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Headache Care

Migraine with aura

Tuesday, Jan 27 2009

  

Table 2-4 Migraine with aura

1.2 Migraine with aura

Previously used terms: classic migraine; classical migraine; ophthalmic, hemiparesthetic, hemiplegic, or aphasic migraine

Diagnostic criteria

A. At least 2 attacks fulfilling B

B. At least 3 of the following 4 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 2 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)

C. No evidence of organic disease

1.2.1 Migraine with typical aura

Diagnostic criteria

A. Fulfills criteria for 1.2, including all four criteria under B

B. One or more aura symptoms of the following types:

  • Homonymous visual disturbance


  • Unilateral paresthesias and/or numbness


  • Unilateral weakness


  • Aphasia or unclassifiable speech difficulty

Editors: Silberstein, Stephen D.; Lipton, Richard B.; Dalessio, Donald J.

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