Migraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated. To support clinical decision-making, we convened a European panel of experts to develop a ten-step approach to the diagnosis and management of migraine. Each step was established by expert consensus and supported by a review of current literature, and the Consensus Statement is endorsed by the European Headache Federation and the European Academy of Neurology. In this Consensus Statement, we introduce typical clinical features, diagnostic criteria and differential diagnoses of migraine. We then emphasize the value of patient centricity and patient education to ensure treatment adherence and satisfaction with care provision. Further, we outline best practices for acute and preventive treatment of migraine in various patient populations, including adults, children and adolescents, pregnant and breastfeeding women, and older people. In addition, we provide recommendations for evaluating treatment response and managing treatment failure. Lastly, we discuss the management of complications and comorbidities as well as the importance of planning long-term follow-up.

偏头痛是一种致残性原发性头痛疾病，直接影响全世界超过 10 亿人。尽管广泛流行，但偏头痛仍未得到充分诊断和治疗。为了支持临床决策，我们召集了一个欧洲专家小组，制定了偏头痛诊断和管理的十步法。每一步都是根据专家共识制定的，并得到当前文献综述的支持，共识声明得到了欧洲头痛联合会和欧洲神经病学学会的认可。在本共识中，我们介绍了偏头痛的典型临床特征、诊断标准和鉴别诊断。然后，我们强调以患者为中心和患者教育的价值，以确保治疗依从性和对护理提供的满意度。更远，我们概述了各种患者群体（包括成人、儿童和青少年、孕妇和哺乳期妇女以及老年人）急性和预防性偏头痛治疗的最佳实践。此外，我们还提供了评估治疗反应和处理治疗失败的建议。最后，我们讨论了并发症和合并症的管理以及计划长期随访的重要性。