偏頭痛的診斷標準

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