Criteria for the diagnosis of migraine in clinical practice

S. Solomon, Richard B. Lipton

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Criteria for the diagnosis of migraine have evolved from generalized descriptions to specific rules designed to ensure the selection of homogenous groups of patients for research studies. For clinical practice, the former are insufficiently specific and the latter are too complex. For care of headache patients by primary care physicians, we propose that the diagnosis of migraine without aura (common migraine) is warranted if any two of the following symptoms are present: unilateral site, throbbing quality, nausea, photophobia or phonophobia. These criteria are derived from a study comparing the features of 100 patients with migraine without aura and 100 patients with chronic daily headache. The proposed criteria for the diagnosis of migraine without aura were highly sensitive and adequately specific in discriminating groups. These simple criteria should facilitate the diagnosis of migraine by primary care physicians.

Original languageEnglish (US)
Pages (from-to)384-387
Number of pages4
JournalHeadache
Volume31
Issue number6
StatePublished - 1991

Fingerprint

Migraine without Aura
Migraine Disorders
Primary Care Physicians
Hyperacusis
Photophobia
Headache Disorders
Nausea
Headache
Patient Care
Research

Keywords

  • diagnosis
  • migraine

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Criteria for the diagnosis of migraine in clinical practice. / Solomon, S.; Lipton, Richard B.

In: Headache, Vol. 31, No. 6, 1991, p. 384-387.

Research output: Contribution to journalArticle

@article{5ec9bdd64bc14109b7b46b3416d063aa,
title = "Criteria for the diagnosis of migraine in clinical practice",
abstract = "Criteria for the diagnosis of migraine have evolved from generalized descriptions to specific rules designed to ensure the selection of homogenous groups of patients for research studies. For clinical practice, the former are insufficiently specific and the latter are too complex. For care of headache patients by primary care physicians, we propose that the diagnosis of migraine without aura (common migraine) is warranted if any two of the following symptoms are present: unilateral site, throbbing quality, nausea, photophobia or phonophobia. These criteria are derived from a study comparing the features of 100 patients with migraine without aura and 100 patients with chronic daily headache. The proposed criteria for the diagnosis of migraine without aura were highly sensitive and adequately specific in discriminating groups. These simple criteria should facilitate the diagnosis of migraine by primary care physicians.",
keywords = "diagnosis, migraine",
author = "S. Solomon and Lipton, {Richard B.}",
year = "1991",
language = "English (US)",
volume = "31",
pages = "384--387",
journal = "Headache",
issn = "0017-8748",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Criteria for the diagnosis of migraine in clinical practice

AU - Solomon, S.

AU - Lipton, Richard B.

PY - 1991

Y1 - 1991

N2 - Criteria for the diagnosis of migraine have evolved from generalized descriptions to specific rules designed to ensure the selection of homogenous groups of patients for research studies. For clinical practice, the former are insufficiently specific and the latter are too complex. For care of headache patients by primary care physicians, we propose that the diagnosis of migraine without aura (common migraine) is warranted if any two of the following symptoms are present: unilateral site, throbbing quality, nausea, photophobia or phonophobia. These criteria are derived from a study comparing the features of 100 patients with migraine without aura and 100 patients with chronic daily headache. The proposed criteria for the diagnosis of migraine without aura were highly sensitive and adequately specific in discriminating groups. These simple criteria should facilitate the diagnosis of migraine by primary care physicians.

AB - Criteria for the diagnosis of migraine have evolved from generalized descriptions to specific rules designed to ensure the selection of homogenous groups of patients for research studies. For clinical practice, the former are insufficiently specific and the latter are too complex. For care of headache patients by primary care physicians, we propose that the diagnosis of migraine without aura (common migraine) is warranted if any two of the following symptoms are present: unilateral site, throbbing quality, nausea, photophobia or phonophobia. These criteria are derived from a study comparing the features of 100 patients with migraine without aura and 100 patients with chronic daily headache. The proposed criteria for the diagnosis of migraine without aura were highly sensitive and adequately specific in discriminating groups. These simple criteria should facilitate the diagnosis of migraine by primary care physicians.

KW - diagnosis

KW - migraine

UR - http://www.scopus.com/inward/record.url?scp=0026077471&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026077471&partnerID=8YFLogxK

M3 - Article

C2 - 1889979

AN - SCOPUS:0026077471

VL - 31

SP - 384

EP - 387

JO - Headache

JF - Headache

SN - 0017-8748

IS - 6

ER -