Migraine without aura |
A. At least five attacks fulfilling criteria B through D |
B. Headache attacks lasting 4 to 72 hours (untreated or unsuccessfully treated) |
C. Headache has at least two of the following characteristics: |
Unilateral location |
Pulsating quality |
Moderate or severe pain intensity |
Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs) |
D. During headache at least one of the following: |
Nausea, vomiting, or both |
Photophobia and phonophobia |
E. Not better accounted for by another ICHD-3 diagnosis |
Migraine with aura |
A. At least two attacks fulfilling criteria B and C |
B. One or more of the following fully reversible aura symptoms: |
Visual |
Sensory |
Speech and/or language |
Motor |
Brainstem |
Retinal |
C. At least three of the following six characteristics: |
At least one aura symptom spreads gradually over ≥5 minutes |
Two or more symptoms occur in succession |
Each individual aura symptom lasts 5 to 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 |
Features of migraine in children and adolescents |
Attacks may last 2 to 72 hours¶ |
Headache is more often bilateral than in adults; an adult pattern of unilateral pain usually emerges in late adolescence or early adulthood |
Photophobia and phonophobia may be inferred by behavior in young children |