有先兆偏头痛和无先兆偏头痛两种。
有先兆偏头痛: A:至少有2次发作 B:至少有下列3项中的1项 1。完全可逆转的先兆视觉症状 2。完全可逆转的感觉症状 3。完全可逆转的言语症状 C: 至少有下列2项中的1项 1。 至少有一种先兆症状:视觉或者单侧感觉症状 2。 至少有一种先兆症状逐渐发生,持续时间超过5分钟 3。 先兆症状持续时间通常超过5分钟,少于60分钟 D: 头痛症状应在先兆症状其间或先兆症状以后60分钟内发生 E: 排除其他原因引起的头痛。 无先兆偏头痛: A: 至少发作5次 B:头痛发作持续4~72小时,小于15岁的儿童,头痛发作持续2~48小时。 C:头痛至少具有下列特点中的2点: 1。局限于单侧; 2。搏动性痛; 3。程度为中或重度(日常活动受限或停止); 4。因上楼梯或其他类似日常躯体活动而加重。 D:头痛期至少具有下列中1项: 1。恶心和/或呕吐; 2。畏光和怕声。 E:排除其他原因引起的头痛。 偏头痛的诊断标准 A: 没有预兆的偏头疼 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: 有预兆的偏头疼 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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