Table 1.

ICHD-II Criteria for migraine without aura and tension-type headache for children

Migraine without aura (code 1.1)

A. At least five attacks fulfilling criteria B–D

B. Attacks lasting 1–72 h (untreated or successfully treated)

C. Two of the following characteristics:

1. Migraine headache commonly is bilateral; occipital headache in children is rare

2. Pulsating quality

3. Moderate to severe intensity

4. Aggravated by, or causing avoidance of, routine physical activity

D. At least one of the following associated symptoms:

1. Nausea and/or vomiting

2. Photophobia and phonophobia (photophobia may be inferred from behavior in young children)

Subtypes: Episodic (<15 days/mo) and chronic (≥15 days/mo on average for >3 mo)

Tension-type headache (code 2)

A. At least 10 episodes occurring on <1 day/mo on average (12 days/y) and fulfilling criteria B–D

B. Headache lasting 30 min to 7 days

C. Two of the following characteristics:

1. Bilateral location

2. Pressing/tightening (nonpulsating) quality

3. Mild to moderate intensity

4. Not aggravated by routine activity

D. At least one of the following associated symptoms:

1. No nausea or vomiting

2. Photophobia or phonophobia

Subtypes

1. Episodic

A. May occur with or without pericranial muscle tenderness

1. Infrequent

a. At least 10 episodes occurring on <1 day/mo on average (<12 days/y) and fulfilling criteria B–D

2. Frequent

a. At least 10 episodes occurring on ≥1 but <l5 day/mo for at least 3 months

2. Chronic

A. ≥15 days/mo on average for >3 mo

ICHD-II The International Classification of Headache Disorders, second edition

(Data from the Headache Classification Subcommittee of the International Headache Society [4].)