Tuesday, March 8, 2016

Migraine Criteria- With Aura and Without Aura

Migraine without aura (MO) diagnostic criteria

A. At least five headache attacks lasting 4 - 72 hours (untreated or unsuccessfully treated), which has at least two of the four following characteristics:
1. Unilateral location
2. Pulsating quality
3. Moderate or severe intensity (inhibits or prohibits daily activities)
4. Aggravated by walking stairs or similar routine physical activity
B. During headache at least one of the two following symptoms occur:
1. Phonophobia and photophobia
2. Nausea and/or vomiting

Migraine with aura (MA) diagnostic criteria

A. At least two attacks fulfilling with at least three of the following:
1. One or more fully reversible aura symptoms indicating focal cerebral cortical and/or brain stem functions
2. At least one aura symptom develops gradually over more than four minutes, or two or more symptoms occur in succession
3. No aura symptom lasts more than 60 minutes; if more than one aura symptom is present, accepted duration is proportionally increased
4. Headache follows aura with free interval of at least 60 minutes (it may also simultaneously begin with the aura
B. At least one of the following aura features establishes a diagnosis of migraine with typical aura:
1. Homonymous visual disturbance
2. Unilateral paresthesias and/or numbness
3. Unilateral weakness
4. Aphasia or unclassifiable speech difficulty

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