Migraine with Aura

Diagnostic Criteria (ICHD-3):

A) At least 2 attacks fulfilling criteria B and C:

B) One or more of the following fully reversible aura symptoms:

   • Visual: Scintillation, Fortification spectrum, Dots, Wavy lines, Scotoma, Flashing lights, Wavy lines, Scintillation scotoma

   • Motor: Weakness

   • Retinal: Similar to visual aura, but symptoms are monocular

   • Speech and/or language: Aphasia/word-finding difficulty, Dysphasic language disturbances

   • Brainstem: Vertigo, Dysarthria, Tinnitus, Hypoacusis, Diplopia, Ataxia, Decreased level of consciousness (GCS ≤ 13)

   • Sensory: Pins & needles, Paresthesia, Numbness

C) At least 3 of the following 6 characteristics:

   • At least one aura symptom spreads gradually over ≥ 5 minutes

   • ≥ 2 aura symptoms occur in succession

   • Each individual aura symptom lasts 5-60 minutes

   • At least one aura symptom is unilateral

   • At least one aura symptom is positive

   • The aura is accompanied, or followed within 60 minutes, by headache

D) Not better accounted for by another ICHD-3 diagnosis.



By Dr. Gabriela Figueiredo Pucci @neudrawlogy



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