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Headaches in pregnancy

  • Stephen D. Silberstein
    Correspondence
    Thomas Jefferson University Hospital, 111 South Eleventh Street, Suite 8130, Philadelphia, PA 19107.
    Affiliations
    Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA
    Jefferson Headache Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA
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      The International Headache Society (IHS) [
      • Headache Classification Committee
      The International Classification of Headache Disorders. 2nd edition.
      ] divides headaches into two broad categories: primary and secondary headache disorders. Secondary headaches are attributed to another disorder and can be caused by intracranial or extracranial structural abnormalities or by systemic or metabolic conditions. In primary headache disorders, the headache itself is the illness (Table 1). The primary headache disorders include migraine, tension-type headache (TTH), and cluster headache. Chronic daily headache (CDH), a term in common use but not recognized by the IHS, may be the result of chronic TTH, prolonged or transformed migraine, or hemicrania continua and often is associated with abortive medication overuse [
      • Headache Classification Committee
      The International Classification of Headache Disorders. 2nd edition.
      ].
      Table 1New International Headache Society classification
      Primary disorders
       Migraine
       Tension-type headache
       Cluster headache and other trigeminal autonomic cephalgias
       Other primary headaches
      Secondary disorders
       Headache attributed to head or neck trauma
       Headache attributed to cranial or cervical vascular disorders
       Headache attributed to nonvascular intracranial disorder
       Headache attributed to a substance or its withdrawal
       Headache attributed to infection
       Headache attributed to a disorder of homeostasis
       Headache or facial pain attributed to a disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth, or other facial or cranial structures
       Headache attributed to a psychiatric disorder
       Cranial neuralgias and central causes of facial pain
       Other headache, cranial neuralgia, central or primary facial pain
      From Headache Classification Committee. The International Classification of Headache Disorders. 2nd edition. Cephalalgia 2004;24:1–160.
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