Migraine without Aura
Description: Recurrent headache disorder manifesting in attacks lasting 4–72 hours. Typical characteristics of the headache are unilateral location, pulsating quality, moderate or severe intensity, aggravation by routine physical activity and association with nausea and/or photophobia and phonophobia.
Diagnostic Criteria:
A. At least 5 attacks1 fulfilling criteria B–D
B. Headache attacks lasting 4–72 hours (untreated or unsuccessfully treated)
C. Headache has at least two of the following characteristics:
1. unilateral location
2. pulsating quality
3. moderate or severe pain intensity
4. aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs)
D. During headache at least one of the following:
1. nausea and/or vomiting
2. photophobia and phonophobia
References
¹ Silberstein, Stephen D., Lipton, Richard B., Goadsby, Peter J., Smith, Robert T. "Headache in Primary Care". Isis Medical Media Ltd. 1999.
2 Klapper, J., Mathew, N. & Nett, R. (2001) "Triptans in the Treatment of Basilar Migraine and Migraine With Prolonged Aura." Headache: The Journal of Head and Face Pain 41 (10), 981-984. doi: 10.1046/j.1526-4610.2001.01192.x
3 Tepper, Stewart J., M.D. "Understanding Migraine and Other Headaches." University Press of Mississippi. 2004. p. 23.
4 The International Classification of Headache Disorders, Second Edition. The International Headache Society. 2004.
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