Table 1.
ICHD-3 code | Migraine Subtype | Recommended tests |
---|---|---|
1.1 | Migraine without aura | None |
Frequent Episodic Migraine |
Brain MRIa Carodit ultrasound or MRAa ESRa |
|
1.2 | Migraine with aura | Brain MRIa |
1.2.2 | Migraine with brainstem aura |
Brain MRI & MRA EEGa Carotid and vertebral arteries ultrasound/or CT or MRAa Genetic evaluationa |
1.2.3 | Hemiplegic migraine |
Brain MRI & MRA Genetic evaluation |
1.2.4 | Retinal migraine |
Brain MRI & MRA Ophthalmologic evaluation |
1.3 | Chronic migraine |
Brain MRI Gd & MRVa Fundoscopya Lumbar puncture Polysomnographya |
1.4 | Complications of migraine | Brain MRI |
1.4.2 | Persistence aura without infraction | Emergency brain CT or MRI (Carotid and vertebral arteries ultrasound/or CT or MRA ESRa) |
1.4.3 | Migrainous infarction |
Emergency brain CT or MRI (Carotid and vertebral arteries ultrasound/or CT or MRAa) ESRa |
1.4.4 | Migraine aura-triggered seizures | Repetitive EEGs or video EEG |
1.5 | Probable migraine | Brain MRIa |
1.6 | Episodic syndromes that may be associated with migraine | Gastric work-up |
Adapted from Mitsikostas et al., 2015 [5] with changes
aIndicates specific conditions; CT Computerized tomography, MRI Magnetic resonance imaging, MRA Magnetic resonance angiography, MRV Magnetic resonance venography, Gd Gadolinium, EEG Electro-encephalogram, ESR Eryhtrocyte sedimentation rate