Patients with sudden onset headache not meeting the criteria of the International Headache Society for new daily persistent headache. How to classify them?

Arquivos de Neuro-Psiquiatria

Paulo Hélio Monzillo¹  Patrícia Homsi Nemoto¹ 

[1] ,Santa Casa de Misericórdia of São Paulo School of Medicine Headache Clinic of Department of NeurologySão Paulo SP ,Brazil

关键词: chronic daily headache;    headache;    chronic tension-type headache;    migraine;    new daily-persistent headache;    International Headache Society criteria;    cefaleia crônica diária;    cefaleia do tipo tensional crônica;    enxaqueca;    cefaleia persistente e diária desde o início;    critérios Sociedade Internacional de Cefaleia;   

DOI  :  10.1590/S0004-282X2011000700016

来源: SciELO

【 摘 要 】

We conducted a retrospective analysis of the records of 1348 patients regularly treated at the headache clinic of Department of Neurology of Santa Casa de São Paulo, Brazil. Sixty-two patients reported history of daily and persistent headache. From the 62 patients selected, only 21 (group 1) could be diagnosed with new daily-persistent headache (NDPH) according to the International Headache Society (HIS) 2004 criteria. The 41 remaining patients (group 2) could not be diagnosed with NDPH according to IHS-2004 once they presented two or more migraine attack-related symptoms, such as: nausea, photophobia, phonophobia and vomiting, in different combinations. It was not possible to classify them in groups 1 to 4 of primary headaches either. How to classify them? We suggest that the criteria are revised. And one way we can classify them, would be the subdivision: NDPH with migraine features and without migraine features that would allow the inclusion of all individuals present who has a daily and persistent headache from the beginning

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