Headache Centre, Department of Neurology, University of Parma, Via Gramsci 14, 43126 Parma, Italy.
Curr Pain Headache Rep. 2011 Jun;15(3):170-6. doi: 10.1007/s11916-011-0188-0.
Based on publications on migraine in the medical literature after 2004, the third edition of the International Classification of Headache Disorders (ICHD-3), with publication date early in 2013, will provide a framework to systematize those migraine forms that the second edition (ICHD-2) included in its Appendix. The most needed changes concern so-called chronic migraine. The revised ICHD-2 (ICHD-2R) did introduce appreciable changes to the ICHD-2 diagnostic criteria for chronic migraine. To be more relevant to actual clinical practice, the classification should discriminate between forms of migraine without aura depending on low, medium, or high frequency of attacks. The classification should include transformed migraine, an appellation that seems preferable to chronic migraine, in the group of migraine complications using extended time parameters compared with those currently used in ICHD-2R for chronic migraine. Finally, it should assess the opportunity of a different classification for medication-overuse headache.
基于 2004 年后医学文献中有关偏头痛的出版物，第三次国际头痛疾病分类（ICHD-3）于 2013 年初出版，为系统分类第二次修订版（ICHD-2）附录中所包含的偏头痛形式提供了一个框架。最需要改变的是所谓的慢性偏头痛。修订后的 ICHD-2（ICHD-2R）确实对 ICHD-2 慢性偏头痛的诊断标准进行了重大修改。为了更符合实际临床实践，分类应根据发作的低、中、高频率，区分无先兆偏头痛的形式。分类应将转换性偏头痛纳入偏头痛并发症组，使用比 ICHD-2R 中目前用于慢性偏头痛的扩展时间参数更合适的名称。最后，应评估为药物过度使用性头痛采用不同分类的机会。
