Difference between revisions of "Migraine headache"

(See Also)
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===Migraine Likely?===
+
==Classification==
 +
===Migraine Headache without Aura===
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*At least 5 attacks of headache fulfilling the following criteria:
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**1. HA attacks lasting 4–72 hr (untreated or unsuccessfully treated) (>1 h for children)
 +
**2. HA has at least 2 of the following characteristics:
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***a. Unilateral location
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***b. Pulsating quality
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***c. Moderate or severe pain intensity
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***d. Aggravation by or causing avoidance of routine physical activity
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**3. During HA at least one of the following occurs:
 +
***a. Nausea and/or vomiting
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***b. Photophobia and phonophobia (may be inferred from behavior)
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**4. Not attributed to another disorder
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===Migraine Headache with Aura===
 +
 
 +
==Migraine Likelihood==
 
POUNDing
 
POUNDing
# Pulsatile
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#Pulsatile
# Duration of 4-72 hOurs
+
#Duration of 4-72 hours
# Unilateral
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#Unilateral
# Nausea or vomiting
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#Nausea or vomiting
# Disabling in quality
+
#Disabling in quality
 
 
Yes to 4 or more: LR 24 (definite or possible migraine)
 
 
 
3 criteria: LR 3.5
 
  
1-2: LR 0.41
+
Yes to 4 or more: LR 24
 +
Yes to 3 or more: LR 3.5
 +
Yes to 1-2: LR 0.41
  
 
==See Also==
 
==See Also==
Neuro: Headache
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[[Headache]]
  
Neuro: Headache DDX
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[[Headache DDX]]
  
Neuro: Headache Red Flags
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[[Headache Red Flags]]
  
 
==Source==
 
==Source==
 +
International Headache Society Diagnostic Criteria
 +
 
Detsky et. al, JAMA  '06 Does this Patient with a Headache have a Migraine or need Neuroimaging?
 
Detsky et. al, JAMA  '06 Does this Patient with a Headache have a Migraine or need Neuroimaging?
  
 
[[Category:Neuro]]
 
[[Category:Neuro]]

Revision as of 19:22, 26 June 2011

Classification

Migraine Headache without Aura

  • At least 5 attacks of headache fulfilling the following criteria:
    • 1. HA attacks lasting 4–72 hr (untreated or unsuccessfully treated) (>1 h for children)
    • 2. HA has at least 2 of the following characteristics:
      • a. Unilateral location
      • b. Pulsating quality
      • c. Moderate or severe pain intensity
      • d. Aggravation by or causing avoidance of routine physical activity
    • 3. During HA at least one of the following occurs:
      • a. Nausea and/or vomiting
      • b. Photophobia and phonophobia (may be inferred from behavior)
    • 4. Not attributed to another disorder

Migraine Headache with Aura

Migraine Likelihood

POUNDing

  1. Pulsatile
  2. Duration of 4-72 hours
  3. Unilateral
  4. Nausea or vomiting
  5. Disabling in quality

Yes to 4 or more: LR 24 Yes to 3 or more: LR 3.5 Yes to 1-2: LR 0.41

See Also

Headache

Headache DDX

Headache Red Flags

Source

International Headache Society Diagnostic Criteria

Detsky et. al, JAMA '06 Does this Patient with a Headache have a Migraine or need Neuroimaging?