30대/F
편두통 진단 기준
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Migraine without aura
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A. At least five attacks fulfilling criteria B through D
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B. Headache attacks lasting 4 to 72 hours (untreated or unsuccessfully treated)
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C. Headache has at least two of the following characteristics:
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Unilateral location
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Pulsating quality
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Moderate or severe pain intensity
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Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs)
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D. During headache at least one of the following:
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Nausea, vomiting, or both
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Photophobia and phonophobia
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E. Not better accounted for by another ICHD-3 diagnosis
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Migraine with aura
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A. At least two attacks fulfilling criteria B and C
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B. One or more of the following fully reversible aura symptoms:
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Visual
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Sensory
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Speech and/or language
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Motor
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Brainstem
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Retinal
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C. At least three of the following six characteristics:
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At least one aura symptom spreads gradually over ≥5 minutes
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Two or more symptoms occur in succession
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Each individual aura symptom lasts 5 to 60 minutes
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At least one aura symptom is unilateral
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At least one aura symptom is positive*
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The aura is accompanied or followed within 60 minutes by headache
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D. Not better accounted for by another ICHD-3 diagnosis
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Features of migraine in children and adolescents
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Attacks may last 2 to 72 hours¶
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Headache is more often bilateral than in adults; an adult pattern of unilateral pain usually emerges in late adolescence or early adulthood
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Photophobia and phonophobia may be inferred by behavior in young children
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ICHD-3: International Classification of Headache Disorders, 3rd edition.
* Scintillations and pins and needles are examples of positive symptoms.
¶ The evidence for untreated durations of less than 2 hours in children has not been substantiated.
Adapted with permission of the International Headache Society. From: Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018; 38:1. Copyright © 2018 International Headache Society. https://ihs-headache.org/en/. https://journals.sagepub.com/home/cep.
참고문헌
- UpToDate 2022.05.26
- 송파구의사회 춘계 온라인학술대회 2탄, 쉽게 접근하는 편두통의 진단과 치료
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