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Fortschr Neurol Psychiatr. 2014 Mar;82(3):145-8. doi: 10.1055/s-0034-1365981. Epub 2014 Mar 10.

[The Rostock Headache Questionnaire ("Rokoko")--validation of a tool to screen and to qualify primary headaches].

[Article in German]

Author information

  • 1Institut für Medizinische Psychologie und Medizinische Soziologie, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock.
  • 2Institut für Biostatistik und Klinische Epidemiologie, Charité - Universitätsmedizin Berlin.
  • 3Klinik für Hämatologie, Onkologie und Palliativmedizin, Zentrum für Innere Medizin, Universitätsmedizin Rostock.
  • 4Institut für Klinische Epidemiologie und angewandte Biometrie, Universitätsklinikum Tübingen.
  • 5Institut für Allgemeinmedizin, Universitätsmedizin Rostock.
  • 6Klinik für Neurologie, Universitätsklinikum Münster.
  • 7Albrecht-Kossel Institut für Neuroregeneration, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock.
  • 8Klinik und Poliklinik für Neurologie, Universitätsmedizin Rostock.


Primary headache disorders should be diagnosed based on the detailed history of the patient. However, only few questions are necessary to allocate the symptoms to migraine, tension-type headache or other primary headaches in most cases. The "Rostock Headache Questionnaire" (Rokoko) is suitable for being completed by the investigator or the patient him/herself within a few minutes. Validation parameters of a sample of n = 87 patients (median: 44 years), diagnosed by headache experts in a personal interview ("gold standard"), are presented. Sensitivity and specificity for migraine without aura (0.87/0.51), migraine with aura (0.71/0.95), tension-type headache (0.57/0.93), or a combination of both (0.22/0.93) are based on the parameters pain frequency (recurrent vs. permanent), and the presence or absence of aura symptoms. To differentiate tension-type headache into episodic or chronic forms, the questionnaire can be analysed individually based on the frequency of headache days. The questionnaire enables the fast acquisition of relevant data in headache diagnosis and headache research with sufficient sensitivity and specificity. In addition, further information about triggering and symptoms of headaches can be assessed. The questionnaire can be used both by neurologists or psychiatrists and by general practitioners. The questionnaire does not replace the physical examination.

© Georg Thieme Verlag KG Stuttgart · New York.

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