Migraines

Diagnostic criteria for migraine without aura (A-D need to be fulfilled):

1. At least 5 attacks fulfilling criteria B-D
2. Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)
3. Headache has at least 2 out of the following 4 characteristics:
   • Unilateral location
   • Pulsating quality
   • Moderate or severe pain intensity
   • Aggravation by or causing avoidance of routine physical activity (e.g. walking or climbing stairs)
4. During headache at least one of the following:
   • Nausea and/or vomiting
   • Photophobia and phonophobia
5. Not better accounted for by another ICHD-3 diagnosis

 

 

Diagnostic criteria for migraine with aura:

1. At least 2 attacks fulfilling criteria B-D
2. One or more of the following fully reversible aura symptoms:
   • Visual
   • Sensory
   • Speech and/or language
   • Motor
   • Brainstem
   • Retinal
3. At least 3 of the following 6 characteristics:
   • At least one aura symptom spreads gradually over ≥5 minutes
   • Two or more aura symptoms occur in succession
   • Each individual aura symptom lasts 5-60 minutes
   • At least one aura symptom is unilateral
   • At least one aura symptom is positive (e.g. pins and needles or scintillations)
   • The aura is accompanied, or followed within 60 minutes, by headache
4. Not better accounted for by another ICHD-3 diagnosis

 

Study	Reliability	Sn	Sp	LR+	LR-
International Classification of Headache Disorder 3rd edition (ICHD-3)	NA	NA	NA	NA	NA