1. INTERNATIONAL CLASSIFICATION of HEADACHE DISORDERS 2nd edition (ICHD-II)

2. History

4. Basis

5. System

6. Important general rules

13. Structure

16. Classification

17. Primary or secondary headache?

19. Classification

23. Part 1: The primary headaches

24. 1. Migraine

25. 1. Migraine Reclassification 1988-2004

26. 1.1 Migraine without aura

27. 1.1 Migraine without aura Notes

28. ‘Not attributed to another disorder’ Note

29. 1.2 Migraine with aura

31. 1.2 Migraine with aura Subtypes new to classification

32. 1.2.1 Typical aura with migraine headache

34. 1.2.2 Typical aura with non-migraine headache

35. 1.2.3 Typical aura without headache

36. 1.2.4 Familial hemiplegic migraine (FHM)

38. 1.2.6 Basilar-type migraine

39. 1.2.6 Basilar-type migraine Terminology change 1988-2004

40. 1.3 Childhood periodic syndromes that are commonly precursors of migraine

41. 1.3.2 Abdominal migraine

42. 1.5 Complications of migraine

43. 1.5 Complications of migraine Reclassification 1988-2004

44. 1.5.1 Chronic migraine New entrant to classification

45. 1.5.1 Chronic migraine Notes

46. ‘Chronic’ Notes

47. 1.6 Probable migraine

50. 2. Tension-type headache

51. Infrequent/frequent episodic TTH New subdivision 1988-2004

52. 2.1 Infrequent episodic TTH

54. 2.2 Frequent episodic TTH

56. 2.3 Chronic TTH

58. 2.4 Probable TTH

59. 2.4.3 Probable chronic TTH

60. 3. Cluster headache and other trigeminal autonomic cephalalgias

61. 3.1 Cluster headache

63. ‘Chronic’ Notes

64. Episodic/chronic cluster headache Reclassification 1988-2004 Default diagnosis until periodicity is determined or 1 y is 3.1.1 Episodic cluster headache

65. Episodic/chronic cluster headache Definition change 1988-2004

66. 3.1.2 Chronic cluster headache Abandoned subclassification 1988- 2004

67. 3.2 Paroxysmal hemicrania

68. 3.2 Paroxysmal hemicrania New subdivision 1988-2004

69. Episodic/chronic paroxysmal hemicrania New subdivision 1988-2004

70. 3.3 Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing New entrant to classification

71. 3.4 Probable TAC

72. 4. Other primary headaches

73. 4. Other primary headaches Terminology change 1988-2004

74. 4.4 Primary headache associated with sexual activity

75. 4.5 Hypnic headache New entrant to classification

76. 4.6 Primary thunderclap headache

77. 4.7 Hemicrania continua New entrant to classification

78. 4.8 New daily-persistent headache New entrant to classification

79. 4.8 New daily-persistent headache Notes

80. Part 2: The secondary headaches

81. Primary or secondary headache?

84. Diagnostic criteria for secondary headaches

85. Important general rules

86. 5. Headache attributed to head and/or neck trauma

87. 5.1.1 Acute post-traumatic headache attributed to moderate or severe head injury

88. 5.1.1 Acute post-traumatic headache attributed to moderate or severe head injury Notes

89. 5.2.1 Chronic post-traumatic headache attributed to moderate or severe head injury

