Group 4 of the IHS classification.
22. Treatment of Miscellaneous Idiopathic Headache Disorders†
- Nils Erik Gilhus MD, PHD7,8,
- Michael P. Barnes MD, FRCP9,10 and
- Michael Brainin MD11,12,13
Published Online: 21 SEP 2011
Copyright © 2012 Blackwell Publishing Ltd
European Handbook of Neurological Management, Volume 2, Second Edition
How to Cite
Evers, S., Goadsby, P., Jensen, R., May, A., Pascual, J. and Sixt, G. (2011) Treatment of Miscellaneous Idiopathic Headache Disorders, in European Handbook of Neurological Management, Volume 2, Second Edition (eds N. E. Gilhus, M. P. Barnes and M. Brainin), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444346268.ch22
Department of Clinical Medicine, University of Bergen, Norway
Department of Neurology, Haukeland University Hospital, Bergen, Norway
University of Newcastle, Newcastle upon Tyne, UK
Hunters Moor Neurorehabilitation Ltd, Newcastle upon Tyne, UK
Department of Clinical Medicine and Prevention, Austria
Center for Clinical Neurosciences, Donau-Universität Krems, Austria
Department of Neurology, Landesklinikum Donauregion Tulln, Tulln, Austria
- Published Online: 21 SEP 2011
- Published Print: 30 SEP 2011
Print ISBN: 9781405185349
Online ISBN: 9781444346268
- headache classification;
- idiopathic headache;
- treatment recommendations
Background: Certain miscellaneous idiopathic headache disorders, which are regarded as entities, are grouped in Chapter 4 of the International Classification of Headache Disorders. Recent epidemiological research suggests that these headache disorders are underdiagnosed.
Objectives: To give expert recommendations for the different drug and non-drug treatment procedures of these different headache disorders based on a literature search and on consensus of an expert panel.
Methods: Medical reference systems were screened for all kinds of clinical studies on these headache disorders. The findings were evaluated according to the recommendations of the EFNS resulting in Level A, B or C recommendations and good practice points.
Recommendations: For all headache disorders, acute and prophylactic drug treatment is recommended, based on case series and expert consensus. Furthermore, recommendations for the differential diagnoses are given since these headache disorders can also present with a symptomatic form. The most effective drug for the majority of these headache disorders is indomethacin, mostly applied as long-term or short-term prophylaxis.