Migraine: Updated Diagnostic Criteria and Management Strategies

The International Classification of Headache Disorders (ICHD-3) provides updated diagnostic criteria for migraine. This article reviews the classification, red flags, and evidence-based treatment options.

By Dr. Priya Naidoo 5 Jun 2026 7 min read 1 CPD

Diagnostic Criteria

Migraine without aura requires at least 5 attacks lasting 4-72 hours, with at least 2 of: unilateral location, pulsating quality, moderate-severe pain, aggravation by routine activity. Plus at least 1 of: nausea/vomiting, photophobia and phonophobia.

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