Table 1

ICHD-3 diagnostic criteria for migraine1

Migraine with aura
A At least 2 attacks fulfilling criteria B and C
B One or more of the following fully reversible aura symptoms: visual, sensory, speech/language, motor, brainstem, retinal
C At least three of the following six characteristics:
  • At least one aura symptom spreads gradually over ≥5 min.

  • Two or more aura symptoms occur in succession.

  • Each individual aura symptom lasts 5–60 min.

  • At least one aura symptom is unilateral.

  • At least one aura symptom is positive.

  • The aura is accompanied or followed within 60 min by headache.

D Not better accounted for by another ICHD-3 diagnosis
Migraine without aura
A At least five attacks fulfilling criteria B-D
B Headache attacks lasting 4–72 hours (untreated or unsuccessfully treated)
C Headache has at least two of the following four characteristics:
  • Unilateral location.

  • Pulsating quality.

  • Moderate or severe pain intensity.

  • Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs).

D During the headache, at least one of: nausea and/or vomiting, or photophobia and phonophobia
E Not better accounted for by another ICHD-3 diagnosis
  • ICHD-3, International Classification of Headache Disorders-3.