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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine variants--occurrence in pediatric neurology practice
Iliyana H Pacheva1, Ivan S Ivanov
1Department of Pediatrics and Medical Genetics, Medical University, Plovdiv, Bulgaria. inapatcheva@hotmail.com
Clinical Neurology and Neurosurgery
|May 22, 2013
Summary
Migraine variants are common in children, with basilar type migraine being the most frequent. Recognizing these variants aids in accurate diagnosis and management of pediatric migraine.
Area of Science:
- Neurology
- Pediatric Neurology
- Headache Disorders
Background:
- Migraine is prevalent in pediatric neurology, but its variants present diagnostic challenges.
- Migraine variants are less common but can be difficult to identify in children.
Purpose of the Study:
- To determine the frequency of migraine variants in pediatric neurology practice.
- To analyze the clinical presentation of these migraine variants.
- To evaluate the diagnostic criteria for migraine variants.
Main Methods:
- Retrospective analysis of 2509 pediatric patients (0-18 years) diagnosed between 2002-2006.
- Diagnosis of migraine forms followed the International Classification of Headache Disorders, 2nd Edition (ICHD-II).
- Inclusion of specific conditions like benign paroxysmal torticollis and alternating hemiplegia of childhood as potential migraine variants.
Main Results:
- 111 patients (4.4%) met migraine criteria; 24.3% of these had migraine variants.
- Basilar type migraine (6.3%) was the most common variant, followed by benign paroxysmal vertigo (5.4%) and hemiplegic migraine (3.6%).
- Acute confusional migraine (2.7%) and benign paroxysmal torticollis (2.7%) were also observed, alongside Alice in Wonderland syndrome (0.9%) and ophthalmoplegic migraine (0.9%).
Conclusions:
- Basilar type migraine is the most frequent variant in children.
- Acute confusional migraine and Alice in Wonderland syndrome may represent distinct entities within migraine with complex aura.
- Benign paroxysmal torticollis warrants classification as a migraine variant, and ophthalmoplegic migraine cases with specific features should be considered migraine forms.
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