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Abnormal movements in children with migraine

Paul E Youssef1, Kenneth J Mack2

  • 1Departments of Child & Adolescent Neurology and Pediatric & Adolescent Medicine, Mayo Clinic, Rochester, MN, USA youssef.paul@mayo.edu.

Journal of Child Neurology
|July 3, 2014
PubMed

Insights

Pediatric functional movement disorders and nonepileptic spells are linked to migraine. Effective migraine treatment can significantly reduce or resolve these symptoms in children.

Area of Science:

  • Pediatric Neurology
  • Movement Disorders
  • Headache Medicine

Background:

  • Functional movement disorders and nonepileptic spells in children lack clear understanding.
  • An association between these conditions and migraine has not been previously documented.

Purpose of the Study:

  • To determine the prevalence of nonorganic movement disorders in children with chronic or episodic migraine.
  • To describe the phenomenology, triggers, and natural history of these disorders in pediatric migraine patients.

Main Methods:

  • Retrospective review of pediatric patients diagnosed with chronic or episodic migraine between 2006 and 2013.
  • Identification and analysis of patients exhibiting nonorganic movement disorders.

Main Results:

  • Thirty-two pediatric patients (4.3% of chronic migraine, 0.9% of episodic migraine) were identified.
  • Nonepileptic spells, tremor, and functional gait disorders were common, often preceded by severe migraine attacks.
  • Significant reduction or resolution of movements was observed with migraine therapy.

Conclusions:

  • Nonorganic movement disorders are associated with pediatric migraine, particularly chronic migraine.
  • Improved migraine pain control is crucial for resolving these associated movement disorders.
Keywords:
chronic daily headachefunctional movement disordersmigrainenonepileptic spells

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