RB Lipton, USA; DD Mitsikostas, Greece; J Schoenen, Belgium.
Working group on trigeminal autonomic cephalalgias:
P Goadsby, USA (Chairman)
P Goadsby, USA ()
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.
Working group on other primary headache disorders:
S-J Wang, Taiwan (Chairman)
S-J Wang, Taiwan ()
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.
Working group on headache attributed to trauma or injury to the head and/or neck:
T Schwedt, USA (Chairman)
T Schwedt, USA ()
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.
Working group on headache attributed to cranial or cervical vascular disorder:
A Ducros, France (Chairman)
A Ducros, France ()
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.
Working group on headache attributed to non-vascular intracranial disorder:
DW Dodick, USA (Chairman)
DW Dodick, USA ()
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, Switzerland; W Schievink, USA; R Stark, Australia; F Taylor, USA.
Working group on headache attributed to a substance or its withdrawal:
MB Russell, Norway (Chairman)
MB Russell, Norway ()
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.
Working group on headache attributed to infection:
C Tassorelli, Italy (Chairman)
C Tassorelli, Italy ()
E Marchioni, Italy; V Osipova, Russia; K Ravishankar, India; L Savi, Italy; F Sakai, Japan; JR Berger, (USA).
Working group on headache attributed to disorder of homoeostasis:
J Pascual, Spain (Chairman)
J Pascual, Spain ()
M Bigal, Brazil; C Bordini, Brazil; J Gonzalez Menacho, Spain; F Mainardi, Italy; A Ozge, Turkey; J Pereira-Monteiro, Portugal; M Serrano-Duenas, Ecuador.
Working group on 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 (Chairman)
M Levin, USA ()
R Cady, USA; C Fernandez de las Penas, Spain; D Friedman, USA; V Guidetti, Italy; J Lance, Australia; P Svensson, Denmark.
Working group on headache attributed to psychiatric disorder:
M Vincent, Brazil (Chairman)
M Vincent, Brazil ()
M First, USA; E Loder, USA; AE Lake III, USA; F Radat, France; JI Escobar, USA.
Working group on painful cranial neuropathies and other facial pains:
Z Katsarava, Germany (Chairman)
Z Katsarava, Germany ()
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 Jaaskelainen, 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 Wober-Bingol, Austria.
Working group for appendix disorders and criteria:
GM Terwindt, The Netherlands (Chairman)
GM Terwindt, The Netherlands ()
Acknowledgements
The work of the Headache Classification Committee of the International Headache Society is financially supported exclusively by the International Headache Society.
There has been no commercial sponsorship of the International Classification of Headache Disorders, 3rd edition.
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We gratefully acknowledge the support of Timothy Steiner, first for his efforts as honorary secretary of the Classification Committee and second for his work on copy-editing and preparation of this manuscript.
Timothy Steiner
Table of Contents
Preface 633
How to use the classification 634
Classification 636
Part one: the primary headaches
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1. Migraine 644
1.
2. Tension-type headache 659
2.
3. Trigeminal autonomic cephalalgias 665
3.
4. Other primary headache disorders 672
4.
Part two: the secondary headaches
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Introduction 684
5. Headache attributed to