UMEM Educational Pearls

Category: Neurology

Title: Migraine Headaches with Aura Criteria

Keywords: migraine headache with aura, aura, headache (PubMed Search)

Posted: 7/28/2010 by Aisha Liferidge, MD (Updated: 4/28/2024)
Click here to contact Aisha Liferidge, MD

A. At least two attacks with at least 3 of the following:

1. One or more fully reversible aura symptoms (indicates focal cerebral cortical and/or brain stem functions).

2. At least 1 aura symptom develops gradually over greater than 4 minutes, or 2 or more symptoms occur in succession.

3. No aura symptom lasts greater than 60 minutes.

4. Headache follows aura with free interval of at least 60 minutes.

B. At least 1 of the following aura features establishes a diagnosis of migraine with typical aura:

1. Homonymous visual disturbance.

2. Unilateral paresthesias and/or numbness.

3. Unilateral weakness.

4. Aphasia or speech difficulty.