Göbel H, Heinze A
Neurologisch-verhaltensmedizinische Schmerzklinik Kiel, Heikendorfer Weg 9-27, 24149, Kiel, Deutschland.
Schmerz. 2011 Sep;25(5):493-500. doi: 10.1007/s00482-011-1085-5.
The first International classification of headache disorders (ICHD-I) described migraine as a recurring headache disorder manifesting in attacks lasting 4-72 h. The headache frequency was not considered in these first diagnostic criteria of migraine. Thus, a chronic migraine with at least 15 migraine days per month was only included in the ICHD-II in 2004. Meanwhile, the diagnosis of chronic daily headache and transformed migraine had been established in the USA. The term transformed migraine describes the transformation of an episodic migraine into a chronic one, whether medication overuse had been present or not. Up till now a widely accepted definition of chronic migraine and medication overuse headache has not been established due to different views. An overview of the evolution of the diagnostic criteria for both headache disorders in recent years is provided.
第一版《国际头痛疾病分类》（ICHD-I）将偏头痛描述为一种反复发作的头痛疾病，发作持续4 - 72小时。在偏头痛的这些最初诊断标准中，并未考虑头痛发作频率。因此，每月至少有15个偏头痛日的慢性偏头痛直到2004年才被纳入ICHD-II。与此同时，在美国已经确立了慢性每日头痛和转变型偏头痛的诊断。术语转变型偏头痛描述的是发作性偏头痛转变为慢性偏头痛的情况，无论是否存在药物过度使用。由于观点不同，至今尚未确立慢性偏头痛和药物过量使用性头痛的广泛接受的定义。本文提供了近年来这两种头痛疾病诊断标准演变的概述。
