頭痛地國際分類第三版中文

A：A：符合B-D特征，至少發(fā)作5次發(fā)作B：頭痛（未經(jīng)治療）發(fā)作持續(xù)4-72小時C：至少有以下特征中的2項單側(cè)性、搏動性、中重度痛、日?；顒訒又谼：至少以下一項伴隨癥狀：惡心和/或嘔吐、畏光和畏聲先兆性偏頭痛的診斷標(biāo)準(zhǔn)：E：不能歸因于其他A：符合B-C特征，至少發(fā)作2次發(fā)作B：完全可逆以下癥狀的1項或多項視覺、感覺、語言障礙（典型先兆）肢體無力癥狀（偏癱型偏頭痛）腦干癥狀（基底型偏頭痛）視網(wǎng)膜癥狀（視網(wǎng)膜型偏頭痛）C：至少有以下特征中的2項至少1個先兆逐漸發(fā)展的過程＞5min，和/或不同先兆接連發(fā)生過程＞5minTheinternationalClassificationofHeadachedisorders,3rdEditon頭痛分類的國際標(biāo)準(zhǔn)（ICHD-III）概述：頭痛分為三大組：原發(fā)性頭痛；繼發(fā)性頭痛；腦神經(jīng)痛、中樞和原發(fā)性顏面痛及其他頭痛。每一種原發(fā)性頭痛均視為一種獨立的疾?。焕^發(fā)性頭痛一般只是某種疾病的一種癥狀，該頭痛稱為“緣于”此種疾病的頭痛，無先兆偏頭痛的診斷標(biāo)準(zhǔn)：三大組頭痛共分為14類：一、原發(fā)性頭痛(theprimaryheadaches).偏頭痛(Migraine)Migrainewithoutaura無先兆偏頭痛Migrainewithaura有先兆偏頭痛MigrainewithtypicalauraTypicalaurawithheadacheTypicalaurawithoutheadacheMigrainewithbrainstemauraHemiplegicmigraine偏癱型偏頭痛Familialhemiplegicmigraine(FHM)—家族性Familialhemiplegicmigrainetype1(FHM1)Familialhemiplegicmigrainetype2(FHM2)Familialhemiplegicmigrainetype3(FHM3)Familialhemiplegicmigraine,otherlociSporadichemiplegicmigraine—散發(fā)性RetinalmigraineChronicmigraine慢性偏頭痛Complicationsofmigraine偏頭痛并發(fā)癥Statusmigrainosus偏頭痛持續(xù)狀態(tài)Persistentaurawithoutinfarction

Migrainousinfarction偏頭痛腦梗死Migraineaura-triggeredseizureProbablemigraine很可能的偏頭痛ProbablemigrainewithoutauraProbablemigrainewithauraEpisodicsyndromesthatmaybeassociatedwithmigraine可能與偏頭痛有關(guān)的發(fā)作性綜合征慢性偏頭痛：偏頭痛發(fā)作每月＞15慢性偏頭痛：偏頭痛發(fā)作每月＞15天，連續(xù)3個月以上偏頭痛持續(xù)狀態(tài)：單次發(fā)作持續(xù)72小時以上vomitingsyndrome周期性嘔吐Abdominalmigraine腹型偏頭痛Benignparoxysmalvertigo良性發(fā)作性眩暈Benignparoxysmaltorticollis良性發(fā)作性斜頸.緊張型頭痛（Tension-typeheadache）每次發(fā)作持續(xù)30min-7d，慢性者可持續(xù)不緩解Infrequentepisodictension-typeheadache偶發(fā)性<1d/月，至少10次以上（<12d/年）Infrequentepisodictension-typeheadacheassociatedwithpericranialtendernessInfrequentepisodictension-typeheadachenotassociatedwithpericranialtendernessFrequentepisodictension-typeheadache頻發(fā)性三1d/月，但<15d,至少發(fā)作10次以上（三12d/年但<180d）Frequentepisodictension-typeheadacheassociatedwithpericranialtendernessFrequentepisodictension-typeheadachenotassociatedwithpericranialtendernessChronictension-typeheadache慢性緊張型頭痛每月發(fā)作三15d,3個月以上Chronictension-typeheadacheassociatedwithpericranialtendernessChronictension-typeheadachenotassociatedwithpericranialtendernessProbabletension-typeheadache很可能的緊張型頭痛叢集性頭痛的診斷標(biāo)準(zhǔn):A：A：至少符合B-D的5次以上的發(fā)作Probablefrequentepisodictension-typeheadacheProbablechronictension-typeheadacheB：單側(cè)、眼眶、上眼眶及/或顳部重度或極重度疼痛，Probablechronictension-typeheadache如不治療持續(xù)15min-180min；

