5 November 2017
Below, the International Headache Society the definition and classification of migraine by
Before you read this article, please read the article “Am I really Migraine?”
The International Classification of Headache Disorders 3rd edition (Beta version):
What is migraine?
Migraine is a complex condition with a wide variety of symptoms. For many people the main feature is a painful headache. Other symptoms include disturbed vision, sensitivity to light, sound and smells, feeling sick and vomiting. Migraine attacks can be very frightening and may result in you having to lie still for several hours.
The symptoms will vary from person to person and individuals may have different symptoms during different attacks. Your attacks may differ in length and frequency. Migraine attacks usually last from 4 to 72 hours and most people are free from symptoms between attacks. Migraine can have an enormous impact on your work, family and social lives.
Are there different types of migraine?
There are different types of migraine. In 1988 the International Headache Society produced a classification system for migraine and headache which has been adopted by the World Health Organisation. This has been updated since then and is the established basis for defining types of headaches. The International Classification of Headache Disorders system gives different names to the different types of migraine and headache that involve different symptoms. This helps doctors to diagnose and treat them.
The most common types of migraine fall into two categories:
- migraine with aura
- migraine without aura.
The ‘migraine with aura’ label is also used for some of the rarer forms of migraine, which also have another name. These include migraine with brainstem aura, where symptoms such as loss of balance, double vision, or fainting can occur. Familial hemiplegic migraine, where reversible paralysis occurs, is also classed as ‘migraine with aura’. There are other rare forms of migraine, which are classed separately.
Not everyone will have a ‘typical’ migraine. The experience of the condition will be unique to you.
Headache or migraine?
Distinguishing between different types of headache can be difficult. You can experience different types of headaches at different times of your life for varying reasons. For example, if you have migraine you may also experience other types of headache. Keeping a migraine or headache diaryis really useful and can be invaluable in trying to identify a specific headache type.
What is the treatment?
The complex nature of migraine means that the treatments available are varied and differ from person to person. There is currently no cure for migraine.
What causes migraine?
There is no known cause for migraine, although most people with it are genetically predisposed to migraine. If you are susceptible to migraine there are certain triggers which commonly occur. These include stress, lack of food, alcohol, hormonal changes in women, lack of sleep and the environment.
. The International Classification of Headache Disorders :
Classification ICHD-3 code Diagnosis
1.1 Migraine without aura
1.2 Migraine with aura
1.2.1 Migraine with typical aura
22.214.171.124 Typical aura with headache
126.96.36.199 Typical aura without headache
1.2.2 Migraine with brainstem aura
1.2.3 Hemiplegic migraine
188.8.131.52 Familial hemiplegic migraine (FHM)
184.108.40.206.1 Familial hemiplegic migraine type 1 (FHM1)
220.127.116.11.2 Familial hemiplegic migraine type 2 (FHM2)
18.104.22.168.3 Familial hemiplegic migraine type 3 (FHM3)
22.214.171.124.4 Familial hemiplegic migraine, other loci
126.96.36.199 Sporadic hemiplegic migraine
1.2.4 Retinal migraine
1.3 Chronic migraine
1.4 Complications of migraine
1.4.1 Status migrainosus
1.4.2 Persistent aura without infarction
1.4.3 Migrainous infarction
1.4.4 Migraine aura-triggered seizure
1.5 Probable migraine
1.5.1 Probable migraine without aura
1.5.2 Probable migraine with aura
1.6 Episodic syndromes that may be associated with migraine
1.6.1 Recurrent gastrointestinal disturbance
188.8.131.52 Cyclical vomiting syndrome
184.108.40.206 Abdominal migraine
1.6.2 Benign paroxysmal vertigo
1.6.3 Benign paroxysmal torticollis
Above classification 3th. Edition, taken from -beta version. This article may change after a while.
This classification concerns an illness that is not “objective” in diagnosis, “untreatable”, “unknown cause” with the drug.
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