1.4.1 Status migrainosusHartmut Gobel2018-02-06T09:52:51+00:00

Description:

A debilitating migraine attack lasting for more than 72 hours.

Diagnostic criteria:

1. A headache attack fulfilling criteria B and C
2. Occurring in a patient with 1.1 Migraine without aura and/or 1.2 Migraine with aura, and typical of previous attacks except for its duration and severity
3. Both of the following characteristics:
4. unremitting for >72 hours¹
5. pain and/or associated symptoms are debilitating²
6. Not better accounted for by another ICHD-3 diagnosis.

Notes:

1. Remissions of up to 12 hours due to medication or sleep are accepted.
2. Milder cases, not meeting criterion C2, are coded 1.5.1 Probable migraine without aura.

Comment:

Headache with the features of 1.4.1 Status migrainosus may often be caused by medication overuse. When headache in these circumstances meets the criteria for 8.2 Medication-overuse headache, code for this disorder and the relevant type or subtype of migraine but not for 1.4.1 Status migrainosus. When overuse of medication is of shorter duration than 3 months, code for the appropriate migraine type or subtype(s) only.