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Published on: June 2, 2014
Circadian and seasonal variation of migraine attacks in children
Stefano Soriani1, Elisa Fiumana, Roberto Manfredini
1Department of Clinical and Experimental Medicine--Pediatrics, University of Ferrara, 44100 Ferrara, Italy.
Insights
Pediatric migraine without aura shows distinct daily and seasonal patterns, with attacks peaking in the morning and afternoon, and during autumn-winter months. These patterns suggest school activities may influence migraine occurrence in children.
Area of Science:
- Neurology
- Pediatrics
- Chronobiology
Background:
- Migraine is a common neurological disorder in children.
- Understanding the temporal patterns of pediatric migraine is crucial for effective management.
- Migraine without aura is the most frequent type in pediatric populations.
Purpose of the Study:
- To investigate the circadian and seasonal rhythmicity of migraine episodes without aura in children.
- To identify specific time intervals with increased migraine attack frequency.
- To explore potential triggers related to temporal patterns.
Main Methods:
- A prospective study involving 115 children diagnosed with migraine without aura.
- Recording of 2517 migraine attack occurrences using daily diaries.
- Analysis of attack times at hourly and monthly intervals to identify temporal variations.
Main Results:
- A significant circadian variation in migraine attacks was observed, with peaks in the early morning and afternoon.
- A distinct seasonal pattern emerged, with a peak incidence between November and January.
- The lowest frequency of migraine attacks occurred in July.
Conclusions:
- Pediatric migraine without aura exhibits significant circadian and seasonal variations.
- The clustering of attacks in the morning/midday and during autumn-winter suggests a link to daily routines.
- School activities are hypothesized as a potential contributing factor to migraine frequency in children.
Object:
To investigate the rhythmicity of migraine episodes without aura in a pediatric population.
Methods:
Time of occurrence of 2517 migraine attacks in 115 children was recorded, by means of a diary, both by hourly and monthly intervals.
Results:
A significant circadian variation, characterized by a peak in the afternoon (P < .001) and one in the early morning (P= .002) was found. A seasonal peak was also observed between November and January, while a nadir was observed in July.
Conclusions:
The clustering of attacks in the morning and midday and in autumn-winter, with a minimum frequency in July, suggests that school activities may represent an important cause of migraine.
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