Presentation of a new instrument: the diagnostic headache diary

M B Russell; B K Rasmussen; J Brennum; Helle Klingenberg Iversen; Rigmor Højland Jensen; J Olesen

Presentation of a new instrument: the diagnostic headache diary

M B Russell, B K Rasmussen, J Brennum, Helle Klingenberg Iversen, Rigmor Højland Jensen, J Olesen

Department of Clinical Medicine

181 Citations (Scopus)

Abstract

A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.

Original language	English
Journal	Cephalalgia : an international journal of headache
Volume	12
Issue number	6
Pages (from-to)	369-74
Number of pages	6
ISSN	0333-1024
Publication status	Published - Dec 1992

Keywords

Adult
Aged
Female
Headache
Humans
Male
Medical Records
Middle Aged
Migraine Disorders

Cite this

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title = "Presentation of a new instrument: the diagnostic headache diary",

abstract = "A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.",

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T1 - Presentation of a new instrument

T2 - the diagnostic headache diary

AU - Russell, M B

AU - Rasmussen, B K

AU - Brennum, J

AU - Iversen, Helle Klingenberg

AU - Jensen, Rigmor Højland

AU - Olesen, J

PY - 1992/12

Y1 - 1992/12

N2 - A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.

AB - A new instrument, the Diagnostic Headache Diary, based on the operational diagnostic criteria of the International Headache Society (IHS), was tested in 61 migraine patients from a headache research clinic using the clinical diagnosis (IHS criteria) for comparison. All patients kept the diary for one to eight months. The clinical and diary diagnosis of migraine with and without aura was the same in, respectively, 72 and 87% of the patients. Nausea, photophobia and phonophobia tended to be more pronounced at the clinical interview. The diary identified 20 more cases of episodic tension-type headache and 15 fewer cases of chronic tension-type headache than the clinical interview. Two blinded observers always made the same IHS diagnoses when interpreting the diagnostic headache diary. A combination of a clinical interview and the diagnostic headache diary gives a qualitatively and quantitatively more precise diagnosis than a clinical interview alone.

KW - Adult

KW - Aged

KW - Female

KW - Headache

KW - Humans

KW - Male

KW - Medical Records

KW - Middle Aged

KW - Migraine Disorders

M3 - Journal article

C2 - 1473140

SN - 0800-1952

VL - 12

SP - 369

EP - 374

JO - Cephalalgia, Supplement

JF - Cephalalgia, Supplement

IS - 6

ER -

Presentation of a new instrument: the diagnostic headache diary

Abstract

Keywords

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