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.

Headache
|November 23, 2006
PubMed

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.
Abstract

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