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
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
