Migraine headache: Difference between revisions

No edit summary
Line 1: Line 1:
===Migraine Likely?===
==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
POUNDing
# Pulsatile
#Pulsatile
# Duration of 4-72 hOurs
#Duration of 4-72 hours
# Unilateral
#Unilateral
# Nausea or vomiting
#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
[[Headache]]


Neuro: Headache DDX
[[Headache DDX]]


Neuro: Headache Red Flags
[[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?