Chinese expert consensus on key points of headache history-taking(2025)
10.3969/j.issn.1002-0152.2025.05.001
- VernacularTitle:头痛问诊要领中国专家建议(2025版)
- Author:
Shengyuan YU
;
Xiaochun CHEN
;
Jinsheng ZENG
- Collective Name:Headache and Sensory Disorders Group,Neurologist Branch of Chinese Medical Doctor Association;Brain Science and Pain Management Branch of Guangdong Brain Science Application Association
- Publication Type:Journal Article
- Keywords:
Headache;
History-taking;
Primary headache;
Secondary headache;
Expert consensus
- From:
Chinese Journal of Nervous and Mental Diseases
2025;51(5):257-267
- CountryChina
- Language:Chinese
-
Abstract:
Headache is one of the common neurological conditions,which not only seriously affects the patient's health and quality of life,but can also be a warning sign of serious diseases.Comprehensive and detailed history-taking of headache patients is an important prerequisite for identifying primary and secondary headaches,and is the cornerstone for accurate diagnosis and treatment of headache.However,there is currently a lack of clinical guidance in China regarding the key points of headache history-taking.Therefore,this expert panel has conducted a thorough review of relevant domestic and international literature and combined it with practical clinical experience to standardize the key contents and methods of headache history-taking.This consensus outlines 9 key points for the initial evaluation of headache patients,summarizes the"red flags"indicative of secondary headache,and proposes differentiated consultation strategies for children,adolescents and the elderly,which can be used as a reference in the clinical diagnosis and management of headache.
