ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Migraine Classification And Points That Need Special Attention
H.Macit SELEKLER*, Sezer Ş. KOMSUOĞLU**
*Yrd.Doç.Dr., Kocaeli Üniversitesi Tıp Fakültesi Nöroloji AD,
Prof.Dr., Kocaeli Üniversitesi Tıp Fakültesi Nöroloji AD, KOCAELİ
Diagnosis of primary headache disorders rests primarily upon a clinical assesment. Laboratory studies are used to exclude other conditions, not directly to support diagnosis. There are three major sources of unreliability of headache diagnosis: criterion variance, information variance and interpretation variance. Criterion variance means that diagnostic criteria open to more than one interpretation and cause variation in headache diagnosis. The Ad Hoc criteria demonstrate this problem in an extreme form. The International Headache Society classification is a large leap forward from the previous Ad Hoc committee's classification, because spesific diagnostic criteria are firmly stated. There are two major sources of information variance. In an unstructured clinical interview, clinicians ascertain information in a subjective fashion, based on experience and expectations. A second source of information variance arises from variation in patient responses to the same question asked at different times. This is primarily a problem of false positive or false negative symptom reporting. Just as there is variability in the patient's response to questions, so there is variation in the clinician's interpretation of what the patient reports. To some degree, spesific training in the diagnosis of headache may reduce this source of error.Keywords: Migraine, Headache, ClassificationTurkiye Klinikleri J Med Sci 2003, 23:250-254
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