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J Korean Neurol Assoc. 2014;32(3):163-167.
- Clinical Application of Korean Version of the International
Classification of Headache Disorders, 3
rd
Edition, Beta Version
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Heui-Soo Moon
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Department of Neurology, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul,
Korea
Department of Neurology
a
, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
Department of Neurology
b
, Dongtan Sacred Hospital, Hallym University College of Medicine, Hwaseong, Korea
- 한국판 국제두통질환분류 3판 베타판의 임상적용
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문희수, 박광열
a
조수진
b
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성균관대학교 의과대학 강북삼성병원 신경과, 중앙대학교 의과대학 중앙대학교병원 신경과
a
,
한림대학교 의과대학 동탄성심병원 신경과
b
- Abstract
- Background
The International Classification of Headache Disorders, an essential tool in the diagnosis of headache
disorders, has been revised as its 3rd edition, beta (ICHD-Ⅲβ). The clinical application in practice is needed to test the
feasibility and usefulness of the Korean version of ICHD-Ⅲβ.
Methods
Neurologists enrolled consecutive first-visit headache patients from February to March 2014. The classification
of 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 to
diagnose. The feasibility and usefulness of this version was assessed by the proportion of unclassified headache
disorders 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 cluster
headaches, and 45 other primary headache disorders. Thirty-five patients (16.9%) had secondary headache disorders or
painful cranial neuropathies/other facial pain and 5 patients (2.4%) could not be classified by ICHD-Ⅲβ. The diagnoses
differed as compared to the previous version in 32 patients (15.5%): 14.5% differed due to the mitigation of the previous
strict 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-Ⅲ
β has proved to be more useful than its previous version. Key Words: Diagnosis, Classification, Headache disorders, Migraine
Keywords :
- 초록
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