The International Classification of Headache Disorders 2Nd Edition

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The International Classification of Headache Disorders 2Nd Edition The International Classification of Headache Disorders 2nd edition ੽ᄬᏞമॽॾ˷ᘸ ڎ஑ʠڎ̜˛ ͮដড༄ደደ๼ Ꮮമደ஢ᚍ 2004Б8̢ ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ άᏃ ӕ //////////////////////////////////////////////////////////////////////////////////// 5ڎ̜˛ڎ஑ʙ ڎ஑ʙ ӕ ///////////////////////////////////////////////////////////////////////////////////// 6ڎ̜˛ڎ஑ʠ ڎ஑ʠ Ր ///////////////////////////////////////////////////////////////////////////////////////////// 8܉ڎ஑ʙ ڎ஑ʠ Ր ///////////////////////////////////////////////////////////////////////////////////////////// 9܉ڎ஑ʠ ڎ஑ʠ ᕚᚍ૲ᜌप ////////////////////////////////////////////////////////////////////////////////////////////////////////// : ᕚᚍʡࢷϪ౐ /////////////////////////////////////////////////////////////////////////////// 21 ڎ஑ʠڎ̜˛ Ѱˉ஢Ϫ౐ /////////////////////////////////////////////////////////////////////////////// 22ˎ ڎ஑ʠڎ࠼̜ ˷ᘸ˭஝ ///////////////////////////////////////////////////////////////////////////////////////////////////////////// 24 ЃѤպ΢௻˷ᘸ ////////////////////////////////////////////////////////////////////////////////////////////////// 26 28 ///////////////////////////////////////////// ےᏞമ˷ᘸჄ੽ᄬ቏Ρ஢ᕑ ICD-10NA ˷ᘸሆဇັ ʙăࢨവؒᏞമ (The primary headache) ////////////////////////////////////////////////////////////// 24 1. ੑᏞമ (Migraine) ////////////////////////////////////////////////////////////////////////////////////// 25 2. ႧᑻܮᏞമ (Tension-type headache) ////////////////////////////////////////////////////////// 38 ᔎവؒᏞമჄ֏͂ʭʾьݡড༄Ꮮമ .3 (Cluster headache and other trigeminal autonomic cephalalgias) //////////////////////// 45 ֏͂ࢨവؒᏞമ (Other primary headaches) //////////////////////////////////////////////// 50 .4 ʠăЩവؒᏞമ (The secondary headaches) ////////////////////////////////////////////////////////// 56 ЩവؒᏞമ˭஝ (Introduction) /////////////////////////////////////////////////////////////////////// 68 ᔪϰػᏞఋ̅Ꮫఋʹฌ˞Ꮮമ .5 (Headache attributed to head and/or neck trauma) ///////////////////////////////////////////// 58 ᔪϰػនఋؖᏛఋі႓ॽૉ˞Ꮮമ .6 (Headache attributed to cranial or cervical vascular disorder) //////////////////////////// 64 ᔪϰػۨі႓ؒន˱ॽૉ˞Ꮮമ .7 (Headache attributed to non-vascular intracranial disorder) /////////////////////////////// 76 