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Table 4 Fulfilment of ICHD-3 diagnostic subcriteria and proposed subcriteria for headache attributed to ischemic stroke

From: Diagnostic criteria for acute headache attributed to ischemic stroke and for sentinel headache before ischemic stroke

Diagnostic criteria for headache attributed to ischemic stroke

Fulfilment of diagnostic criteria (number of patients with stroke)

A. ICHD-3 diagnostic criteria

 

A. Any new headache fulfilling criteria C and D

46

B. Acute ischaemic stroke has been diagnosed

46

C. Evidence of causation demonstrated by either of the following:

 

C1. Headache has developed in very close temporal relation to other symptoms and/or clinical signs of ischaemic stroke, or has led to the diagnosis of ischaemic stroke

46

C2. Headache has significantly improved in parallel with stabilization or improvement of other symptoms or clinical or radiological signs of ischaemic stroke

25

D. Either of the following:

 

D1. Headache has resolved within 3 months

25

D2. Headache has not yet resolved but 3 months have not yet passed

21

Total fulfilling ICHD-3 criteria

46

B. Proposed alternative diagnostic criteria

 

A. Any headache fulfilling B and C

76

B. Acute ischaemic stroke has been diagnosed

76

C. Evidence of causation demonstrated by the following:

 

C1 A new headache has developed within 24 h of other symptoms and/or clinical signs of ischaemic stroke

of other symptoms and/or clinical signs of ischaemic stroke

46

C2 A headache with altered characteristics has developed within 24 h of other symptoms and/or clinical signs of ischaemic stroke

of other symptoms and/or clinical signs of ischaemic stroke

30

D. Either of the following:

 

D1. Headache has resolved within 3 months

25

D2. Headache has not yet resolved but 3 months have not yet passed

51

Total fulfilling proposed criteria

76