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Table 4 Diagnostic criteria for CM according to S-L, ICHD-3β and EO criteria

From: Field testing of the ICHD-3β and expert opinion criteria for chronic migraine

S-L

ICHD-3β

EO

A. Daily or almost daily (>15 days a month) head pain for >1 month

A. Headache on ≥15 days per month for at least 3 months

A. Headache on ≥15 days per month for at least 3 months

B. Average headache duration of >4 h a day (if untreated)

B. Occurring in a patient who has had at least 5 attacks fulfilling criteria for 1.1 Migraine without aura and/or 1.2 migraine with aura

B. On ≥8 days per month on average ≥4 hours/day for at least 3 months, 1 or more of the following criteria were fulfilled

 1. Criteria C and D for 1.1 migraine without aura

 2. Criteria B and C for 1.2 migraine with aura

 3. Criteria A and B for 1.5 probable migraine

C. At least one of the following:

 1. History of episodic migraine meeting any HIS criteria 1.1-1.6

 2. History of increasing headache frequency with deceasing severity of migrainous features over at least 3 months

 3. Headache at some time meets HIS criteria for migraine 1.1-1.6 other than duration

C. On ≥8 days per month for at least 3 months, one or more of the following criteria were fulfilled

 1. Criteria C and D for 1.1 migraine without aura

 2. Criteria B and C for 1.2 migraine with aura

 3. Believed by the patient to be migraine at onset and relieved by a triptan or ergot derivative

C. Not better accounted for by another ICHD-3 diagnosis

D. Dose not meet criteria for new daily persistent headache (4.7) or hemicrania compounds continua (4.8)

D. Not better accounted for by another ICHD-3 diagnosis.

D. Does not meet criteria for new daily persistent headache (4.7) or hemicrania continua (4.8)

  1. Abbreviations: S-L silberstein and lipton criteria, ICHD-3β international classification of headache disorders, 3rd edition beta version, EO expert opinion criteria, CM chronic migraine