90. 5.3 Acute headache attributed to whiplash injury

91. 5.3 Acute headache attributed to whiplash injury Notes

92. 5.4 Chronic headache attributed to whiplash injury

93. 6. Headache attributed to cranial or cervical vascular disorder

94. 6.2 Headache attributed to non-traumatic intracranial haemorrhage

95. 6.2.2 Headache attributed to subarachnoid haemorrhage

96. 6.3 Headache attributed to unruptured vascular malformation

97. 6.4 Headache attributed to arteritis

98. 6.4.1 Headache attributed to giant cell arteritis

99. 6.7 Headache attributed to other intracranial vascular disorder

100. 6.7.1 CADASIL

101. 7. Headache attributed to non-vascular intracranial disorder

102. 7.1 Headache attributed to high cerebrospinal fluid pressure

103. 7.1.1 Headache attributed to IIH

105. 7.2 Headache attributed to low cerebrospinal fluid pressure

106. 7.2.1 Post-dural (post- lumbar) puncture headache

107. 7.3 Headache attributed to non-infectious inflammatory disease

108. 7.4 Headache attributed to intracranial neoplasm

109. 7.4.2 Headache attributed directly to neoplasm

110. 7.6 Headache attributed to epileptic seizure

111. 7.6.2 Post-seizure (post- ictal) headache

112. 8. Headache attributed to a substance or its withdrawal

113. 8.1 Headache induced by acute substance use or exposure

114. 8.1.3 Carbon monoxide (CO)- induced headache

115. 8.2 Medication-overuse headache New entrant to classification

116. 8.2 Medication-overuse headache Notes

117. 8.2.1 Ergotamine-overuse headache

118. 8.2.2 Triptan-overuse headache

119. 8.2.3 Analgesic-overuse headache

120. 8.2.3 Analgesic-overuse headache Note

121. 8.2.5 Combination medication-overuse headache

122. 8.2.7 Probable MOH

124. 8.3 Headache as an adverse event attributed to chronic medication

125. 8.4 Headache attributed to substance withdrawal

126. 8.4.1 Caffeine-withdrawal headache

127. 8.4.3 Oestrogen-withdrawal headache

128. 9. Headache attributed to infection

129. 9.1 Headache attributed to intracranial infection

130. 9.1.1 Headache attributed to bacterial meningitis

131. 9.1.1 Headache attributed to bacterial meningitis Notes

132. 9.4.1 Chronic post-bacterial meningitis headache

133. 9.2 Headache attributed to systemic infection

135. 9.3 Headache attributed to HIV/AIDS

136. 10. Headache attributed to disorder of homoeostasis

137. 10. Headache attributed to disorder of homoeostasis Terminology change 1988-2004

138. 10.1 Headache attributed to hypoxia and/or hypercapnia

139. 10.3 Headache attributed to arterial hypertension

140. 11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures

141. 11.2.1 Cervicogenic headache

143. 11.2.1 Cervicogenic headache Notes

144. 11.3 Headache attributed to disorder of eyes

145. 11.3.1 Headache attributed to acute glaucoma

146. 11.5 Headache attributed to rhinosinusitis

147. 11.5 Headache attributed to rhinosinusitis Notes

148. 11.7 Headache or facial pain attributed to temporomandibular joint disorder

149. 12. Headache attributed to psychiatric disorder New section in classification

150. 12. Headache attributed to psychiatric disorder Notes

151. 12.1 Headache attributed to somatisation disorder

152. 12.2 Headache attributed to psychotic disorder

153. Part 3: Cranial neuralgias, central and primary facial pain and other headaches

154. 13. Cranial neuralgias and central causes of facial pain

156. 13. Cranial neuralgias and central causes of facial pain Terminology and section number change 1988-2004

157. 13.1 Trigeminal neuralgia

158. 13.1.1 Classical trigeminal neuralgia

159. 13.1.2 Symptomatic trigeminal neuralgia

160. 13.8 Occipital neuralgia

161. 13.17 Ophthalmoplegic ‘migraine’

162. 13.17 Ophthalmoplegic ‘migraine’ Reclassification 1988-2004

163. 13.18 Central causes of facial pain

164. 13.18.1 Anaesthesia dolorosa

165. 13.18.2 Central post-stroke pain

166. 13.18.4 Persistent idiopathic facial pain Previously used term: Atypical facial pain

167. 13.18.5 Burning mouth syndrome

168. 14. Other headache, cranial neuralgia, central or primary facial pain

169. 14. Other headache, cranial neuralgia, central or primary facial pain Notes

170. 14.1 Headache not elsewhere classified

171. 14.2 Headache unspecified

172. Appendix

173. A1. Migraine

174. A1.1 Migraine without aura Alternative diagnostic criteria

175. A1.1 Migraine without aura Note

176. A1.1 Migraine without aura Proposed new subclassification*

177. A1.1.1 Pure menstrual migraine without aura

178. A1.1.1 Pure menstrual migraine without aura Notes

179. A1.1.2 Menstrually-related migraine without aura

180. A1.1.3 Non-menstrual migraine without aura

181. A2. Tension-type headache Alternative diagnostic criteria 1.bilateral location; 2.pressing/tightening quality 3.mild or moderate intensity 4.not aggravated by routine physical activity

182. A2. Tension-type headache Notes

183. A3.3 Short-lasting Unilateral Neuralgiform headache attacks with cranial Autonomic symptoms (SUNA) Proposed but unvalidated disorder

184. A3.3 SUNA Notes

185. A9. Headache attributed to infection Proposed but unvalidated criteria

186. A12. Headache attributed to psychiatric disorder Proposed but unvalidated criteria

187. A12. Headache attributed to psychiatric disorder Notes

188. A13. Cranial neuralgias and central causes of facial pain

189. Second Headache Classification Subcommittee Members

190. Copyright