IngentaConnect Headache attributed to infection: observations on the IHS classif...

Authors: Marchioni, E; Tavazzi, E¹; Bono, G²; Minoli, L³; Bastianello, S⁴; Sinforiani, E¹; Sances, G; Tinelli, C⁵; Nappi, G

Source: Cephalalgia, Volume 26, Number 12, December 2006 , pp. 1427-1433(7)

Publisher: Blackwell Publishing

Abstract:

Marchioni E, Tavazzi E, Bono G, Minoli L, Bastianello S, Sinforiani E, Sances G, Tinelli C & Nappi G. Headache attributed to infection: observations on the IHS classification (ICHD-II). Cephalalgia 2006; 26:1427-1433. London. ISSN 0333-1024

The aim of this study was to revise some topics in the chapter `Headache attributed to infections' in the last International Headache Society (IHS) classification. The authors searched for original studies and reviews about headache associated with infections. A checklist was submitted to 15 neurologists to quantify the relevance, comprehensibility and coherence between definitions, criteria and comments for each paragraph. The following paragraphs were fully discussed: (1) headache attributed to lymphocytic meningitis. This topic, being rather heterogeneous, should be divided into different subgroups; (2) headache attributed to HIV/AIDS. Distinctive features are not specified and diagnostic criteria are rather confusing; and (3) chronic post-infection headache. Diagnostic criteria should be reconsidered as the symptom `pain' is not the main diagnostic criterion. The authors propose the revision of three paragraphs of the new IHS classification to better define the most likely headache profile in specific CNS infections. The authors also underline the need to plan further ad hoc prospective studies.

Keywords: Headache; IHS classification; infections; meningoencephalitis; HIV; acute disseminated encephalomyelitis (AOEM)

Document Type: Research article

DOI: 10.1111/j.1468-2982.2006.01213.x

Affiliations: 1: Institute of Neurology, IRCCS C. Mondino, Pavia, 2: Department of Neurology, University of Insubria, Varese, 3: Department of Infectious Diseases, IRCCS San Matteo Hospital and 4: Department of Neuroradiology, IRCCS C. Mondino, Pavia, 5: Unit of Clinical Epidemiology and Biometrics, IRCCS Policlinico San Matteo and

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