.三叉自主神經(jīng)性頭痛(Trigeminalautonomiccephalalgias)Clusterheadache叢集性頭痛Episodicclusterheadache發(fā)作性叢集性頭痛Chronicclusterheadache慢性叢集性頭痛(復(fù)發(fā)作大于1年無緩解期，或緩解期＜1個月)ParoxysmalhemicraniaEpisodicparoxysmalhemicraniaChronicparoxysmalhemicraniaShort-lastingunilateralneuralgiformheadacheattacksShort-lastingunilateralneuralgiformheadacheattackswithconjunctivalinjectionandtearing(SUNCT)EpisodicSUNCTChronicSUNCTShort-lastingunilateralneuralgiformheadacheattackswithcranialautonomicsymptoms(SUNA)EpisodicSUNAChronicSUNAHemicraniacontinuaProbabletrigeminalautonomiccephalalgiaProbableclusterheadacheProbableparoxysmalhemicraniaProbableshort-lastingunilateralneuralgiformheadacheattacksProbablehemicraniacontinua.其它的原發(fā)性頭痛Otherprimaryheadachedisorders)Primarycoughheadache原發(fā)性咳嗽頭痛ProbableprimarycoughheadachePrimaryexerciseheadache原發(fā)性運動性頭痛

ProbableprimaryexerciseheadachePrimaryheadacheassociatedwithsexualactivity原發(fā)性性活動伴隨的頭痛ProbableprimaryheadacheassociatedwithsexualactivityPrimarythunderclapheadache原發(fā)性霹靂頭痛Cold-stimulusheadache冷刺激性頭痛HeadacheattributedtoexternalapplicationofacoldstimulusHeadacheattributedtoingestionorinhalationofacoldstimulusProbablecold-stimulusheadacheHeadacheprobablyattributedtoexternalapplicationofacoldstimulusHeadacheprobablyattributedtoingestionorinhalationofacoldstimulusNDPH診斷標(biāo)準(zhǔn)：NDPH診斷標(biāo)準(zhǔn)：A：持續(xù)性頭痛，符合B-C的標(biāo)準(zhǔn)B：Distinctandclearlyrememberedonset,withpainbecomingcontinuousandunremittingwithin24hoursC：Presentfor>3monthsD：除外其他疾患External-compressionheadacheExternal-tractionheadacheProbableexternal-pressureheadacheProbableexternal-compressionheadacheProbableexternal-tractionheadachePrimarystabbingheadacheProbableprimarystabbingheadacheNummularheadacheProbablenummularheadacheHypnicheadacheProbablehypnicheadacheNewdailypersistentheadache(NDPH)新癥每日持續(xù)性頭痛Probablenewdailypersistentheadach二、繼發(fā)性頭痛(thesecondaryheadaches)

.緣于頭、頸部外傷的頭痛(Headacheattributedtotraumaorinjurytotheheadand/orneck)AcuteheadacheattributedtotraumaticinjurytotheheadAcuteheadacheattributedtomoderateorseveretraumaticinjurytotheheadAcuteheadacheattributedtomildtraumaticinjurytotheheadPersistentheadacheattributedtotraumaticinjurytotheheadPersistentheadacheattributedtomoderateorseveretraumaticinjurytotheheadPersistentheadacheattributedtomildtraumaticinjurytotheheadAcuteheadacheattributedtowhiplashPersistentheadacheattributedtowhiplashAcuteheadacheattributedtocraniotomyPersistentheadacheattributedtocraniotomy.緣于頭頸部血管疾病的頭痛(Headacheattributedtocranialorcervicalvasculardisorder)HeadacheattributedtoischaemicstrokeortransientischaemicattackHeadacheattributedtoischaemicstroke(cerebralinfarction)Headacheattributedtotransientischaemicattack(TIA)Headacheattributedtonon-traumaticintracranialhaemorrhageHeadacheattributedtonon-traumaticintracerebralhaemorrhage非夕卜傷性腦出血Headacheattributedtonon-traumaticsubarachnoidhaemorrhage(SAH)Headacheattributedtonon-traumaticacutesubduralhaemorrhage供5口用急性硬膜下血腫Headacheattributedtounrupturedvascularmalformation未破裂的血管畸形Headacheattributedtounrupturedsaccularaneurysm囊性動脈瘤Headacheattributedtoarteriovenousmalformation(AVM)動靜脈畸形Headacheattributedtoduralarteriovenousfistula(DAVF)硬膜動靜脈屢Headacheattributedtocavernousangioma海綿竇血管瘤Headacheattributedtoencephalotrigeminalorleptomeningealangiomatosis(SturgeWebersyndrome)

