Cluster headache diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2]
Diagnostic Criteria For Cluster Headache
Diagnostic criteria for cluster headache require the following as per ICHD-3: International Classification of Headache Disorders, 3rd edition.:[1]
- At least five attacks
- Severe or very severe unilateral orbital, supraorbital, and/or temporal pain lasting 15 to 180 minutes when untreated; during part (but less than half) of the active time course of cluster headache, attacks may be less severe and/or of shorter or longer duration
- Either or both of the following:
- At least one of the following symptoms or signs ipsilateral to the headache:
- Conjunctival injection and/or lacrimation
- Nasal congestion and/or rhinorrhea
- Eyelid edema
- Forehead and facial sweating
- Miosis and/or ptosis
- At least one of the following symptoms or signs ipsilateral to the headache:
2. A sense of restlessness or agitation
- Attacks have a frequency between one every other day and eight per day; during part (but less than half) of the active time-course of cluster headache, attacks may be less frequent
- Not better accounted for by another ICHD-3 diagnosis
Diagnostic Criteria For Episodic Cluster Headache
Diagnostic criteria for episodic cluster headache require the following:
- Attacks fulfilling criteria for cluster headache and occurring in bouts (cluster periods)
- At least two cluster periods lasting from seven days to one year (when untreated) and separated by pain-free remission periods of three months or more
Diagnostic Criteria For Chronic Cluster Headache
Diagnostic criteria for chronic cluster headache require the following:
- Attacks fulfilling criteria for cluster headache
- Attacks occurring without a remission period, or with remissions lasting less than three months, for at least one year
References
- ↑ "Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition". Cephalalgia. 38 (1): 1–211. January 2018. doi:10.1177/0333102417738202. PMID 29368949.