[Clinical characteristics of migraine in children according to the age]

E Dilling-Ostrowska1, S Konieczna, L Lubińska-Wykrzykowska

  • 1Klinika Neurologii Rozwojowej Katedry Neurologii Akademii Medycznej w Gdańsku.

Insights

This study found that migraine with aura is more common in older children, while boys tend to develop migraines earlier. Headache characteristics and frequency varied by migraine type and age group.

Area of Science:

  • Pediatric Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Migraine is a common neurological disorder in children.
  • Understanding migraine's clinical manifestations in pediatric populations is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate the clinical characteristics of migraine in children.
  • To explore the relationship between age of onset, clinical presentation, and migraine type in pediatric patients.

Main Methods:

  • Retrospective analysis of 100 children diagnosed with migraine based on International Headache Society (IHS) criteria (1988).
  • Children were categorized by migraine type (with or without aura) and age groups (3-16 years).
  • Statistical analysis was performed to identify correlations between clinical features and demographic data.

Main Results:

  • Migraine with aura was more frequent in older children (3-16 years).
  • Boys showed a higher predisposition for earlier migraine onset.
  • Headaches were typically pulsatile and frontal; duration varied, with 63% lasting over 2 hours.
  • Vomiting occurred in two-thirds of patients; phonophobia/photophobia were more common in migraine without aura.
  • Aura symptoms predominantly involved sensory and visual disturbances; neuroimaging (CT/MRI) was unremarkable.

Conclusions:

  • Age and sex are significant factors influencing migraine presentation in children.
  • Clinical features like aura, headache location, and associated symptoms differ between migraine types in pediatric patients.
  • Further research is needed to elucidate the specific pathophysiology and long-term outcomes of childhood migraine.

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