腦三叉神經(jīng)或軟腦膜血管瘤病HeadacheattributedtoarteritisHeadacheattributedtogiantcellarteritis(GCA)顳動脈炎Headacheattributedtoprimaryangiitisofthecentralnervoussystem(PACNS)Headacheattributedtosecondaryangiitisofthecentralnervoussystem(SACNS)顆動脈炎診斷標(biāo)準(zhǔn)：美國風(fēng)濕學(xué)會1990年.50歲以上發(fā)?。?0歲以上發(fā)現(xiàn)癥狀.新發(fā)的頭痛：出現(xiàn)新發(fā)的局限性頭痛.顆動脈異常：顆動脈壓痛或者與頸動脈的動脈硬化無關(guān)的搏動減弱.血沉值升高：50mm/h以上 Headacheattributedtocervicalcarotidorvertebralarterydisorder頸動脈或錐動脈疼痛Headacheorfacialorneckpainattributedtocervicalcarotidorvertebralarterydissection動脈夾層Post-endarterectomyheadache內(nèi)膜剝脫術(shù)后頭痛Headacheattributedtocarotidorvertebralangioplasty頸動脈血管成型術(shù)頭痛Headacheattributedtocerebralvenousthrombosis(CVT)腦靜脈血栓形成HeadacheattributedtootheracuteintracranialarterialdisorderHeadacheattributedtoanintracranialendovascularprocedureAngiographyheadacheHeadacheattributedtoreversiblecerebralvasoconstrictionsyndrome(RCVS)Headacheprobablyattributedtoreversiblecerebralvasoconstrictionsyndrome(RCVS)Headacheattributedtointracranialarterialdissection顱內(nèi)動脈夾層HeadacheattributedtogeneticvasculopathyCerebralAutosomalDominantArteriopathywithSubcorticalInfarctsandLeukoencephalopathy(CADASIL)

MitochondrialEncephalopathy,LacticAcidosisandStroke-likeepisodes(MELAS)HeadacheattributedtoanothergeneticvasculopathyHeadacheattributedtopituitaryapoplexy垂體卒中.緣于非血管性顱內(nèi)疾病的頭痛(Headacheattributedtonon-vascularintracranialdisorder)Headacheattributedtoincreasedcerebrospinalfluidpressure顱內(nèi)壓增高Headacheattributedtoidiopathicintracranialhypertension(IIH)Headacheattributedtointracranialhypertensionsecondarytometabolic,toxicorhormonalcausesHeadacheattributedtointracranialhypertensionsecondarytohydrocephalusHeadacheattributedtolowcerebrospinalfluidpressure顱內(nèi)壓低下Post-duralpunctureheadache腰穿后CSFfistulaheadache腦脊液漏Headacheattributedtospontaneousintracranialhypotension自發(fā)性低顱壓Headacheattributedtonon-infectiousinflammatorydisease非感染性炎性疾病HeadacheattributedtoneurosarcoidosisHeadacheattributedtoaseptic(non-infectious)meningitisHeadacheattributedtoothernon-infectiousinflammatorydiseaseHeadacheattributedtolymphocytichypophysitisSyndromeoftransientHeadacheandNeurologicalDeficitswithcerebrospinalfluidLymphocytosis(HaNDL)Headacheattributedtointracranialneoplasia顱內(nèi)新生物HeadacheattributedtointracranialneoplasmHeadacheattributedtocolloidcystofthethirdventricleHeadacheattributedtocarcinomatousmeningitis癌性腦膜炎Headacheattributedtohypothalamicorpituitaryhyper-orhyposecretionHeadacheattributedtointrathecalinjection鞘內(nèi)注射Headacheattributedtoepilepticseizure

