1. 원더스 참고자료 두통

2. 1 차성 두통에 대한 자료

5. 2 차성 두통에 대한 자료

11. Headache classification International headache society(1988) 1. Migraine 2. Tension type headache 3. Cluster headache and chronic paroxysmal hemicrania 4. Miscellaneous headaches unassociated with structural lesion 5. Headache associated with head trauma 6. Headache associated with vascular disorders 7. Headache associated with nonvascular intracranial disorder 8. Headache associated with substances or their withdrawal 9. Headache associated with noncephalic infection 10. Headache associated with metabolic disorder 11. Headache or facial pain associated with a disorder of the cranium, neck, eye, ears, nose, sinuses, teeth, mouth, or other facial or cranial structures 12. Cranial neuralgias, nerve trunk pain, and deafferentiation pain

12. Approach to Diagnosis Alarm in the diagnosis of headache Warning sign in headache Sudden onset pain Fever Marked change in pain character or timing Neck stiffness Pain associated with cognitive dysfunction Pain associated with neurologic disturbance, such as clumsiness or weakness Pain associated with local tenderness, such as the temporal artery

13. IHS diagnostic criteria for Migraine without aura International headache society(1988) A. At least 5 attack fulfilling B- D B. Headache lasting 4 to 72 hours (untreated or unsuccessfully treated) C. Headache has at least two of the following characteristics : 1. Unilateral location 2. Pulsating quality 3. Moderate to severe intensity (inhibits or prohibits daily activity) 4. Aggravation by walking stairs or similar routine physical activity D. During headache at least one of the following : 1. Nausea and/ or vomiting 2. Photophobia and phonophobia E. At least one of the following : 1. History, physical and neurological exam do not suggest structural disease 2. Neurological disease is ruled out by appropriate investigations 3. Such disorder is present, but migraine attack do not occur for the first time in close temporal relation to the disorder

14. IHS diagnostic criteria for Migraine with aura International headache society(1988) A. At least 2 attack fulfilling B B. At least 3 of the following 4 characteristics: 1. One or more fully reversible aura symptoms indicating focal cerebral cortical and/ or brainstem dysfunction 2. At least one aura symptom develops gradually over more than 4 minutes or 2 or more symptoms occur in succession 3. No aura symptom lasts more than 60 minutes. If more than one aura symptom is present, accepted duration is proportionally increased 4. Headache follows aura with a free interval of less than 60 minutes. C. At least one of the following : 1. History, physical and neurological exam do not suggest structural disease 2. Neurological disease is ruled out by appropriate investigations 3. Such disorder is present, but migraine attack do not occur for the first time in close temporal relation to the disorder

15. Diagnostic criteria of Tension-type headache International headache society(1988) A. At least 10 previous headache episodes fulfilling criteria “B-D” listed below; number of days with such headache < 180/yr (<15/mo) B. Headache lasting from 30 minutes to 7days C. At least two of the following pain characteristics: 1. Pressing/tightening(nonpulsating) quality 2. Mild or moderate intensity 3. Bilateral location 4. No aggravation by walking up/down stairs D. Both of the following : 1. No nausea or vomiting 2. Photophobia and phonophobia are absent

16. Diagnostic criteria of cluster headaches International headache society(1988) A. At least 5 attack fulfilling B- D B. Severe unilateral orbital, supraorbital and/ or temporal pain lasting 15 to 180 minutes untreated C. Headache is associated with at least one of the following signs which have to be present on the pain side :. Conjunctival injection. Lacrimation. Nasal congestion. Rhinorrhea. Facial and forehead sweating. Miosis. Ptosis. Eyelid edema D. Frequency of attack : from 1 every other day to 8 per day E. At least one of the following : 1. History, physical and neurological exam do not suggest structural disease 2. Neurological disease is ruled out by appropriate investigations 3. Such disorder is present, but migraine attack do not occur for the first time in close temporal relation to the disorder