Zur Klassifikation von Kopfschmerzerkrankungen, Kopfneuralgien und Gesichtsschmerz

Journal/Book: Ärztezeitschrift für Naturheilverfahren. 1990; 31/6: 409-425.

Abstract: A generally accepted internationally constistent classification o fheadache, cephalic neuralgia and trigeminal neuralgia is an indispensable condition for any effective basic research and understanding in the clinical work. Since especially for the so-called primary headache the etiopathogenesis in unknown the classificatio must be based on clinical-phenomenological aspects. At the international level the classification of the Ad Hoc Committee on Classification of Headache published in 1962 was till now most usual. The classification in the German speaking countries and regions often followed the classification of the types of headache according to Heyck (19829 which again closely follows the classification of the Ad Hoc Committee. An entirely new classification of headache, cephalic neuralgia and trigeminal neuralgia was completed in almost three years work and published in 1988 ( Cephalgia 8 Suppl. 7 : 1 ff, 1988) by the Headache Classification Committee of the International Headache Society (IHS) and which committee was composed by an international gremium of experts. The German translation appeared in 1989 (Nervenheilkunde 8 : 161-203,1989). The criteria for the diagnosis were adapted to the International Classification of Diseases (ICD) and harmonized with the ideas of the World Federation of Neurology, the American Academy of Neurology and the International Association for the Study of Pain. The classification of the IHS is characterized by an hierarchically organized system of detailed operationalized criteria for diagnosis. This makes a controllable and reliable classification possible. However, the precision is connected with an increase in the complexity of the classification. The new classification system is divided into 13 main groups which are better subdivided by sub-groups.

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