Migraine headache: Difference between revisions
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===Migraine | ==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 | #Duration of 4-72 hours | ||
# Unilateral | #Unilateral | ||
# Nausea or vomiting | #Nausea or vomiting | ||
# Disabling in quality | #Disabling in quality | ||
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== | ||
[[Headache]] | |||
[[Headache DDX]] | |||
[[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
- Pulsatile
- Duration of 4-72 hours
- Unilateral
- Nausea or vomiting
- 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
Source
International Headache Society Diagnostic Criteria
Detsky et. al, JAMA '06 Does this Patient with a Headache have a Migraine or need Neuroimaging?