Belvis Robert, Mas Natàlia, Roig Carles
Hospital Universitario Quiron Dexeus, Barcelona, Espana.
Rev Neurol. 2015 Jan 16;60(2):81-9.
The International Headache Society (IHS) has published the third edition of the International Classification of Headache Disorders (ICHD-III beta), the most commonly used guide to diagnosing headaches in the world.
To review the recent additions to the guide, to explain the new entities that appear in it and to compare the conditions that have had their criteria further clarified against the criteria in the previous edition.
We have recorded a large number of clarifications in the criteria in practically all the headaches and neuralgias in the classification, but the conditions that have undergone the most significant clarifications are chronic migraine, primary headache associated with sexual activity, short-lasting unilateral neuralgiform headache attacks, new daily persistent headache, medication-overuse headache, syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis. The most notable new entities that have been incorporated are external-compression headache, cold-stimulus headache, nummular headache, headache attributed to aeroplane travel and headache attributed to autonomic dysreflexia. Another point to be highlighted is the case of the new headaches (still not considered entities in their own right) included in the appendix, some of the most noteworthy being epicrania fugax, vestibular migraine and infantile colic.
The IHS recommends no longer using the previous classification and changing over to the new classification (ICHD-III beta) in healthcare, teaching and research, in addition to making this new guide as widely known as possible.
国际头痛协会（IHS）已出版第三版《国际头痛疾病分类》（ICHD-III beta），这是世界上诊断头痛最常用的指南。
回顾该指南的最新补充内容，解释其中出现的新病症，并将标准得到进一步明确的病症与上一版标准进行比较。
我们在分类中几乎所有头痛和神经痛的标准中记录了大量的明确说明，但标准得到最显著明确的病症有慢性偏头痛、与性活动相关的原发性头痛、短暂性单侧神经痛样头痛发作、新发性每日持续性头痛、药物过量使用性头痛、伴有脑脊液淋巴细胞增多的短暂性头痛和神经功能缺损综合征。已纳入的最显著新病症有外部压迫性头痛、冷刺激头痛、钱币状头痛、航空旅行所致头痛和自主神经反射异常所致头痛。另一个需要强调的点是附录中包含的新头痛类型（目前仍未被视为独立病症），其中一些最值得注意的是游走性头皮痛、前庭性偏头痛和婴儿腹绞痛。
IHS建议在医疗保健、教学和研究中不再使用先前的分类，转而采用新分类（ICHD-III beta），此外还要尽可能广泛地传播这本新指南。
