有先兆偏頭痛和無先兆偏頭痛兩種。
有先兆偏頭痛: A:至少有2次發作 B:至少有下列3項中的1項 1。完全可逆轉的先兆視覺症狀 2。完全可逆轉的感覺症狀 3。完全可逆轉的言語症狀 C: 至少有下列2項中的1項 1。 至少有一種先兆症狀:視覺或者單側感覺症狀 2。 至少有一種先兆症狀逐漸發生,持續時間超過5分鍾 3。 先兆症狀持續時間通常超過5分鍾,少於60分鍾 D: 頭痛症狀應在先兆症狀其間或先兆症狀以後60分鍾內發生 E: 排除其他原因引起的頭痛。 無先兆偏頭痛: A: 至少發作5次 B:頭痛發作持續4~72小時,小於15歲的兒童,頭痛發作持續2~48小時。 C:頭痛至少具有下列特點中的2點: 1。局限於單側; 2。搏動性痛; 3。程度為中或重度(日常活動受限或停止); 4。因上樓梯或其他類似日常軀體活動而加重。 D:頭痛期至少具有下列中1項: 1。惡心和/或嘔吐; 2。畏光和怕聲。 E:排除其他原因引起的頭痛。 偏頭痛的診斷標準 A: 沒有預兆的偏頭疼 Recurrent headache,lasting 4-72 hours, unilateral, pulsating, moderate to severe, aggravated byphysical activity, association with nausea and/or photophobia and phonophobia. A: At least 5attacks fulfilling criteria B thorough D B: Lasting4-72 hr C: At least 2of the following characteristics: 1. Unilateral 2. Pulsating 3. Moderate or severe intensity 4. Aggravation by physical activity D: Duringheadache, at least 1 of following: 1. Nausea and/vomiting 2. Photophobia and phonophobia E: Notattributed to another disorder B: 有預兆的偏頭疼 Typical aura: visualand/or sensory and/or speech symptoms. Gradual development, lasting <1 hr, amix of positive and negative features, reversible, associated with a headachefulfilling criteria for migraine without aura. A: At least 2attacks fulfilling criteria B through D B: At least 1of the following, but no motor weakness 1. Fully reversible visual symptoms including positive features (flickeringlights, spotsor lines) and/or negative features (loss of vision) 2. Fully reversible sensory symptoms including positive features (pins andneedles) and/ornegative features (numbness) 3. Fully reversible dysphasic speech disturbance C: At least 2of the following: 1. Homonymous visual symptoms and/or unilateral sensory symptoms 2. At least one aura symptom develops gradually over 5 min and/or differentaura occurin succession over 5 min 3. Each symptom lasts: ≥ 5min, ≤ 60 min D: Headachebegins during the aura or following aura within 60 min E: Notattributed to another disorder
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