Hemicraniaepileptica癲癇半顱痛Post-ictalheadache癲癇發(fā)作后頭痛HeadacheattributedtoChiarimalformationtypeI(CM1)Headacheattributedtoothernon-vascularintracranialdisorder.緣于物質(zhì)或物質(zhì)戒斷的頭痛(Headacheattributedtoasubstanceoritswithdrawal)Headacheattributedtouseoforexposuretoasubstanceoritswithdrawal緣于某種物質(zhì)的應(yīng)用或戒斷Nitricoxide(NO)donor-inducedheadache一化氮誘發(fā)ImmediateNOdonor-inducedheadacheDelayedNOdonor-inducedheadachePhosphodiesterase(PDE)inhibitor-inducedheadache磷酸二酯酶抑制劑Carbonmonoxide(CO)-inducedheadache一氧化碳誘發(fā)Alcohol-inducedheadache酒精誘發(fā)Immediatealcohol-inducedheadacheDelayedalcohol-inducedheadacheHeadacheinducedbyfoodand/oradditive由于食物成分/添加劑誘發(fā)Monosodiumglutamate(MSG)-inducedheadache谷氨酸單鈉鹽(味精)Cocaine-inducedheadache可卡因誘發(fā)Histamine-inducedheadache組織胺誘發(fā)Immediatehistamine-inducedheadacheDelayedhistamine-inducedheadacheCalcitoningene-relatedpeptide(CGRP)-inducedheadache降鈣素基因相關(guān)多肽誘發(fā)ImmediateCGRP-inducedheadacheDelayedCGRP-inducedheadacheHeadacheattributedtoexogenousacutepressoragentHeadacheattributedtooccasionaluseofnon-headachemedication

Headacheattributedtolong-termuseofnon-headachemedicationHeadacheattributedtoexogenoushormoneHeadacheattributedtouseoforexposuretoothersubstanceMedication-overuseheadache(MOH)藥物過度使用性頭痛MOH診斷標(biāo)準(zhǔn).符合3-4項的頭痛表現(xiàn)三15天.規(guī)律使用1種或多種用于頭痛急性期的止痛藥超過3個月.在藥物過度使用期間，頭痛進(jìn)展或明顯加重4,停用所用過度使用藥物之后的2個月內(nèi)，頭痛必需改善(緩解或重歸于之前的頭痛模式 Ergotamine-overuseheadache麥角胺類Triptan-overuseheadache曲普坦類Simpleanalgesic-overuseheadache單純止痛藥類Paracetamol(acetaminophen)-overuseheadache對乙酰氨基酚Acetylsalicylicacid-overuseheadache乙酰水楊酸/阿司匹林Othernon-steroidalanti-inflammatorydrug(NSAID)-overuseheadacheOpioid-overuseheadache鴉片類Combination-analgesic-overuseheadache復(fù)合制劑過度應(yīng)用Medication-overuseheadacheattributedtomultipledrugclassesnotindividuallyoverused聯(lián)合用藥所致Medication-overuseheadacheattributedtounverifiedoveruseofmultipledrugclassesMedication-overuseheadacheattributedtoothermedicationHeadacheattributedtosubstancewithdrawal物質(zhì)戒斷Caffeine-withdrawalheadache咖啡因Opioid-withdrawalheadache鴉片類Oestrogen-withdrawalheadache雌激素

Headacheattributedtowithdrawalfromchronicuseofothersubstance.緣于感染的頭痛(Headacheattributedtoinfection)Headacheattributedtointracranialinfection顱內(nèi)感染Headacheattributedtobacterialmeningitisormeningoencephalitis細(xì)菌性腦膜炎/腦膜腦炎AcuteheadacheattributedtobacterialmeningitisormeningoencephalitisChronicheadacheattributedtobacterialmeningitisormeningoencephalitisPersistentheadacheattributedtopastbacterialmeningitisormeningoencephalitisHeadacheattributedtoviralmeningitisorencephalitis病毒性腦膜炎或腦炎HeadacheattributedtoviralmeningitisHeadacheattributedtoviralencephalitisHeadacheattributedtointracranialfungalorotherparasiticinfection真菌或寄生蟲感染AcuteheadacheattributedtointracranialfungalorotherparasiticinfectionChronicheadacheattributedtointracranialfungalorotherparasiticinfectionHeadacheattributedtobrainabscess月囪膿月中Headacheattributedtosubduralempyema硬膜下積膿Headacheattributedtosystemicinfection系統(tǒng)感染Headacheattributedtosystemicbacterialinfection系統(tǒng)細(xì)菌感染AcuteheadacheattributedtosystemicbacterialinfectionChronicheadacheattributedtosystemicbacterialinfectionHeadacheattributedtosystemicviralinfection系統(tǒng)病毒感染AcuteheadacheattributedtosystemicviralinfectionChronicheadacheattributedtosystemicviralinfectionHeadacheattributedtoothersystemicinfection其他系統(tǒng)感染AcuteheadacheattributedtoothersystemicinfectionChronicheadacheattributedtoothersystemicinfection

.緣于內(nèi)環(huán)境紊亂的頭痛(Headacheattributedtodisorderofhomoeostasis)Headacheattributedtohypoxiaand/orhypercapnia缺氧和/或高碳酸血癥High-altitudeheadache高海拔頭痛Headacheattributedtoaeroplanetravel飛行頭痛Divingheadache潛水頭痛Sleepapnoeaheadache睡眠呼吸暫停性頭痛DialysisheadacheHeadacheattributedtoarterialhypertension高血壓性頭痛Headacheattributedtophaeochromocytoma嗜絡(luò)細(xì)胞瘤Headacheattributedtohypertensivecrisiswithouthypertensiveencephaffip高血壓腦病的高血壓危象Headacheattributedtohypertensiveencephalopathy高血壓腦病Headacheattributedtopre-eclampsiaoreclampsia先兆子癇Headacheattributedtoautonomicdysreflexia自主反射障礙Headacheattributedtohypothyroidism甲狀腺低下Headacheattributedtofasting禁食Cardiaccephalalgia心源性頭痛Headacheattributedtootherdisorderofhomoeostasis其他內(nèi)環(huán)境穩(wěn)定失調(diào)疾患.緣于頭、頸、眼、耳、鼻、鼻竇、牙、口或其他頭面部結(jié)構(gòu)病變的頭面痛(Headacheorfacialpainattributedtodisorderofthecranium,neck,eyes,ears,nose,sinuses,teeth,mouthorotherfacialorcervicalstructure)Headacheattributedtodisorderofcranialbone顱骨Headacheattributedtodisorderoftheneck頸部CervicogenicheadacheHeadacheattributedtoretropharyngealtendonitisHeadacheattributedtocraniocervicaldystoniaHeadacheattributedtodisorderoftheeyes眼睛

Headacheattributedtoacuteglaucoma急性青光眼Headacheattributedtorefractiveerror屈光不正Headacheattributedtoheterophoriaorheterotropia(latentorpersistentsquint斜視HeadacheattributedtoocularinflammatorydisorderHeadacheattributedtotrochleitisHeadacheattributedtodisorderoftheears耳朵Headacheattributedtodisorderofthenoseorparanasalsinuses鼻子或鼻竇Headacheattributedtoacuterhinosinusitis急性鼻竇炎HeadacheattributedtochronicorrecurringrhinosinusitisHeadacheattributedtodisorderoftheteethorjawHeadacheattributedtotemporomandibulardisorder(TMD)HeadorfacialpainattributedtoinflammationofthestylohyoidligamentHeadacheorfacialpainattributedtootherdisorderofcranium,neck,eyes,ears,nose,sinuses,teeth,mouthorotherfacialorcervicalstructure.緣于精神疾病的頭痛(Headacheattributedtopsychiatricdisorder)Headacheattributedtosomatizationdisorder軀體化障礙Headacheattributedtopsychoticdisorder精神疾病三、腦神經(jīng)痛、中樞和原發(fā)性顏面痛及其他頭痛(painfulcranialneuropathies,otherfacialpainsandotherheadaches).腦神經(jīng)痛和中樞性顏面痛(Painfulcranialneuropathiesandotherfacialpain