Home Introduction Prefaces Introduction to the classification How to Use This Classification Subcommittees and working groups The Classification Table of contents Part I: The primary headaches Part II: The secondary headaches Part III: Cranial neuralgias, facial pain and other headaches Appendix Definition of Terms

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1. MIGRAINE 1.1. Migraine without aura1.2. Migraine with aura1.3. Childhood periodic syndromes that are commonly precursors of migraine1.4. Retinal migraine 1.5. Complications of migraine 1.5.1. Chronic migraine 1.5.2. Status migrainosus 1.5.3. Persistent aura without infarction 1.5.4. Migrainous infarction 1.5.5. Migraine-triggered seizure 1.6. Probable migraine Aggravating factorsTrigger factors (precipitating factors) Bibliography2. TENSION-TYPE HEADACHE (TTH) 3. CLUSTER HEADACHE AND OTHER TRIGEMINAL AUTONOMIC CEPHALALGIAS 4. OTHER PRIMARY HEADACHES 

IHS	Diagnosis	ICD-10
1.5.4	Migrainous infarction	G43.3

Description:

One or more migrainous aura symptoms associated with an ischaemic brain lesion in appropriate territory demonstrated by neuroimaging

Diagnostic criteria:

The present attack in a patient with 1.2 Migraine with aura is typical of previous attacks except that one or more aura symptoms persists for >60 minutes
Neuroimaging demonstrates ischaemic infarction in a relevant area
Not attributed to another disorder

Comment:

Ischaemic stroke in a migraine sufferer may be categorised as cerebral infarction of other cause coexisting with migraine, cerebral infarction of other cause presenting with symptoms resembling migraine with aura, or cerebral infarction occurring during the course of a typical migraine with aura attack. Only the last fulfils criteria for 1.5.4 Migrainous infarction.

Increased risk for stroke in migraine patients has been demonstrated in women under age 45 in several studies. Evidence for an association between migraine and stroke in older women and in men is inconsistent.

Sitemap

Consult the Sitemap to learn more about the structure of the classification and its main chapters.

IHS vs. ICD-10

To facilitate headache diagnosis in daily practice, the classification provides the corresponding WHO ICD-10NA codes for each IHS code.

IHS Subcommittee

The Classification Subcommittee prepares and revises the International Classification of Headache Disorders.

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Cephalalgia

Cephalalgia is the official journal of the IHS. It contains original papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications.www.cephalalgia.org

IHS Discussion Group

Ask questions and share information about the 2nd edition of the Headache Classification in one of our peer-to-peer forums. To the Discussion Group

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