Migraine Classification

TYPE OF MIGRAINE			Number of attacks	Duration	Intensity	Quality	Location	Additional symptoms
Migraine without aura (common migraine)			At least 5	4-72 hours	Moderate to severe	Pulsatile	Unilateral	At least one: Nausea and/or vomiting; photo and phonophobia
Migraine with aura (classic migraine)	Migraine with typical aura	Typical aura with headache	At least 5	Aura lasts minutes	Moderate to severe	Pulsatile	Unilateral	At least three: (reversible disturbances) visual, sensory, speech, motor, brainstem, retinal
	Migraine with typical aura	Typical aura without headache	At least 5				Unilateral	Only aura, no headache
	Migraine with brainstem aura (Basilar)		At least 5		Moderate to severe	Pulsatile	Unilateral	No motor weakness. At least one of the following (reversible): dysarthria, vertigo, tinnitus, hypacusis, diplopia, ataxia, decreased consciousness
	Hemiplegic migraine	Familial hemiplegic migraine (at least one first or second degree relative with same diagnosis)	At least 5		Moderate to severe	Pulsatile	Unilateral	Reversible motor weakness, visual, sensory and speech symptoms
	Hemiplegic migraine	Sporadic hemiplegic migraine (no first or second degree relative with same diagnosis)	At least 5		Moderate to severe	Pulsatile	Unilateral
	Retinal migraine		At least 5	Spreading aura over 5 minutes and lasts up to 60 minutes	Moderate to severe	Pulsatile	Unilateral	Both of the following: fully reversible monocular visual phenomena
Chronic migraine			More than 15 days per months for more than 3 months		Moderate to severe	Pulsatile	Unilateral	Relieved by triptan or ergot derivative. Can be secondary to medication overuse
Complications of migraine	Status migrainosus		More than 72 hours		Moderate to severe	Pulsatile	Unilateral	Debilitating
	Persistent aura without infarction		At least 5		Moderate to severe	Pulsatile	Unilateral	No evidence of infarction on neuroimaging. Persistent aura.
	Migranous infarction		At least 5	Aura persists for more than 60 minutes	Moderate to severe	Pulsatile	Unilateral	Evidence of infarction on neuroimaging. Persistent aura.
	Migraine aura-triggered seizure		At least 5		Moderate to severe	Pulsatile	Unilateral	A seizure triggered by an attack of migraine with aura.
Probable migraine			At least 5		Moderate to severe	Pulsatile	Unilateral	Migraine-like attacks missing one of the features required to fulfil all criteria for a type or subtype of migraine
Episodic syndromes that may be associated with migraine (childhood periodic syndromes)	Recurrent GI disturbance		At least 5		Moderate to severe	Pulsatile	Unilateral	Recurrent episodic attacks of abdominal pain and/or discomfort, nausea and/or vomiting, occurring infrequently, chronically or at predictable intervals, that may be associated with migraine.
	Benign paroxysmal vertigo		At least 5		Moderate to severe	Pulsatile	Unilateral	Vertigo. At least one of the following: nystagmus, ataxia, vomiting, pallor, fearfulness.
	Benign paroxysmal torticollis		At least 5		Moderate to severe	Pulsatile	Unilateral	Tilt of the head to the side for minutes or days. At least one of the following: nystagmus, ataxia, vomiting, pallor, fearfulness.

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