MIGRAINE CLASSIFICATION AND DIAGNOSIS CRITERIA

• 1.1 Migraine without aura
• 1.2 Migraine with aura
  • 1.2.1 Migraine with typical aura
  • 1.2.2 Migraine with prolonged aura
  • 1.2.3 Familial hemiplegic migraine
  • 1.2.4 Basilar migraine
  • 1.2.5 Migraine aura without headache
  • 1.2.6 Migraine with acute onset aura
• 1.3 Opthalmoplegic migraine
• 1.4 Retinal migraine
• 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine
  • 1.5.1 Benign paroxysmal vertigo of childhood
  • 1.5.2 Alternating hemiplegia of childhood
• 1.6 Complications of migraine
  • 1.6.1 Status migrainous
  • 1.6.2 Migrainous infarction
• 1.7 Migrainous disorder not fulfilling above criteria

International Headache Society Diagnosis Criteria for Migraine

• Without aura
  • 1. At least 5 attacks fulfilling 2-4
  • 2. Headache attacks lasting 4-72 hours (untreated or unsuccessfully treated)
  • 3. Headache has at least two of the following four characteristics:
    - unilateral location
    - pulsating quality
    - moderate or severe intensity which inhibits or prohibits daily activities
    - aggrevated by walking stairs or similar routine physical activity
    
  • 4. During headache at least one of the two following symptoms occur:
    - nausea and/or vomiting
    - photophobia and phonophobia
    
  • 5. At least one of the following three characteristics is present:
    - history and physical and neurological examinations do not suggest one of the disorders listed in 5-11
    - history and/or physical and/or neurological examinations do suggest such a disorder, but it is ruled out by appropriate investigations
    - such a disorder is present, but migraine attacks do not occur for the first time in close temporal relation to the disorder
    
  
  
• With aura
  • 1. At least two attacks fulfilling 2
  • 2. Headache has at least three of the following four characteristics:
    - one or more fully reversible aura symptoms indicating focal cerebral cortical and/or brain stem dysfunction
    - at least one aura symptom develops gradually over more than 4 minutes, or tow or more symptoms occur in succession
    - no aura symptom lasts more than 60 minutes; if more than one aura symptom is present, accepted duration is proportionally increased
    - headache follows aura with a free interval of less than 60 minutes (it may also begin before or simultaneously with the aura)
    
  • 3. At least one of the following three charcteristics is present:
    - history and physical and neurological examinations do not suggest one of the disorders listed in groups 5-11
    - history and physical and neurological examinations do suggest such a disorder, but it is ruled out by appropriate investigations
    - such a disorder is present, but migraine attacks do not occur for the first time in close temporal relation to the disorder
    

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