诊断头痛应当依据国际头痛分类.在最新版国际头痛分类中,脑血管病相关性头痛属于6.头颈部血管病导致的头痛,包含明确的诊断标准和清晰的分类条目.雷击样头痛常见于脑血管病,也可见于颅内非血管病、感染性疾病和系统性疾病,查找和诊断原发疾病是正确诊断的根本.卒中时头痛与卒中类型有关.头痛史导致卒中风险增高.%Headache diagnosis should be based on the International Classification of Headache Disorders (ICHD). In the latest version of ICHD, cerebral vascular disease-related headaches belong to "6. headache attributed to cranial or cervical vascular disorder", including definite diagnostic criteria and clear classification entries. Thunderclap headache may be caused by cerebral vascular disease, intracranial non-vascular disease, infectious diseases or systemic diseases. To find and diagnose the primary disease is the fundamental of correct diagnosis. Headache at stroke onset is associated with stroke types. Headache history is associated with increased risk of stroke.
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