国际头痛新分类简介讲解课件.pptxVIP

2013年国际头痛新分类简介ICHD-3(β版)偏头痛国际头痛学会（IHS）的头痛分类Classification and Diagnostic criteria for headache disorders,cranial neuralgias and facial pain - 1988年推出第一版， IHS分类与诊断标准被广泛接受。1993年WHO ICD-10和1997年WHO ICD-10NA采用了IHS分类的主要原则。 - 建立了一套统一的命名和诊断体系，推动了头痛领域科研和治疗进展。The International Classification of Headache Dsiorders 2nd Edition(ICHD-2) - 1999年修订，2004年正式发布 - 原发性头痛，继发性头痛，颅神经痛和中枢性颜面痛及其他头痛。The International Classification of Headache Dsiorders， 3rd edition(beta version) -2010年修订，2013年正式发布。 - 为配合ICD-11，先推出β版，预计几年后出正式版，目前IHS建议立即使用现版。ICHD-3基本结构Part one: 原发性头痛the primary headaches 1.偏头痛Migraine 2.紧张性头痛Tension-type headache 3.三叉自主神经痛Trigeminal autonomic cephalalgias 4.其他原发性头痛Other primary headache disordersICHD-3基本结构Part two: 继发性头痛1.缘于头颈部肿瘤或损伤的头痛 Headache attributed to trauma or injury to the head and/or neck 2. 缘于头颈部血管病变的头痛Headache attributed to cranial or cervical vascular disorder 3. 缘于非血管性颅内疾病的头痛Headache attributed to non-vascular intracranial disorder 4.缘于某一物质或某一物质戒断的头痛 Headache attributed to a substance or its withdrawal 5.缘于感染的头痛 Headache attributed to infection6.缘于内环境紊乱的头痛 Headache attributed to disorder of homoeostasis7.缘于颅、颈、眼、耳、鼻、鼻窦、牙、口 或其他面颈部结构病变的头面痛 Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure 8.缘于精神疾病的头痛 Headache attributed to psychiatric disorder ICHD-3基本结构Part three: 痛性脑神经病、其他面部疼痛和其他类头痛 painful cranial neuropathies, other facial pains and other headaches 1. 痛性脑神经病和其他面部疼痛 Painful cranial neuropathies and other facial pains 2. 其他类头痛 Other headache disorders AppendixDe?nition of terms2004版2013版Migraine without aura Migraine with aura: typical,typical aura with non-migraine,typical aura without headache,family,sporadic,basilar-typicalComplications of migraine Childhood periodic syndromes that are commonly precursors of migraineRetinal migraineProbable migraine Migraine without aura Migraine with aura: typical,brainstem,motor,retinalComplications of migraineChronic migraine