Migraine without aura
Diagnostic criteria:
Headache lasts four to 72 hours (untreated or unsuccessfully treated)
Headache has at least two of the following:

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

  • Moderate or severe pain intensity

  • Pulsating quality

  • Unilateral location

During headache, at least one of the following:

  • Nausea and/or vomiting

  • Photophobia and phonophobia

Not attributed to another disorder
History of at least five attacks fulfilling above criteria
Migraine with aura
Recurrent disorder manifesting in headaches of reversible focal neurologic symptoms that usually develop gradually over five to 20 minutes and last for less than 60 minutes
Headache with the features of migraine without aura usually follows the aura symptoms
Less commonly, headache lacks migrainous features or is completely absent
Diagnostic criteria:
Aura consisting of at least one of the following, but no motor weakness:

  • Fully reversible dysphasic speech disturbance

  • Sensory symptoms that are fully reversible, including positive features (pins and needles) and/or negative features (numbness)

  • Visual symptoms that are fully reversible, including positive features (flickering lights, spots, lines) and/or negative features (loss of vision)

At least two of the following:

  • Homonymous visual symptoms and/or unilateral sensory symptoms

  • At least one aura symptom develops gradually over five minutes or different aura symptoms occur in succession over five minutes

  • Each symptom lasts at least five minutes, but no longer than 60 minutes

Headache fulfilling criteria for migraine without aura begins during the aura or follows aura within 60 minutes
Not attributed to another disorder
History of at least two attacks fulfilling above criteria