The Use of Diaries in the Management of Headache

  • Vera Osipova
  • Rigmor Jensen
  • Cristina Tassorelli
Reference work entry


The diagnosis of primary headache depends mostly on a detailed history and a normal physical examination. In clinical practice, patients often have difficulty recalling their headache characteristics, especially if they experience several types of headache. Headache diaries and calendars make it possible to record precisely, in a contemporaneous manner, the characteristics of every attack, thus minimizing recall bias and increasing accuracy in the description of attack frequency and characteristics. Several types of diagnostic diaries can be used, depending on the purpose of monitoring and the type of headache. They represent a useful tool, for both the doctor and the patient, in the diagnostic process as well as in the management of the disease.


Cluster Headache Migraine With Aura Headache Disorder International Headache Society Menstrual Migraine 
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  1. Baos V, Ester F, Castellanos A, Nocea G, Caloto MT, Gerth WC, I-Max Study Group (2005) Use of a structured migraine diary improves patient and physician communication about migraine disability and treatment outcomes. Int J Clin Pract 59:281–286PubMedCrossRefGoogle Scholar
  2. Chabriat H, Danchot J, Michel P, Joire JE, Henry P (1999) Precipitating factors of headache. A prospective study in a national control-matched survey in migraineurs and nonmigraineurs. Headache 39:335–338PubMedCrossRefGoogle Scholar
  3. Giffin NJ, Ruggiero L, Lipton RB, Silberstein SD, Tvedskov JF, Olesen J et al (2003) Premonitory symptoms in migraine: an electronic diary study. Neurology 60:935–940PubMedGoogle Scholar
  4. Headache Classification Committee of the International Headache Society (2004) The international classification of headache disorders, 2nd edition. Cephalalgia 24(Suppl 1):1–160CrossRefGoogle Scholar
  5. Jensen R, Stovner LJ (2008) Epidemiology and comorbidity of headache. Lancet Neurol 7:354–361PubMedCrossRefGoogle Scholar
  6. Johannes CB, Linet MS, Stewart WF, Celentano DD, Lipton RB, Szklo M (1995) Relationship of headache to phase of the menstrual cycle among young women: a daily diary study. Neurology 45:1076–1082PubMedGoogle Scholar
  7. MacGregor EA, Hackshaw A (2004) Prevalence of migraine on each day of the natural menstrual cycle. Neurology 63:351–353PubMedGoogle Scholar
  8. Metsähonkala L, Sillanpää M, Tuominen J (1997) Headache diary in the diagnosis of childhood migraine. Headache 37:240–244PubMedCrossRefGoogle Scholar
  9. Nappi RE, Sances G, Brundu B, Ghiotto N, Detaddei S, Biancardi C et al (2003) Neuroendocrine response to the serotonin agonist M-Chlorphenylpiperazine in women with menstrual status migrainosus. Neuroendocrinology 78:52–60PubMedCrossRefGoogle Scholar
  10. Nappi G, Jensen R, Nappi RE, Sances G, Torelli P, Olesen J (2006) Diaries and calendars for migraine. A review. Cephalalgia 26:905–916PubMedCrossRefGoogle Scholar
  11. Niederberger U, Gerber WD, Schiffer N (1998) Sleeping behavior and migraine. An evaluation by daily self-reports. Schmerz 12:389–395PubMedCrossRefGoogle Scholar
  12. Richardson GM, McGrath PJ, Cunningham SJ, Humphreys P (1983) Validity of the headache diary for children. Headache 23:184–187PubMedCrossRefGoogle Scholar
  13. Russell MB, Rasmussen BK, Brennum J, Iversen HK, Jensen RA, Olesen J (1992) Presentation of a new instrument: the diagnostic headache diary. Cephalalgia 12:369–374PubMedCrossRefGoogle Scholar
  14. Sances G, Granella F, Nappi RE, Fignon A, Ghiotto N, Polatti F et al (2003) Course of migraine during pregnancy and postpartum: a prospective study. Cephalalgia 23:197–205PubMedCrossRefGoogle Scholar
  15. Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 27:193–210PubMedCrossRefGoogle Scholar
  16. Tassorelli C, Sances G, Allena M, Ghiotto N, Bendtsen L, Olesen J, Nappi G, Jensen R (2008) The usefulness and applicability of a basic headache diary before first consultation: results of a pilot study conducted in two centres. Cephalalgia 28:1023–1030PubMedCrossRefGoogle Scholar
  17. Tfelt-Hansen P, Welch KMA (2000) General principles of pharmacological treatment of migraine. In: Olesen J, Tfelt-Hansen P, Welch KMA (eds) The headaches. Lippincott Williams & Wilkins, Philadelphia, pp 385–389Google Scholar
  18. Wittrock DA, Ficek SK, Cook TM (1996) Headache-free controls? Evidence of headaches in individuals who deny having headaches during diagnostic screening. Headache 36:416–418PubMedCrossRefGoogle Scholar

Copyright information

© Lifting The Burden 2011

Authors and Affiliations

  • Vera Osipova
    • 1
  • Rigmor Jensen
    • 2
  • Cristina Tassorelli
    • 3
  1. 1.Department of Neurology and NeurophysiologyNeurological Clinic, Sechenov Moskow Medical AcademyMoscowRussian Federation
  2. 2.Danish Headache Centre and Department of NeurologyGlostrup Hospital, University of CopenhagenGlostrupDenmark
  3. 3.Headache Science Centre, IRCCS “National Neurological Institute C. Mondino” FoundationUniversity Consortium for Adaptive Disorders and Head Pain (UCADH), University of PaviaPaviaItaly

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