This knowledge base is expanding rapidly especially since the introduction of designer drugs like sumatriptan for the treatment of migraine. If a patient fulfils criteria for more than one type of migraine, all types should receive a diagnosis. In other words, different types of migraine are not mutually exclusive. If the onset of the migraine occurs at the approximate time of one of the headache disorder from 5-11, that condition should be listed as the primary headache diagnosis. If the migraine is only aggravated by one of the conditions 5-11, then the migraine is noted as the primary diagnosis and the other condition is noted as an aggravating factor.
Most migraine patients have attacks without aura.
Those migraineurs who have migraine almost exclusively with aura will also have attacks without aura. Migraine Following is the currently approved IHS classification of migraine. Migrainous infarction 1.7 Migrainous disorder not fulfilling above criteria Classification Criteria for Migraine without aura Idiopathic headache disorder manifesting attacks that last 4-72 hours. Typical characteristics of the headache are unilateral pulsating quality of pain with moderate to severe intensity. The pain is typically aggravated by routine physical activity and associated with nausea, photophobia and phonophobia.