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1.2.4 Familial hemiplegic migraine (FHM)Description:Migraine with aura including motor weakness and at least one first- or second-degree relative has migraine aura including motor weakness. Diagnostic criteria:A. At least 2 attacks fulfilling criteria B and C B. Aura consisting of fully reversible motor weakness and at least one of the following: 1. fully reversible visual symptoms including positive features (eg, flickering lights, spots or lines) and/or negative features (ie, loss of vision) 2. fully reversible sensory symptoms including positive features (ie, pins and needles) and/or negative features (ie, numbness) 3. fully reversible dysphasic speech disturbance C. At least two of the following: 1. at least one aura symptom develops gradually over 5 minutes and/or different aura symptoms occur in succession over 5 minutes 2. each aura symptom lasts 5 minutes and 24 hours 3. headache fulfilling criteria B-D for 1.1 Migraine without aura begins during the aura or follows onset of aura within 60 minutes D. At least one first- or second-degree relative has had attacks fulfilling these criteria A-E E. Not attributed to another disorder Compendium taken from Cephalagia © International Headache Society 2003. Author: Markus Dahlem
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