What is the IHS classification for pediatric headache?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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Answer

The International Headache Society (IHS) has provided diagnostic criteria and a classification scheme for headaches in general. [2, 3, 4, 5, 6, 7] (Pediatric migraine is now distinctly recognized among the primary headache disorders.) Headaches are grouped on the basis of etiology, facilitating proper evaluation and treatment. The 3 main classifications are as follows (see Etiology, Presentation, Workup, and Treatment):

  • Primary headaches - Eg, migraine, tension-type, and cluster

  • Secondary headaches - Eg, related to head/neck trauma, vascular and nonvascular disorders, infection, or psychiatric disorders (except in young children, the frequency of secondary headaches is lower in children than in adults)

  • Cranial neuralgias, central and primary facial pain, and other headaches


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