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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Profile of children with migraine
Mustafa Aydin1, Nimet Kabakus, Senol Bozdag
1Department of Pediatric Neurology, Faculty of Medicine, Firat University, Turkey. dr1mustafa@hotmail.com
Insights
Migraine is a common cause of headaches in children, impacting school performance. Early diagnosis and preventive treatments are effective for managing pediatric migraine.
Area of Science:
- Neurology
- Pediatrics
Background:
- Migraine is a prevalent neurological disorder.
- Understanding its clinical characteristics in children is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical features of pediatric migraine patients.
- To assess the impact of migraine on school performance and daily activities.
- To determine the effectiveness of prophylactic treatments.
Main Methods:
- Retrospective review of 76 pediatric patients diagnosed with migraine based on ICHD-II 2004 criteria.
- Patients categorized into three age groups: 3-6, 7-12, and 13-17 years.
- Analysis of headache frequency, impact on school performance, family history, and treatment outcomes.
Main Results:
- Migraine was the most common cause of headache (57.1%) in the pediatric neurology clinic.
- Average headache attack rate was 2.5 per week, negatively affecting school performance in 34.2% of patients.
- A family history of migraine or headache was reported in 71.1% of patients.
- Prophylactic medications (flunarizine, propranolol, topiramate, sodium valproate) showed high effectiveness.
Conclusions:
- Migraine is a frequent cause of headaches in children.
- Pediatric migraine negatively impacts academic and daily functioning.
- Family history is a significant factor in diagnosing migraine.
- Prophylactic treatment strategies are highly effective in managing pediatric migraine.
Objective:
To assess the clinical characteristics of patients with migraine.
Methods:
The medical records of 76 patients diagnosed with migraine were reviewed using the ICHD-II 2004 diagnosis criteria. The patients were classified into three age groups: 3-6 yr olds (group I), 7-12 yr olds (group II), and 13-17 yr olds (group III).
Results:
Migraine was the most common cause of headache in the patients of present pediatric neurology outpatient clinic (57.1%, 76/133). The mean age of patients was 11.08 ± 3.27 (3.25-17) yrs. The number of girls as the age increased (groups II and III). The mean headache attacks rate was 2.5 ± 1.5 per wk, which resulted in worsening of school performance (n = 26, 34.2%). In the majority of patients (n = 54, 71.1%), there was a family history of migraine or headache in the close relatives. Prophylaxis was found effective for all given medications (flunarizine: 46/54, propranolol: 19/21, topiramate: 10/10, sodium valproate: 1/1).
Conclusions:
These findings indicate that: (a) migraine is the most frequent cause of headache in pediatric patients, (b) it has negative effects on school performance and daily activities, (c) the family history is important for making the diagnosis and (d) prophylaxis is significantly effective.
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