Evaluation of Chronic Daily Headache—Comparison to Criteria for Chronic Tension-Type Headache

Seymour Solomon, Richard B. Lipton, Lawrence C. Newman

Research output: Contribution to journalArticlepeer-review

100 Scopus citations


The purpose of this study was to evaluate the adequacy of the International Headache Society (IHS) criteria for chronic tension-type headache and, if appropriate, suggest modifications of the IHS classification. We evaluated 100 consecutive patients with chronic daily headache. Approximately two-thirds of our patients fulfilled the criteria for chronic tension-type headache. Most of the patients who failed to meet the criteria did so because they had more than one migrainous feature. Approximately 50% of patients took excessive amounts of analgesic medication. We conclude that the IHS criteria should be modified to include chronic daily headache evolving from migraine; subtypes with and without medication overuse should be distinguished.

Original languageEnglish (US)
Pages (from-to)365-368
Number of pages4
Issue number6
StatePublished - Dec 1992


  • Chronic daily headache
  • International Headache Society criteria
  • chronic tension-type headache
  • migraine

ASJC Scopus subject areas

  • Clinical Neurology


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