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Diagnostic criteria for migraine and psychogenic headache in children

L N Rossi1, I Cortinovis, G Bellettini

  • 1Department of Paediatrics, University of Milan, Italy.

Developmental Medicine and Child Neurology
|June 1, 1992
PubMed

Insights

Computer analysis of children's headache histories identified psychogenic headache as a distinct syndrome. However, standard classification systems made distinguishing these cases difficult among pediatric migraine patients.

Area of Science:

  • Pediatric Neurology
  • Clinical Psychology

Background:

  • Headaches are common in children, with migraine and psychogenic headaches presenting diagnostic challenges.
  • Accurate classification is crucial for effective treatment and understanding of pediatric headache disorders.

Purpose of the Study:

  • To analyze computer-assisted headache histories in children to identify and classify migraine.
  • To distinguish children experiencing psychogenic headaches from other headache types.

Main Methods:

  • Computer analysis of headache histories from 214 children.
  • Attempted classification into homogeneous groups based on symptoms and history.
  • Comparison with the International Headache Society's classification criteria.

Main Results:

  • Most children reported few associated symptoms during headache attacks.
  • 175 patients were divided into four groups, with 39 unclassifiable, indicating overlap.
  • Psychogenic headache was identified as a distinct syndrome in 10 patients, characterized by psychological issues and daily headaches for at least a month.
  • Standard International Headache Society classification obscured the distinction of psychogenic headaches.

Conclusions:

  • Computer analysis can help identify distinct pediatric headache syndromes like psychogenic headache.
  • Existing classification systems may not adequately differentiate psychogenic headaches in children.
  • Further research is needed to refine diagnostic criteria for pediatric headaches.

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