ቴӧᔞ˞Ꮮമڐቴؖڐᔪϰػ .8 (Headache attributed to a substance or its withdrawal) ////////////////////////////////////// 86 ICHD-Ƕ ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ Ꮮമ (Headache attributed to infection) ////////////////////////////////// 100˞ޗᔪϰػ๐ .9 ॽૉ˞Ꮮമסᔪϰػ᝝˱ݯ.10 (Headache attributed to disturbance of homoeostasis) //////////////////////////////////// 105 ᔪϰػᏞនăᏛă஁ăцăᅅăᅅ᙮ă̱ăʿؖ֏͂࡭ఋؖ.11 នఋൖ်ॽૉ˞Ꮮമؖᖟ࡭മ (Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouthor or other facial or cranial structures) /////////////////////// 112 ᔪϰػႠডॽૉ˞Ꮮമ (Headache attributed to psychiatric disorder) /////////// 119.12 ʭ. នড༄മă˛ᆾַࢨവؒᖟ࡭മַ֏͂Ꮮമ (Cranial neuralgias, central and primary facial pain and other headaches) /////////// 122 នড༄മַ˛ᆾؒᖟ࡭മ.13 (Cranial neuralgias and central causes of facial pain) ///////////////////////////////////////// 123 ֏͂Ꮮമăនఋড༄മă˛ᆾؖࢨവؒᖟ࡭മ.14 (Other headache, cranial neuralgia, central or primary facial pain) ////////////////////// 133 Ꮓ //////////////////////////////////////////////////////////////////////////////////////////////////////////////////// 245ۣ ༎ ////////////////////////////////////////////////////////////////////////////////////////////////////////////// 