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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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ICHD-3: what changes do we need regarding migraine?

Gian Camillo Manzoni1, Ilaria Grisendi, Paola Torelli

  • 1Headache Centre, Department of Neurology, University of Parma, Via Gramsci 14, 43126 Parma, Italy. giancamillo.manzoni@unipr.it

Current Pain and Headache Reports
|March 3, 2011
PubMed
Summary

The International Classification of Headache Disorders, 3rd edition (ICHD-3), will update migraine classifications, focusing on chronic migraine and medication-overuse headache for better clinical relevance.

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Area of Science:

  • Neurology
  • Headache Medicine
  • Clinical Classification Systems

Background:

  • The International Classification of Headache Disorders, 3rd edition (ICHD-3), aims to update migraine classifications based on post-2004 medical literature.
  • The second edition (ICHD-2) had limitations in systematizing certain migraine forms, particularly chronic migraine.
  • Previous revisions (ICHD-2R) introduced changes but may not fully align with current clinical practice.

Purpose of the Study:

  • To propose necessary revisions for the ICHD-3, focusing on enhancing the classification of chronic migraine.
  • To improve the diagnostic criteria for migraine forms to better reflect clinical practice.
  • To evaluate the classification of transformed migraine and medication-overuse headache.

Main Methods:

  • Review of medical literature on migraine published after 2004.
  • Analysis of diagnostic criteria in ICHD-2 and ICHD-2R, particularly for chronic migraine.
  • Consideration of clinical relevance and practical application of classification changes.

Main Results:

  • ICHD-3 requires systematization of migraine forms previously in the ICHD-2 Appendix.
  • Key changes are needed for chronic migraine classification.
  • Discrimination between migraine without aura based on attack frequency is recommended.
  • Transformed migraine may be better classified as a complication with extended parameters.
  • Re-evaluation of medication-overuse headache classification is suggested.

Conclusions:

  • ICHD-3 presents an opportunity to refine migraine classification for improved clinical utility.
  • Specific attention to chronic migraine, transformed migraine, and medication-overuse headache is crucial.
  • Aligning classification with actual clinical practice and attack frequency is essential.