Home Introduction Prefaces Introduction to the classification How to Use This Classification Subcommittees and working groups The Classification Table of contents Part I: The primary headaches Part II: The secondary headaches Part III: Cranial neuralgias, facial pain and other headaches Appendix Definition of Terms

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A1. MigraineA2. Tension-type headacheA3. Cluster headache and other trigeminal autonomic cephalalgiasA6. Headache attributed to cranial or cervical vascular disorderA7. Headache attributed to non-vascular intracranial disorderA8. Headache attributed to a substance or its withdrawalA9. Headache attributed to infectionA10. Headache attributed to disorder of homoeostasisA11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structuresA11.5. Headache attributed to rhinosinusitis [J01]A11.5.1. Mucosal contact point headacheA11.9. Chronic post-craniocervical disorder headacheA12. Headache attributed to psychiatric disorderA13. Cranial neuralgias and central causes of facial pain

Diagnostic criteria:

Intermittent pain localised to the periorbital and medial canthal or temporozygomatic regions and fulfilling criteria C and D
Clinical, nasal endoscopic and/or CT imaging evidence of mucosal contact points without acute rhinosinusitis
Evidence that the pain can be attributed to mucosal contact based on at least one of the following:
1. pain corresponds to gravitational variations in mucosal congestion as the patient moves between upright and recumbent postures
2. abolition of pain within 5 minutes after diagnostic topical application of local anaesthesia to the middle turbinate using placebo- or other controls¹
Pain resolves within 7 days, and does not recur, after surgical removal of mucosal contact points

Note:

Abolition of pain means complete relief of pain, indicated by a score of zero on a visual analogue scale (VAS).

Comment:

Der A11.5.1 Mucosal contact point headache is a new entry to the classification for which evidence is limited. Controlled trials are recommended to validate it, using the listed criteria for patient selection.

Sitemap

Consult the Sitemap to learn more about the structure of the classification and its main chapters.

IHS vs. ICD-10

To facilitate headache diagnosis in daily practice, the classification provides the corresponding WHO ICD-10NA codes for each IHS code.

IHS Subcommittee

The Classification Subcommittee prepares and revises the International Classification of Headache Disorders.

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Cephalalgia

Cephalalgia is the official journal of the IHS. It contains original papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications.www.cephalalgia.org

IHS Discussion Group

Ask questions and share information about the 2nd edition of the Headache Classification in one of our peer-to-peer forums. To the Discussion Group

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