Migraine-related symptoms in childhood

Paul Winner1

  • 1Palm Beach Headache Center, Premiere Research Institute, Palm Beach Neurology, Nova Southeastern University, 4631 N. Congress Avenue, Suite 200, West Palm Beach, FL 33407, USA. PWinner777@aol.com

Insights

Childhood periodic syndromes, precursors to migraine, are now understood as episodic symptoms associated with migraine. This evolution impacts diagnosis, pathophysiology, and management in both children and adults.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Headache Medicine

Background:

  • Childhood periodic syndromes are recognized as precursors to adult migraine.
  • Similarities in symptoms and a positive family history of migraine are common in affected children.
  • These syndromes can transform into adult migraine with or without aura.

Purpose of the Study:

  • To explore the evolution of understanding childhood periodic syndromes.
  • To examine the shift in terminology towards episodic symptoms associated with migraine.
  • To discuss advancements in diagnostic criteria, pathophysiology, and management.

Main Methods:

  • Review of the evolution of diagnostic criteria for headache disorders in children and adults.
  • Analysis of the changing terminology from 'periodic symptoms' to 'episodic symptoms'.
  • Examination of the International Classification of Headache Disorders' role.

Main Results:

  • Understanding has evolved from 'periodic symptoms of childhood' to 'childhood periodic syndromes' and now 'episodic symptoms associated with migraine'.
  • The International Classification of Headache Disorders has been key in refining these classifications.
  • The new terminology 'episodic symptoms' is broader and not limited to childhood.

Conclusions:

  • The classification of episodic symptoms associated with migraine has significantly evolved.
  • This evolution impacts the diagnostic criteria, pathophysiology, and management strategies.
  • The updated terminology reflects a more inclusive understanding across age groups.

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