Diagnostic Benchmarks: ICHD-3 Criteria for Episodic Migraine With and Without Aura

 Standardized diagnostic criteria are essential for differentiating migraine subtypes in clinical practice.

1. Migraine Without Aura (ICHD-3 1.1)

Requires at least 5 attacks lasting 4–72 hours (untreated or unsuccessfully treated). The headache must display at least 2 of the following characteristics:

  • Unilateral location

  • Pulsating quality

  • Moderate or severe pain intensity

  • Aggravation by or causing avoidance of routine physical activity

Additionally, the attack must include at least 1 of the following associated features:

  • Nausea and/or vomiting

  • Photophobia and phonophobia

2. Migraine With Aura (ICHD-3 1.2)

Requires at least 2 attacks accompanied by fully reversible aura symptoms (visual, sensory, speech/language, motor, brainstem, or retinal).

Key aura characteristics include gradual spread over $\ge 5$ minutes, individual symptom duration of 5–60 minutes, unilateral presentation, and headache onset within 60 minutes of aura resolution.

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