Gladstone Jonathan, Eross Eric, Dodick David
Department of Neurology, Mayo Clinic, Scottsdale, Arizona 85259, USA.
Semin Neurol. 2003 Sep;23(3):265-76. doi: 10.1055/s-2003-814738.
Chronic daily headache (CDH) is a significant public health problem with 3 to 5% of the population worldwide experiencing daily or near-daily headaches. Patients with CDH can be particularly challenging, and clinicians require a systematic approach to help guide investigations and management. The revised 2004 International Headache Society Classification Criteria introduces formalized criteria for several CDH disorders including chronic migraine and medication overuse headache as well as new daily persistent headache, hemicrania continua, hypnic headache, and SUNCT syndrome. Medication overuse is common in patients with CDH who present to physicians. Familiarity and comfort with drug-withdrawal and detoxification strategies is therefore essential. Patients with chronic migraine and chronic cluster experience significant disability and diminished quality of life. The ability to manage these patients effectively is a rewarding clinical experience.
慢性每日头痛（CDH）是一个重大的公共卫生问题，全球3%至5%的人口经历每日或近乎每日的头痛。CDH患者可能极具挑战性，临床医生需要一种系统的方法来指导检查和管理。2004年修订的国际头痛协会分类标准引入了几种CDH疾病的正式标准，包括慢性偏头痛、药物过量使用性头痛以及新的每日持续性头痛、连续性偏侧头痛、睡眠性头痛和SUNCT综合征。药物过量使用在就诊的CDH患者中很常见。因此，熟悉并掌握药物戒断和解毒策略至关重要。慢性偏头痛和慢性丛集性头痛患者存在严重残疾且生活质量下降。有效管理这些患者的能力是一次有意义的临床体验。
