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Medication overuse headache (MOH): complication of migraine or secondary headache?

L Grazzi1, G Bussone

  • 1Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. grazzi.l@istituto-besta.it

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|May 31, 2012
PubMed

Insights

Medication overuse headache (MOH) classification remains unclear within the International Headache Society (IHS) system. This paper discusses evolving classification models and their clinical implications for headache management.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Medication overuse headache (MOH) presents classification challenges within the International Headache Society (IHS) framework.
  • Historically, MOH was grouped differently, but recent classifications distinguish it from chronic migraine.

Purpose of the Study:

  • To analyze the evolving classification of medication overuse headache (MOH).
  • To discuss the clinical and practical implications of different MOH classification models.

Main Methods:

  • Review of International Headache Society (IHS) classification criteria over time.
  • Discussion of clinical and practical aspects related to MOH diagnosis and management.

Main Results:

  • The classification of MOH has evolved significantly since its initial inclusion in the IHS system.
  • Current IHS classifications position MOH as a distinct entity, separate from chronic migraine.

Conclusions:

  • The precise classification of MOH remains a subject of ongoing debate and refinement.
  • Understanding these classification changes is crucial for accurate diagnosis and effective treatment of chronic headache disorders.

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