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)

• 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.