256סϪච ষ̕ ///////////////////////////////////////////////////////////////////////////////////////////////////////////////////// 258 ICHD-Ƕ ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ ڎ੽ᄬᏞമॽॾ˷ᘸ஑ʙ ӕڎ̜˛ ႑ވ༎Ꮮമ˞ඨᔞઅລĂסϵ˷ᘸ̅ڟϵড༄ Ώप˞άސͫ˚ʙĂ˞ڑॿڟశલՎސᏞമ̾͟ჳ લඨᑛ˛ʶ༄લ๼྄ ʨᓗѻ᜖஛ჄҤ୅˞චჭĂߥэ˚ᆙ࿕ຮĂ࿿͟ϻൿ̠ڟඨĂϵʙৡᖂࣱ۞ڟࠋᖂࣱ ࢨϰ ോዎĂਜ਼Ά଼ಾჄ۬ဂĂфඨᔞϪႎʶʨԑᕏ഻ĄᕚڟĂዲ࠮ᏞമڑॿސॾʡĄᏞമͫڟටᏞമ̺֗ ᖂደટФϪචΐ஛ʙĂӨڟ̜˛ސʙ࢏Ҩᘲͪڟ˛ᄆࡧሥݨʶ˚ʙĄФղᏞമ͟৖ᇖυᙒ ᚍڟݞϻĂॾ૑ ݣʙ࠮Ą܉Ф˞ᚍϪĂʶʨԑދᑛćФղᏞമᓶ˚эػ࠮ּĂѮ ࢈ዑු૴΢ᖂደච֐ٽࡧ˞ॽॾĂ෸γ҉ tension headache྆͞લᕚЙႧ઻ؒސڟᗾăΈਬᓶ৖ᆷ ͪʹࢄુʙಪوؾᆇᛪΡ߀ĂԠФΓሂඨᔞĂฉኬ Γሂඨ ᏞമĂЪЩ੽ᄬᏞമ˷ᘸӽߏtension-type headacheĂڟᑛ̟ВĄᏞമٽ˞ढ೵ਸ਼ঃമĂѮதۨΓ໋ ᏞമĂ࢖৖ԑુჄࢨ˷ᘸܮʶӜӜѓ Ө࢈ʶઠ஛ʙӽႎߏႧᑻܓಢࡘڟڱॾͬĂфᏞമૉڟᔞĂ႒Ꭶ͟ኬ ˚ᘸჄ ˞ႠডߺஒĄᕚᚍೈ෢ΥػϨʡˎѰᒅДĂᒒᗮλ˷ڟѓĂʽ׉л؏ĂԁͅඨᔞҨᘲĄФʙ͟Ꮃಉ ˛ҨᔙĄ ؾĂպጌ࢏ᕚᚍˎѰ඲ढ༄Б˗ҙӇЙĄΏЩᕚᚍڟඨᔞઅລΆ͟೵̍௨ϻഒ᎝ ᘋჄ຅؈߱НᗦՊϻĂʶӔଖΏपڣ๳ڟഒባϵᏞമ Ώʡػ1991Б9̢੤͑͑ऌ˃ຣࢰർ̶ߨড༄ደ ӇЙݣ੽˱ᖂࣱϵඨᑛढ৖஬ရպ΢Ăΐվဇ੽ʡϵ ๼ᚊढĂೆФጠ๼Ⴤ੽ᄬ˷ᘸˉ஢ࣰ̺˝ఫ Ꮮമ̟࡭˞ࠂՀ৖ФؚਓᙦĄےᒒ໗̈́ ᏞമڟJes Olesen ଀૲๼࡭Ă͂ᆝʨػ੽ᄬؒ஛ʙڟᙲ ĶᏞ Ώप˞ӇЙĂࡶϑ๐ጭOlesen଀૲ʙϔ࿂᏾Ⴤซ˞סᘸઅລĂծಪ̅1988Б੽ᄬᏞമደ๼ࡏ˷ മăនড༄മ̅ᖟ࡭മ˞˷ᘸჄඨᔞઅລķːФᇉ޸ ۴Ă1992Б2̢18̠Olesen଀૲ΓВ૲ᜌ˛̜˞ᕚᚍ ܉˞ڎ̜˛Ϩႍჭ̜̠̜̅˞ᕚᚍΏĂфѬϒ̶ߨͲ˷˞ʙʡʿ (૲ᜌपՎͪࡲ)Ăծػ1992Б6̢30̠᎑ᅸ ࡭˞௎୩ăमဇăষ̕ăڎΏĄ͂ӔଖΏʡ৖ᐓ҅͂ ՐĄఙᖂࣱဇጌ࢏ᕚᚍăڎ˞̜˛ഒצܓ੽ʡòڟ ʨΏʡ५҆ڟĂဇػ͂̉͒ڟ˃ઠ˞ᕚᚍߏ˛̜Ăᆄߏ޺จĄ໋ढΏʡ୏๐း׷Ăʶ Ѕ๊൉̟࡭ʮʟߺ໋ ർΕ੽ড༄ደደ๼୩ၿձ๼˛؛ൿ̙ࡎഫĂᓜቜͮ ѿ࠮ᓂĄΏप˞̿ଚۯჯߏЪ෶ˎѰ๎༎ۨʳĄϱ੽ݣ ᖂ਱ড༄ࠋԃѺ̺ؑψჄ๳ώҔ̬຾ࠕ؈ ϣ๎ĂծΥ໅ˁˌᆈˁ˃ᗾᆅͮដ˷˴ͧမಗᘓ҅ϒقͿγ෨͕ ΰ৿̖๐ᓂĄے༄඲ĂΏʡλϵЪڎᖂ਱ড༄ࠋఙ݄Ӊᖂࣱ֍ѝ੤ჄᕚᚍĄ ఋ͎ ޹ঠઉ 1993Б7̢ ػ͕ͮͿ 4 ICHD-Ƕ ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ ڎ੽ᄬᏞമॽॾ˷ᘸ஑ʠ ӕڎ̜˛ Ķ੽ᄬᏞമॽॾ˷ᘸķь1988Б˴ҙݣĂ༄྆ၞ ּػ2004Б2̢ӇЙЪˎѰĄ˞ݣӨ࢈ػ2004Б3̢͢ ᕚᚍ˃๼ĂԐణΥ֍ѝᖂࣱʙ஢վϓڎ̜˛ػ2003Б9̢ػᗳ਻ᒞ ෠஑ʙЩڎʟĄ࠼̜ڎ15БĂதػӽڟၞ ለĂӇЙݣϔΥۑϑїमኧڱػ ϣࡒ௰Ăʙʡߏ஑ʙᚍ܌ΏڎЅ̜ڟї੽ᄬᏞമደ๼Б๼ढ˴ѷĂфΓВ ػCephalalgiaᖕწʰĄͮដড༄ደደ๼Ꮮ ஑ʠѝᖂࣱमΓФഒᎿჲ˞௎ĄԐͲణФʙᒂࡒ௰ے2004Бവ ௽ʨϫѰڟʨĂதػػ2004Б6̢ઠ˛̜ ʡĂϔʙЩमኧФഒᎿჲ˞௎Ąϵ˃ࣜ҆ڟമደ஢༄྆ʟᆵ࢏̢ ˞ӇЙЪ෶ˎѰĄ˱්˲ڟӨ࢈ػྱࡎڟΏӇЙĄ ʮĂݞ෷ҁڎᕚᚍ ݣػ2004Б5̢͢෠஑ʠЩ๼ᚊĂ๼˛˃ࣜਬဇʙղᕚ ߺ࣯5Б˞ʴĂЪЩ˛̜ ᚍʰФၸੰ˞௎ಪ͎ਆባĂծ֥ુϓᘋĄశݣϵፋߺڎò࠼̜ڎਔ஑ʙ̨ ˚ٲϰߏ௻ϋ Ѓᖂࣱăయ˛ߡᖂַࣱӨϔઠ̜˛ʙղिВַ΢ސ᝗ᑻ഻Ă௻قढ෢࣯ලڟവїڎ࠼ַ̜ڎ ΏĂծػڎڟʡʨ̨ਔ ʙ࠮˞௎͑̾ጌϫַ஛ʙĂӇЙʟశݣڟʨൖೀĂӹʣ̖ڟ௨ϻʡސᕚᚍڟڎ̜˛ ढͫФ޹ঠઉ଀૲ăఙ݄ӉᖂַࣱԃѺؑᖂࣱ 2004Б6̢ػႩমʰ˴ѷʙ࢏̢Ă૥֧վьϨߨ˞ݾ଀ڎ஑ʙ ݚᚊĂ˗Фʟ˃̙ࣜʰ௻ϋĶ੽ᄬᏞമॽॾ˷ᘸķַ ސढ෢Ăڟڎ̜˛ࡌᕚᚍסϻĄձဂʰĂԚڟʭʡϻ Ąڎ̜˛ ʟĄס஑ʙ஁ढ౷Ԛڟڎϵᗳ਻੤͑๼ᚊĂ߼֗࠼̜ Фղ࣯ސػ2004Б3̢౷ӇЙʟĂᓙڎᓶഓ̨ਔ̠̜ ۇѰ୏๐٠ᆑĄ ϵ௻޲ೈ෢Ăʶࡌ५ѿᓂᓂӨ࢈֍ѝ҅୩ೆᆋˎڟӨ࢈˫ഓߏӇЙ௻෶ᒟྞސලĂѮ ࿁ʨߺ҅Ăڟձਜ਼ʰއሾ࡯ᆈϑΡػ̜पַїַהˉ ซለ৖ʨᐖڟᖂࣱ࢈Ăဇػ͂࢈ڟᆇ ߺ۬௨ϻ੤Ⴤᕚᚍڟ˃Ķ੽ᄬᏞമॽॾ˷ᘸķဇᏞമᖂደળվ຃ ԠዏᘲӟĄϣढʶࡌᓂᓂ௉੦༪ᛌশͬѺᗾᆅဇ֍ސ ᘸᆿລĂઠᏞമ˷۞ѿ˷ڟደߏ̺ڑᛪĂ௻Ώ̾ॿ ᘓ҅Ąڟᘓ҅Ăַࠛ੦᏶ԓٍᗾᆅဇϟ֕ʰڟᘸĂ۴ЙᏞമᖂደϵᒝӗˎѰჄࠂՀʰ˞ඨᔞᆿລ Щ๼ᚊ ӇڟЃЪ෷ҁٲഒސĂ௻ϋˎѰ҅֞ڟჳĂ ԠФ௻ᅄϻʡڟĂծુ̾෷ҁ෌ʣဂᘌᖂደĄӨ࢈̾͟˃ᒚ˽ ĄڟЙ ڟϵͮដඨᔞސշጃЪ˷ᘸᆿລĂϵࠛ੽ؖސࡌ఍ͫ ࠂՀʶڟ܉ੑᏞമ౷ᐖཎԠФ̊˃࣯୴ĄձဂʰĂϑ ĄػڟӨʪ˷ᘲӟͅސĂ௨ϻձ˛ു྆ڟཐ᝛Ⴤ޺ї ϵᕚᚍڐĶಽ̶ᅋࢄķĂؚ̾ᒝӗᗾڟᘌဂЪ˷ᘸ ᕚᚍڎ஑ʙЩ๼ᚊढĂఙ݄Ӊᖂࣱ࣐࣐ཾվ͂ػ஑ʙ ڟൖَϵ̶ߨϨ੽࣯୴ݞˉĄϰЪͮដੑᏞമڟॾደ ᔈᔈ၎၎Ăͅʡʪ˷੝࣠Ąϵ໋ढڟؚ ढַ޹଀૲ߺ௎܉Ѓ̾ސ˚୾ї୥ĂЃշಉЪඨᔞઅລĂːᘌဂծ ༞̜प௎୩ˎ֎ĂఙᖂࣱԐྫڟۯЃЪ̟ڟ̠ˬॽॾĄ ծഒڟʙႍ̍Վސڟჯߏ ʙ࢏ʮ˿ַ޹଀૲ਆባᕚᚍ˱࣠Ăծ᎑ьΈ͎ت් ஑ʠַڎ͘Б˞ʴĄఙᖂࣱ৖ӹʣ஑ʙྀ۝ЅĂढ෢ ڎ̜˛ڟфߏѤࡌᕚᚍĶ੽ᄬᏞമॽॾ˷ᘸķ ĄӨ࢈؛ʙϋจڟ௻ϋᕚᚍˎѰސڟےѰĂ̈́ˎڟڎ ϵͮដ௨ϻᖂࣱ஬ရ᜞ࢨ̜पĂ࠼̜ཾڣĉӨ࢈ʶֹ ᕚᚍˎѰढĂӲʟʙղў਱ᖂࣱ࢈੤ڟڎઅػᏞമЪደ۞ػͮដծΐુ֗ ʶػ஑ʠސ৖ʨʶݞ˚ᎿĄѮ ড༄ࠋᖂࣱĂʶ୏˸ೈ߾ڟ๳ʙ̈́ސڟےᑛĂ ჄĂ͂࢈̈́ٽඨᔞַڟࡧගĂॾʡծΐ૥֧֗శϑ෌ڟᐖФ ᕚڟڎॾ ͂࢈໋˛Фʡ৖ЃఙᖂࣱʙৡĂ੤Ⴤΐվ஑ʭސᖂַࣱ֏͂ᖂᑛߺᘰʡࢷĂߥэڟЃَͮដ໋ϴ ʮ͞Ą؛จڢᘸ̙ ᚍˎѰĂઠ௻ϋˎѰʙ̈́૥ൿʙ̈́ʙ˷ڟܔܔჭՐվ᜞௻ڟˏʡַࣜᚴ൉Ă৖΢ь ĄϰڟФ௃˃შউސവࣤڟĂߺ۬ဇͮដᏞമᖂደ͋ ݡʰס᝝๼֗௃ۨڟЪӨ࢈͢෱ʟϒ੽ʪͲѝড༄ࠋᖂࣱჄʙѝႠডࠋᖂ Ө࢈ػᕚᚍ྆ു˛Ăʶ୏֓ ๼͎ᎿķĂ௻ѭ̽ЙסʙۯĂڟᒝӗַࠂՀˎѰ ĶʳձͫࡌФ͟৖͎Ꮏڟࣱϓϣ੤Ⴤ௻෶ˎѰĄ˃ࣜػᒅД Ր˛ؚ܉ڟڎ঍୩Ąʶʪ˷ϣ๎࠼̜ڟѰĄ ʟᘺ˩˚ᝐˎڟӹʣ˛̜ᕚᚍܐญڶ኷Ă΢ʙ˞ ՐĂĶ໋ࡌպ΢௻˷ᘸढĂੰᖠ౷๼ग़୪͎վķĄϵम Ă҉պӨ࢈ːमኧʟ௨ϻЩĂ˫˚ᔞവ୪˛ു྆ڟΓ ڟ๳ᇂᖂ਱̴ి˦ᖂࣱળᄴ͂࢈ᖂ਱ܒͮސࡶϑ ሾ᫕ᕱ ᎿჲĄᘰػЪᔈĂӨ࢈ʪ˷ӧ๖ಚࣼĂʶ୏߾˃ࣜʙַהˉফपఙΝۧăሾෳᙋăֺಏෳăఌ໊֟ ϟ֕ढӽ෌ĄڎለĂ͂࢈ʶ˚ਙպ ਔվӲ͎Ꮏჲ˞௎ĂպӨ࢈ػϔۑ̜˛ᕚᚍЙڎᖂࣱ൉ʡϑઠ࠼̜ ICHD-Ƕ 5 ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ ϣढĂӨʶ୏๐НᗦՊϻĄϵڟሥယĂ ϵ͎̖̿ʨᕚᚍڟ˽̜˛ػЪЩᕚᚍĂӨ࢈୏୏๐ᚈᖂደ ᙓ̜ܖĶڟᕚᚍ྆ുĂӨ࢈˚ᔞڟ৖Ф ਡԑĶྀ۬෯ķ͟ސĂ౷̜˛ڟӲ˚֗ߺဇᐖސ˚௨ϻટФϪච ࠼ڟˏĂӔଖΐ ЅķĂϵЅЅͯͯ̀஠͑̾ഠፑ˞ᄬĂӨവ୪ь܌ЁϻႍᕚᚍĄӨ࢈ዑු̾శϻʡպ΢ߏࢨ ̜˛̾ڟԁᇣማ؁ᚈ˛෌ԏʟĄӨʶ̨̾˚ڣ˚Ă໋ ̜ϵٷ஛ʙĄϵ̍ᆵ૑ڟվэ̍͟۴ЙᏞമટФϪච Ķᘞᄬझސ။ჳĂַཌᚗॾ૑Ą௻ղᐖཎڟᔈ˅ग़୪ĂЃvisual ana- վѰᏞമڟࣜ༞ʨጭᑝ˞ढĂФЁ˃ ௻ސᐖķґĄϵ௻ཇᓙФʙ࢏̖ુַ˃ࣜ˷մĂե౷ ܉ķĂ҉̨άےlogue scale (VAS) ᕚᚍߏĶάഁᘸ̨ු ૴ ΏĶ੽ᄬᏞമॽॾ˷ᘸķ̙͋Ă˚ฉͫ΢ػ˷ᘸĂͺۯථ˸ĂϰЪӨ࢈ڟķվےĶගᚈᘸ̨ුڟલ΢ྲྀ Ꮮമ଀ࠋपĄЃَѱФ፹ቸ᜞ӇϒڟʙΏݞೕސʟཌჄպ΢ĂФղᕚᚍݣ࡭˫ ֏ဂۯĄ໋ഓߏ̟ڱ܉΢ʟ ᘋĂΆഓᅨ෌˚̍ĄڣڟĂߺ۬ဇᏞമ͋ ̾ڢ׿˛ĄЪʹĂӨ࢈ʶ࿙ཐཌԚʟʙނ۳ॼ࠼̜ػ ᕚᚍĄӨ࢈Ӳ̜˛ڟҨᔙĂ҉ ņtriptanŇ ௻࢏Ѕڟվ Ӕଖ৖ಽ̅ސᓙڟάڟ˃ᕚᚍĶႵಽഴķĂʙվ௻ʭ ᕚᚍЪϋᏞമ˷ᘸĂశڟʟʙ࢏ࡱ๎ʰү႗ၖ๎֗ Ꮮമᖂደ଀ՉĂࠂՀַᒝӗˎѰĄЃ৖ᕤЪϋڟ৖Ăʠ ͮដ͟ڟ࢏Ѕʪ˷˛ؒĂഒγ֓ψѤ̕ਔ५ॆᒒ๑ ڟʡӹʣᏞമڟፒ̕ΝĂ۴պԁϻاᕚᚍˎѰڟˉˉ മᗾĶಽऌঃķߺϣĂϰЪ̥ڟվĶಽķჄҫ෢લ΢ ᘹڟӨத՘ސដᏞമॾʡ˞ႋĂʶͮސઠ܌ᑛЙ͒˞๎୊Ąф ˎѰĂٽ๴୊̥മᗾ˞๎ĂфĶഴķʶФ Ⴐݻ࠼̜˚ੈᕚᚍĄʶ ଖĄ܌ϪႎĂڐᗾס֏͂ʡϪַ५ ӔଖЪᚍϪ৖ߏ˃ؚࣜ૥֧Ăծ৖͑̾ಽ̅ĄഓфӨ ጠ֙Ăڟჭ̜ϩվьФ֏ᏺఽϛଁăԜᕟಲ๳ڣ࢈λ ޹޺ڟ๼ϵढ෢܌ᚍϪڟᚍϪь๼ॼІĂф˚ЁڟЁ ˛॑ఁĄ ͮដড༄ደደ๼ Ꮮമደ஢ ͢෱ʡ ̴།җ 2004Б8̢ 6 ICHD-Ƕ ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ (Ր (1988܉ڟڎ஑ʙ ڟĂծԠФ՗ઊڟટࣜ༄᝛фվڟळጃ׏ࢷ๼ސ˷ൖೀĄ௻ϋˎѰ෌їʟ࠘ʭ ఋڟ௨ϻ̖ʨސΏ̜χ ܮጇѰڟے׏ࢷʹĂԁ͓Ҥʟ ̜ᙦ̛ݻĄᓶഓЃЪĂӨ࢈ྱೈΏपؚവڟʡࢷਸ਼ʟ׏ࢷ๼ڟБ;͡Ă੤Ⴤ ЙࢷĄؚФ׏ࢷ๼ჄЩ׏ࢷ๼ ඨᔞઅລᐖ๼ϵΐվಁБ˱᝱ॽॾ˷ᘸ̅޺їॾደࠂڟ֏͂ʪʠ࢏Щ׏ࢷ๼ ቀ܏ĄڟՀԁ͑ ڟχĂψѤФ፹ቸ̜ڟ˛Ă྆ുڟ˴෠བѷސѰˎڟ ഁཐծӽ෌ڟࠋደࣜ࢈ፖ຃ڟӨ࢈ӔଖࠂՀᏞമ ڟʡү֥͟ኧĄӨ࢈ϵʙʞʤʜБʭ̢ᒞᎲߏೈ֍̈ ϟΏਚ൝׏ࢷتባ̅ڌϨѝઠ๎Վă۔ʡˁ੤ჄĄϵʙ ௻ࣈ˷ᘸĄᜍڟ൝ψѤФ፹ቸعᏞമ˷ᘸ๼ᚊĂ෠ ᘸĄӔ˷ڟڎࣰĄӨ࢈ྱ/ࡎϵ1993Б૰͎஑ʠ̺ڟ੽ᄬᏞമ˃๼ ๼ש஑ʭڟʞʤʜБʞ̢ػѣᗳ಼ࢗᒞї ᘌጃʰĄڟ৖ݚγϵ๳ڎӎᒐढĂӨ࢈ػʙ࢏˴෠๼ᚊʰ˴ѷծਆባ௻ࣈ˷ ଖ࢓ࡏڟ ᘸĄ૥ൿϵʙʞʤʤБʠ̢ʠʪ̅ʠʪʙ̠ϵࠛ੽༑ ੽ᄬᏞമደ๼ჯߏᏞമॽૉ˞˷ᘸ̅ඨᔞઅລސ ഁཐ̅࢓ӽĂӨڟĄᓶЪ̜χᄯࡌ෌ʙԏڟϴ̱ࢰᒞїశݣʙЩ˴෠๼ᚊĂϣढ᝱׏ࢷ๼̅Ⴤ๼ ۨલࡧࡌ ސݚᚊઠ௻ࣈ˷ᘸγ҉΢ػࠋደࠂՀʰĄ˚ฉސʙਔ੤ჄਆባĄ ࢈ᓙڱ ࠂՀĄڟΡ˽̅Ρ୩ደނཐ᝛Ăծ͓ڐഒ͟ᓗѻĄ໋ࡌպ ᒝӗᗾސᓶഓ༄྆௨ϻ҆ʨĂᎿჲᓙ ΢௻˷ᘸढĂੰᖠ౷๼ग़୪͎վĂф௻ղᎿჲᐖϵΐ Ă֏ဂ̜χ˛ݞϻސڟΏ˛͑̾࢓ࡏĄࡌݾ͎ڎڟվ James W Lance ۝੽ᄬᏞമደ๼ ๼ Jes Olesen Ꮮമ˷ᘸ׏ࢷ๼ ࣰ̺ ICHD-Ƕ 7 ڎ஑ʠڎ̜˛ ੽ᄬᏞമॽॾ˷ᘸ Ր܉ڎ஑ʠ ʟۆӨ࢈ψѤʡྱೈϻ̨ڎЙَĂ஑ʠڟဘ ˃ුਆባݣڟᘸ̅ඨᔞઅລݻᗄၸ˷ڟᖂߨ௽લဇॽॾ Ķ੽ ݞϻढ෢ĄԐࣈઅລăԐ࢏ᆵЅ̅Ԑ࢏Ѕ఍༄྆̀஠ڟڎ૴΢ĄӨ࢈ဇػ஑ʙٿݙĂф̸͟৖˚๼ᆄ ʨჄݦ҆ڟ˃඲ʟߺ໋ۆڎ͎˞ڎ૰ိ๲ਪĂؚ̾Ъ ےᄬᏞമॽॾ˷ᘸķ௝ЃЪᆄߏ૥֧๐֗᝙౉Ą໋വ ՎĂѮԐʙ࢏׏ࢷဇ๎ڟ࣠ঽؚФ׏ࢷٲݣಁ̶̽ߨϨϴ౷γ֓ҁ΢ͺվੈࠋደࠂՀĄ௨ϻႵ уĄᓶഓഒ ᆇᛪʨĄڟཐ᝛౷պ΢ЪઅລվඨᔞॾʡĄЪ˷ Ъ˷ᘸ఍Фߺ໋ڟ (ಽഴ (triptan ሂယယϴӽᝐʟᒝӗઈ๾Ą௨ϻϵ˷ᘸ ဇᖂደߨψѤʙ࢏ᄴ੿Ăʙ࢏˃ࣜ఍͟૥̸֧ϵڟʶ܌ࢨڟᘸ ʙސĄ५ѿᏞമڟݞࡧࡌސᘸ˷ڟպ΢ٿᖠː˚ϔػᒝӗ௤቙ढੰ̅Ă ̶ߨʰ৖ᆄੰڟࢨവؒᏞമ˚ᄯࡌ ੑڟࠂՀᄴ੿ĂݞϻʡဇᏞമॽૉʬФ௨ϻڟၚ ࢏๳፹܌ҏ͑ᅑᏞമĂސઅລĂЃ՘᝝߀੝ڟĂ๳ڟߺ̆ Ꮮമސ஀Ă५ѿ˃ڟჭ ՎĄؚ̾ĂӨ࢈ჯߏჄᏞമߺᘰڟၚػԐ̠ઈ๾˛պ΢ĄЪ˷ᘸ௝ᚍЙʠʪႍ̾ʰ Ķ੽ᄬᏞമॽॾ˷ᘸķ̎֏ڎݻպ΢஑ʠ̛ڱᖂࣱ఍͟պ΢Ą ࠂՀደڟ˷ՐĂ̶ؚ̾ߨʰ˃ఋ ΐպ΢ؖΐᐮගЪ˷ᘸؖےĶ੽ᄬᏞമ ࡧࡌĄؚФೈ͐߱˚ཎവڟڎढĂӨ࢈ྱѥ஑ʠڎ஑ʙڎ໋͎ ĂӨ࢈ծ˚ӔڟᏞമߺᘰባ̜Ąߺ̆ڟ࣠ ߺᘰඨᔞઅລ˱ڎॽॾ˷ᘸķϵˤБ˱๼͎୪Ăϰߏ˃ఋ˷஑ʙ Ă̆ф઼ʨֳឱ˛ޜࠂՀࡩ֙ϵЪᙒिऱڟᙦĄѮӨ࢈ಪ͎஑ʠ ଖઠᏞമ̜ڟےઅػટࣜ๎Վфۨːവސ ˷ڎվᅷගЪ஑ʠٲ৖̾ࠋደ̟ڱФ̾ʮ ϒ̶ߨᏞമࠂՀደސ൉ݟڟढ෢۝ጌጌ༄྆ʟʪˤБĂ௻ᅄܓڎ ݟሂצӳඟݞФࡩĂؚ̾ӽ ᘸĄߏʟ֖ጭЪᘸࠂՀĂӨ࢈ઠʙղྲྀՂՎ̸ڟڎ୩ΥĄЃဇػ஑ʙڟ௨ϻЁ ॽॾϖϵۣᏃ˛ĄӨ࢈ϣढʶಪ͎ʙղೇ̈́અڟჯ ڟᄯԑծԠФեᅄै˸Ąဇػ˚ϣᏞമಪռՊЁڟڎ અລഁཐ̨ྲྀĄڟሥယĂф̸˫˚՗̾ ລĂ΢ჄΓВےᒝӗ५ᆉಢࡘ˞˷ᘸࠂՀĂവ Ķ੽ᄬᏞമॽॾ˷ᘸķ৖᝱ڟڎᆄ Ө৿̖ೈଖ஑ʠڎ࠼̜ڟڎᘸĄͪʹ஑ʙ˷ڟݻʙӇϒઅػဂᘌ̛ ᕚڎʡ৖٠ഓ૥֧Ą̸̆஑ʙڟʟ̨ྱೈԁ ̶ߨϨϴჄᏞമФᘰۆߏ޺จ֗ϒ̶ߨĂծᕚᚍЙ֏͂ჭՐʶ ჭՐĄͪʹĂӨʶӔଖͺ৖Йߏϒ̶ߨᏞڟᚍЙԁϻ ˫ܓݚՐڟФউڎဇػӽސढ෢ĄᓶഓሥယĂѮڟ۝ ᘋʶᅨ͑֗ʟ മ˷ᘸ̅ඨᔞ˞଀ደळጃĂծᕤ̾ဇॾʡಪռԁЁ௎ڣڟంၚணፖĂϣढ޺їॾደ̅˷ᘸደ ඨᔞĂڟϴԏĄ ༊Ą੽ᄬᏞമደ๼҆ʨӽൡϒ̶ߨဇػᏞമڟѰˎڎ஑ʠזʙ࢏̾͟෠ ˃ᑛჄັ᛫ĄͺʶၾʨဇᏞമॾʡ͞дϪ˽Ăծ᝱ٽ Ăۯ˞Өʶϰ՘ߏࣰ̺ڎӽڟĂ௻ЩڎЃϣ஑ʙ ˃๼఍అЙ຃ڥʙႍဇػॾʡăࣜᚴַސᏞമڣ੤Ⴤʡࢷ ஀ჯڟڎ׏ࢷĄᓶഓ஑ʙڟݾ߂ʟʙղЩ׏ࢷ๼ ĂࠂՀʡࢷăᒝڟॽૉĄߏʟྀЪάڐড༄Ρڟࡒጊ ڟߥ੉ĂӨ˫ӔଖФ˃ු๳࡭̌͑ʣ֥̾̈́ࢨФ͒ר ඨᔞՁ஛Ă̸ЪՁڟĄ ӗᖂࣱ̅Ꮮമॾʡүᐖպ΢ߺϣؒے̈́˷ࠂՀʡࢷФ͈ڟ᝱ʮʙ̈́ސ׏ࢷĂ֏΢๎ ѷݣĂ˃ࣜ೉Ъϓᘋᓚ෌˴ڎʟGiuseppe NappiĂJames W ஛ᐖʨԑႠሂĄૃ஑ʙނ׏ࢷ͓ͫڟؚ̾ॼψ ԁ৖ಪռ̶ߨϨϴဇᏞമॾڎࡌሂ۳׽ᛉؒĄဇػЃѤݾ ˏ˃Ф෌ࣤĄӔଖ஑ʠސॼψڟLanceַӨĄӨ࢈ 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