1.2.5 Sporadic hemiplegic migraine

Description:

Migraine with aura including motor weakness but no first- or second-degree relative has aura including motor weakness.

Diagnostic criteria:

A. At least 2 attacks fulfilling criteria B and C

B. Aura consisting of fully reversible motor weakness and at least one of the following:

1. fully reversible visual symptoms including positive features (eg, flickering lights, spots or lines) and/or negative features (ie, loss of vision)

2. fully reversible sensory symptoms including positive features (ie, pins and needles) and/or negative features (ie, numbness)

3. fully reversible dysphasic speech disturbance

C. At least two of the following:

1. at least one aura symptom develops gradually over 5 minutes and/or different aura symptoms occur in succession over 5 minutes

2. each aura symptom lasts 5 minutes and 24 hours

3. headache fulfilling criteria B-D for 1.1 Migraine without aura begins during the aura or follows onset of aura within 60 minutes

D. No first- or second-degree relative has attacks fulfilling these criteria A-E

E. Not attributed to another disorder

© 2003 International Headache Society (quoted from International Headache Society, 2004)

References

International Headache Society. The International Classification of Headache Disorders, 2nd edition. Cephalalgia 2004; 24 (suppl. 1): 1-160.

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