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International Classification of Headache Disorders

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The International Classification of Headache Disorders (ICHD) is a detailed hierarchical classification of all headache-related disorders published by the International Headache Society. It is considered the official classification of headaches by the World Health Organization, and, in 1992, was incorporated into the 10th edition of their International Classification of Diseases (ICD-10). Each class of headache contains explicit diagnostic criteria—meaning that the criteria include quantities rather than vague terms like several or usually—that are based on clinical and laboratory observations.

Contents

The ICHD was first published in 1988 (now known as the ICHD-1). A second version, the ICHD-2, was published in 2004. The most current version, ICHD-3 beta, was published in 2013.

ICHD 1, ICD10 G43: Migraine

Migraine without auraMigraine with auraChildhood periodic syndromes that are commonly precursors of migraineRetinal migraineComplications of migraineMigraine-triggered seizureProbable migraine

ICHD 2, ICD10 G44.2: Tension-type headache (TTH)

Infrequent episodic tension-type headacheFrequent episodic tension-type headacheChronic tension-type headacheProbable tension-type headache

ICHD 3, ICD10 G44.0: Cluster headache and other trigeminal autonomic cephalagias

Cluster headacheParoxysmal hemicraniaShort-lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT)Probable trigeminal autonomic cephalagia

ICHD 4, ICD10 G44.80: Other primary headaches

Primary stabbing headachePrimary cough headachePrimary exertional headachePrimary headache associated with sexual activityHypnic headachePrimary thunderclap headacheHemicrania continuaNew daily persistent headache (NDPH)

ICHD 5, ICD10 G44.88: Headache attributed to head and/or neck trauma

Acute post-traumatic headacheChronic post-traumatic headacheAcute headache attributed to whiplash injuryChronic headache attributed to whiplash injuryHeadache attributed to traumatic intracranial haematomaHeadache attributed to other head and/or neck traumaPost-craniotomy headache

ICHD 6, ICD10 G44.81: Headache attributed to cranial or cervical vascular disorder

Headache attributed to ischaemic stroke or transient ischaemic attackHeadache attributed to non-traumatic intracranial haemorrhageHeadache attributed to unruptured vascular malformation

(Sturge Weber syndrome)

Headache attributed to arteritisCarotid or vertebral artery painHeadache attributed to cerebral venous thrombosis (CVT)Headache attributed to other intracranial vascular disorder

Infarcts and Leukoencephalopathy)

episodes)

ICHD 7, ICD10 G44.82: Headache attributed to non-vascular intracranial disorder

Headache attributed to high cerebrospinal fluid pressure

or hormonal causes

Headache attributed to low cerebrospinal fluid pressureHeadache attributed to non-infectious inflammatory diseaseHeadache attributed to intracranial neoplasm

caused by neoplasm

Headache attributed to intrathecal injectionHeadache attributed to epileptic seizureHeadache attributed to Chiari malformation type I (CM1)Syndrome of transient Headache and Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL)Headache attributed to other non-vascular intracranial disorder

ICHD 8, ICD10 G44.4 or G44.83: Headache attributed to a substance or its withdrawal

Headache induced by acute substance use or exposure

indications

Medication-overuse headache (MOH)Headache as an adverse event attributed to chronic medicationHeadache attributed to substance withdrawal

ICHD 9, ICD10 G44.821 or G44.881: Headache attributed to infection

Headache attributed to intracranial infectionHeadache attributed to systemic infectionHeadache attributed to HIV/AIDSChronic post-infection headache

ICHD 10, ICD10 G44.882: Headache attributed to disorder of homeostasis

Headache attributed to hypoxia and/or hypercapniaDialysis headacheHeadache attributed to arterial hypertension

encephalopathy

Headache attributed to hypothyroidismHeadache attributed to fastingCardiac cephalalgiaHeadache attributed to other disorder of homoeostasis

ICHD 11, ICD10 G44.84: Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures

Headache attributed to disorder of cranial boneHeadache attributed to disorder of neckHeadache attributed to disorder of eyesHeadache attributed to disorder of earsHeadache attributed to rhinosinusitisHeadache attributed to disorder of teeth, jaws or related structuresHeadache or facial pain attributed to temporomandibular joint (TMJ) disorderHeadache attributed to other disorder of cranium, neck, eyes, ears, nose, sinuses,

teeth, mouth or other facial or cervical structures

ICHD 12, ICD10 R51: Headache attributed to psychiatric disorder

Headache attributed to somatization disorderHeadache attributed to psychotic disorder

ICHD 13, ICD10 G44.847, G44.848, or G44.85: Cranial neuralgias and central causes of facial pain

ICHD 13.1, ICD10 G44.847: Trigeminal neuralgiaGlossopharyngeal neuralgiaNervus intermedius neuralgiaSuperior laryngeal neuralgiaNasociliary neuralgiaSupraorbital neuralgiaOther terminal branch neuralgiasOccipital neuralgiaNeck-tongue syndromeExternal compression headacheCold-stimulus headacheConstant pain caused by compression, irritation or distortion of cranial nerves or upper cervical roots by structural lesionsOptic neuritisOcular diabetic neuropathyHead or facial pain attributed to herpes zosterTolosa-Hunt syndromeOpthalamoplegic migraineCentral causes of facial painOther cranial neuralgia or other centrally mediated facial pain

ICHD 14, ICD10 R51: Other headache, cranial neuralgia, central or primary facial pain

Headache not elsewhere classifiedHeadache unspecified

References

International Classification of Headache Disorders Wikipedia


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