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Published on: June 2, 2014
Epidemiology and diagnosis of migraine in children
Paul Winner1, Andrew D Hershey
1Palm Beach Headache Center, 4631 North Congress Avenue, West Palm Beach, FL 33407, USA. eneuro@aol.com
Insights
Pediatric migraine is common but frequently unrecognized, leading to improper treatment. Revised diagnostic criteria aim to improve the accurate identification and study of childhood headaches.
Area of Science:
- Neurology
- Pediatrics
- Headache Medicine
Background:
- Migraine headaches are prevalent in children and adolescents.
- Underdiagnosis and misdiagnosis are common, leading to ineffective treatments.
- Contributing factors include diagnostic criteria limitations and misconceptions about etiology.
Purpose of the Study:
- To highlight the issue of underdiagnosis in pediatric migraine.
- To introduce the revised International Classification of Headache Disorders II criteria.
- To emphasize the importance of accurate diagnosis for effective treatment and research.
Main Methods:
- Review of current diagnostic challenges in pediatric migraine.
- Introduction of the revised International Classification of Headache Disorders II.
- Discussion of factors contributing to misdiagnosis.
Main Results:
- The revised criteria offer a scientific basis for studying pediatric migraine.
- Improved diagnostic accuracy is expected with the new criteria.
- Better understanding of incidence and prevalence is anticipated.
Conclusions:
- Accurate diagnosis of pediatric migraine is crucial.
- Revised diagnostic criteria are essential for improving care and research.
- Addressing misconceptions is key to reducing underdiagnosis.
Abstract:
Migraine headache occurs frequently in children and adolescents but is often not recognized. This underdiagnosis or misdiagnosis results in inappropriate and potentially ineffective treatments. A variety of factors may contribute to this deficiency, including limitations in the current standardized criteria, as well as patient, parent, and care providers' misassumption as to the etiology. The standardized criteria that have been developed to assist with the recognition and accurate diagnoses have recently been revised (the International Classification of Headache Disorders II). These criteria provide the scientific basis for the study of headache, including the determination of the incidence and prevalence of pediatric migraine.
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