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Published on: June 2, 2014
[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.
Abstract:
We investigated 100 children with migraine admitted to the Developmental Neurology Department, Medical University of Gdańsk between 1988-1997. The diagnosis was made on IHS Criteria (1988). There were 53 children with migraine with aura and 47--without aura. The children were divided into three groups according to the onset of migraine attacks (3-16 years of age). To reveal the relation between clinical manifestation of migraine and the age, statistical analysis was made. The results showed that a higher frequency of migraine with aura was observed in the oldest group of children. Boys were more predisposed to develop migraine earlier. The headaches most often were pulsatile and located in the forehead, rarely-lateralized. There was no relation between location of headache, age, sex and type of migraine. In 63% of children the duration of headache was above 2 hours, in 37%--from few minutes to 2 hours. Vomiting was noticed in two thirds of patients, phonophobia and photophobia were observed in 20 children with migraine without aura and in 5 children with migraine with aura. The frequency of migraine attacks was higher in migraine without aura. Aura symptoms were mainly sensory and visual. CT and MRI were negative.
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