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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