Migraine

Migraine without aura

Headaches typically are unilateral, pulsating, at least moderate in intensity, aggravated by physical activity, and associated with nausea, photophobia, and phonophobia. Episodes lasting 4-72 hours.

Criteria:

1. Experienced at least 5 of these attacks

2. Headache attacks lasting 4-72 hr (if untreated)

3. Headache has at least two of the following four characteristics:

-unilateral

-pulsating quality

-moderate or severe pain intensity

-aggravation by or causing avoidance of routine physical activity

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.

Migraine with aura

Recurrent attacks, lasting minutes, of unilateral fully-reversible visual, sensory or other central nervous system symptoms that usually develop gradually and are usually followed by headache and associated migraine symptoms.

A. At least two attacks fulfilling criteria B and C

B. One or more of the following fully reversible aura symptoms: including: visual, sensory, speech and/or language, motor, brainstem, or retinal

C. At least three of the following 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

the aura is accompanied, or followed within 60 minutes, by headache

D. Not better accounted for by another ICHD-3 diagnosis.

Chronic Migraine

Headache occurs on 15 or more days a month for >3 months.

On 8 days a month the headaches much have features of migraine