Diagnostic criteria for CADASIL in the International Classification of Headache Disorders ICHD-II: are they appropriateReportar como inadecuado




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The Journal of Headache and Pain

, Volume 11, Issue 3, pp 181–186

First Online: 12 March 2010Received: 13 December 2009Accepted: 16 February 2010

Abstract

We reviewed the characteristics of headache in patients with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy CADASIL, to verify the appropriateness of the International Classification of Headache Disorders, second edition ICHD-II criteria. Available data were found through Medline-PubMed using the keyword -cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy CADASIL-. The search was restricted to studies published in English in the years between 1993 and 2008. We excluded studies that did not report original data on CADASIL and information regarding the presence of headache. We found 34 studies reporting data on 749 patients overall; 387 51.7% patients had headache. According to the authors’ definition, 356 92% patients were reported as having migraine and 31 8% as having headache. Of the 356 patients who were defined as migraineurs, 125 35.1% had migraine with aura, 7 2% migraine without aura, 156 43.8% unspecified migraine and 68 19.1% had more than one type of migraine. Among the 31 patients reported as suffering from headache, the headache was not further detailed in 18 58.1% patients; it was defined as chronic in 6 19.3%, as resembling migraine with aura in 4 12.9%, as resembling migraine without aura in 2 6.5% and as tension type in 1 3.2% patient. In patients with CADASIL, the headache was usually referred to as migraine and mostly as migraine with aura. However, this referral is formally incorrect since the diagnostic criteria for any type of migraine in the ICHD-II require that the disturbance is not attributed to another disorder. For this reason, we suggest updating the ICHD-II in relation to CADASIL. Our suggestion is to insert a new category referred to as Headache attributed to genetic disorder including Headache attributed to CADASIL.

KeywordsMigraine Headache CADASIL International Classification of Headache Disorders  Download fulltext PDF



Autor: Simona Sacco - Diana Degan - Antonio Carolei

Fuente: https://link.springer.com/



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