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Table 15.6

Diagnostic Criteria for Migraine

Migraine without aura
  • Attacks lasting 4–72h (but in some cases may be longer than this – ‘status migrainosus’)
  • At least two of the following characteristics:
    • Unilateral
    • Pulsating
    • Moderate to severe
    • Aggravated by movement (NB: migraine headache may be bilateral or vary unilateral/bilateral during a single episode; may be continuous).
  • At least one associated symptom:
Migraine with aura
  • One or more transient focal neurological aura symptom
  • Gradual development of aura symptom over >4 min, or several symptoms in succession
  • Aura symptoms last 4–60 min
  • Headache follows or accompanies aura within 60 min