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Detection of Microregional Hypoxia in Mouse Cerebral Cortex by Two-photon Imaging of Endogenous NADH Fluorescence
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Published on: February 21, 2012

Does NDPH exist? Some clinical considerations.

G C Manzoni1, P Torelli

  • 1Centro Cefalee, Azienda Ospedaliero-Universitaria Dipartimento di Neuroscienze, University of Parma, Via Gramsci, 14, 43100 Parma, Italy. giancamillo.manzoni@unipr.it

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|May 3, 2011
PubMed
Summary
This summary is machine-generated.

New daily persistent headache (NDPH) diagnostic criteria are inadequate. Further research into systemic diseases, psychiatric links, and stress factors is needed to determine if primary NDPH truly exists.

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Area of Science:

  • Neurology
  • Headache Medicine
  • Psychiatry

Background:

  • The International Classification of Headache Disorders (ICHD-II) criteria for new daily persistent headache (NDPH) may not be fully adequate.
  • Current diagnostic criteria sometimes misalign headache features with expected classifications like tension-type headache.

Purpose of the Study:

  • To evaluate the adequacy of current ICHD-II diagnostic criteria for NDPH.
  • To identify necessary considerations beyond current criteria for accurate NDPH diagnosis.

Main Methods:

  • Analysis of published case series on NDPH.
  • Clinical evaluation of patients diagnosed with NDPH at headache clinics.

Main Results:

  • The current ICHD-II criteria for NDPH appear insufficient.
  • Headache characteristics in some NDPH patients do not align with ICHD-II expectations for tension-type headaches.

Conclusions:

  • Accurate NDPH diagnosis requires ruling out underlying systemic diseases.
  • Investigating psychiatric comorbidity and the role of stressful life events is crucial for NDPH assessment.
  • Future improvements in classifying psychiatric-related headaches and thorough psychological evaluations are needed to ascertain the existence of primary NDPH.