Operational diagnostic criteria for chronic migraine: Expert opinion

Stephen D. Silberstein, Richard B. Lipton, David William Dodick

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective The prevalence, disability, progression, and treatment needs associated with chronic migraine (CM) mandate epidemiological, clinical, and basic research to better understand the clinical course of this disorder and to facilitate development of more effective therapies. Such efforts have been significantly impeded by lack of agreement within the headache specialist community of the most appropriate diagnostic criteria for CM. Methods This paper reviews the pertinent nosological literature and extensive field testing already performed. Results We recommend that the International Classification of Headache Disorders-3β criteria for CM be modified. We would remove the need for 5 prior migraine attacks and would replace "Headache considered by patient to be onset migraine and relieved by a triptan or an ergotamine derivative" with "criteria A and B for 1.5 probable migraine." Conclusions The proposed criteria are guided by the aims of accurately characterizing patients with migraine who develop primary chronic daily headache, reflecting the large numbers of patients with CM in clinical practice, and facilitating research into a disorder that is an academic and clinical priority.

Original languageEnglish (US)
Pages (from-to)1258-1266
Number of pages9
JournalHeadache
Volume54
Issue number7
DOIs
StatePublished - 2014

Fingerprint

Expert Testimony
Migraine Disorders
Headache Disorders
Headache
Ergotamine
Tryptamines
Research
Therapeutics

Keywords

  • chronic migraine
  • diagnostic criteria
  • International Classification of Headache Disorders-3
  • medication overuse headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Operational diagnostic criteria for chronic migraine : Expert opinion. / Silberstein, Stephen D.; Lipton, Richard B.; Dodick, David William.

In: Headache, Vol. 54, No. 7, 2014, p. 1258-1266.

Research output: Contribution to journalArticle

Silberstein, Stephen D. ; Lipton, Richard B. ; Dodick, David William. / Operational diagnostic criteria for chronic migraine : Expert opinion. In: Headache. 2014 ; Vol. 54, No. 7. pp. 1258-1266.
@article{5371c8911bb5470aac3378f9cfba370e,
title = "Operational diagnostic criteria for chronic migraine: Expert opinion",
abstract = "Objective The prevalence, disability, progression, and treatment needs associated with chronic migraine (CM) mandate epidemiological, clinical, and basic research to better understand the clinical course of this disorder and to facilitate development of more effective therapies. Such efforts have been significantly impeded by lack of agreement within the headache specialist community of the most appropriate diagnostic criteria for CM. Methods This paper reviews the pertinent nosological literature and extensive field testing already performed. Results We recommend that the International Classification of Headache Disorders-3β criteria for CM be modified. We would remove the need for 5 prior migraine attacks and would replace {"}Headache considered by patient to be onset migraine and relieved by a triptan or an ergotamine derivative{"} with {"}criteria A and B for 1.5 probable migraine.{"} Conclusions The proposed criteria are guided by the aims of accurately characterizing patients with migraine who develop primary chronic daily headache, reflecting the large numbers of patients with CM in clinical practice, and facilitating research into a disorder that is an academic and clinical priority.",
keywords = "chronic migraine, diagnostic criteria, International Classification of Headache Disorders-3, medication overuse headache",
author = "Silberstein, {Stephen D.} and Lipton, {Richard B.} and Dodick, {David William}",
year = "2014",
doi = "10.1111/head.12407",
language = "English (US)",
volume = "54",
pages = "1258--1266",
journal = "Headache",
issn = "0017-8748",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Operational diagnostic criteria for chronic migraine

T2 - Expert opinion

AU - Silberstein, Stephen D.

AU - Lipton, Richard B.

AU - Dodick, David William

PY - 2014

Y1 - 2014

N2 - Objective The prevalence, disability, progression, and treatment needs associated with chronic migraine (CM) mandate epidemiological, clinical, and basic research to better understand the clinical course of this disorder and to facilitate development of more effective therapies. Such efforts have been significantly impeded by lack of agreement within the headache specialist community of the most appropriate diagnostic criteria for CM. Methods This paper reviews the pertinent nosological literature and extensive field testing already performed. Results We recommend that the International Classification of Headache Disorders-3β criteria for CM be modified. We would remove the need for 5 prior migraine attacks and would replace "Headache considered by patient to be onset migraine and relieved by a triptan or an ergotamine derivative" with "criteria A and B for 1.5 probable migraine." Conclusions The proposed criteria are guided by the aims of accurately characterizing patients with migraine who develop primary chronic daily headache, reflecting the large numbers of patients with CM in clinical practice, and facilitating research into a disorder that is an academic and clinical priority.

AB - Objective The prevalence, disability, progression, and treatment needs associated with chronic migraine (CM) mandate epidemiological, clinical, and basic research to better understand the clinical course of this disorder and to facilitate development of more effective therapies. Such efforts have been significantly impeded by lack of agreement within the headache specialist community of the most appropriate diagnostic criteria for CM. Methods This paper reviews the pertinent nosological literature and extensive field testing already performed. Results We recommend that the International Classification of Headache Disorders-3β criteria for CM be modified. We would remove the need for 5 prior migraine attacks and would replace "Headache considered by patient to be onset migraine and relieved by a triptan or an ergotamine derivative" with "criteria A and B for 1.5 probable migraine." Conclusions The proposed criteria are guided by the aims of accurately characterizing patients with migraine who develop primary chronic daily headache, reflecting the large numbers of patients with CM in clinical practice, and facilitating research into a disorder that is an academic and clinical priority.

KW - chronic migraine

KW - diagnostic criteria

KW - International Classification of Headache Disorders-3

KW - medication overuse headache

UR - http://www.scopus.com/inward/record.url?scp=84904501487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904501487&partnerID=8YFLogxK

U2 - 10.1111/head.12407

DO - 10.1111/head.12407

M3 - Article

C2 - 24990187

AN - SCOPUS:84904501487

VL - 54

SP - 1258

EP - 1266

JO - Headache

JF - Headache

SN - 0017-8748

IS - 7

ER -