ICHD-II Diagnostic Criteria for Headache Attributed to Head and/or Neck Trauma

Acute post-traumatic headache attributed to moderate or severe head injury

A. Headache, no typical characteristics known, fulfilling criteria C and D

B. Head trauma with at least one of the following:

  1. Loss of consciousness for >30 minutes
  2. Glasgow Coma Scale (GCS) <13
  3. Post-traumatic amnesia for >48 hours
  4. Imaging demonstration of a traumatic brain lesion (cerebral haematoma, intracerebral and/or subarachnoid haemorrhage, brain contusion and/or skull fracture)

C. Headache develops within 7 days after head trauma or after regaining consciousness following head trauma

D. One or other of the following:

  1. Headache resolves within 3 months after head trauma
  2. Headache persists but 3 months have not yet passed since head trauma

Chronic post-traumatic headache attributed to moderate or severe head injury

A. Headache, no typical characteristics known, fulfilling criteria C-D

B. Head trauma with at least 1 of the following:

  1. Loss of consciousness for >30 minutes
  2. Glasgow Coma Scale (GCS) <13
  3. Post-traumatic amnesia for >48 hours
  4. Imaging demonstration of a traumatic brain lesion (cerebral haematoma, intracerebral/subarachnoid haemorrhage, brain contusion, skull fracture)

C. Headache develops within 7 days after head trauma or after regaining consciousness following head trauma

D. Headache persists for >3 months after head trauma

 
 

References:

  1. International Headache Society. The International Classification of Headache Disorders, 2nd Edition. Cephalalgia 2004; 24 (suppl 1): 1-160 (www.i-h-s.org)

This material was taken from the International Classification of Headache Disorders. It is intended for educational purposes only.

Created: June 13, 2005

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