한국판 국제두통질환분류 3판 베타판의 임상적용Clinical Application of Korean Version of the International Classification of Headache Disorders, 3 rd Edition, Beta Version
- Authors
- 문희수; 박광열; 조수진
- Issue Date
- Aug-2014
- Publisher
- 대한신경과학회
- Keywords
- Diagnosis; Classification; Headache disorders; Migraine
- Citation
- 대한신경과학회지, v.32, no.3, pp 163 - 167
- Pages
- 5
- Journal Title
- 대한신경과학회지
- Volume
- 32
- Number
- 3
- Start Page
- 163
- End Page
- 167
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70989
- ISSN
- 1225-7044
2288-985X
- Abstract
- Background: The International Classification of Headache Disorders, an essential tool in the diagnosis of headachedisorders, has been revised as its 3rd edition, beta (ICHD-Ⅲβ). The clinical application in practice is needed to test thefeasibility and usefulness of the Korean version of ICHD-Ⅲβ.
Methods: Neurologists enrolled consecutive first-visit headache patients from February to March 2014. The classificationof headache disorder was done by each investigator according to ICHD-Ⅲβ based on the initial structured questionnaire,clinical evaluation, and neuroimaging studies, if needed. A consensus meeting dealt with the cases that were difficult todiagnose. The feasibility and usefulness of this version was assessed by the proportion of unclassified headachedisorders using ICHD-Ⅲβ compared to the previous version.
Results: A total of 207 patients were enrolled: the mean age was 41 years (16-87 years) and women constituted 63.3%.
Primary headache disorders were diagnosed in 167 patients (80.7%): 82 migraines, 37 tension-type headaches, 3 clusterheadaches, and 45 other primary headache disorders. Thirty-five patients (16.9%) had secondary headache disorders orpainful cranial neuropathies/other facial pain and 5 patients (2.4%) could not be classified by ICHD-Ⅲβ. The diagnosesdiffered as compared to the previous version in 32 patients (15.5%): 14.5% differed due to the mitigation of the previousstrict criteria and 1% differed due to the introduction of a new diagnostic category.
Conclusions: Classifications by ICHD-Ⅲβ are possible in more than 97% of the first-visit headache patients and ICHD-Ⅲβ has proved to be more useful than its previous version.
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