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Related Experiment Videos

Headache in childhood.

L N Rossi1

  • 1Department of Pediatrics, University of Milan, Italy.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

Pediatric migraine involves recurrent headaches, often with nausea and abdominal pain. While the cause is unknown, stress is a common trigger, and the prognosis is generally good with appropriate treatment.

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Area of Science:

  • Neurology
  • Pediatrics

Background:

  • Migraine in children is characterized by recurrent headaches, distinct from other intracranial diseases.
  • The exact pathogenesis of pediatric migraine remains unclear, with potential differences between migraine with and without aura.
  • Psychological stress is identified as the most frequent trigger for migraine attacks in school-aged children.

Purpose of the Study:

  • To outline the diagnostic criteria and clinical characteristics of migraine in children.
  • To discuss the potential triggers and varied presentations of pediatric migraine.
  • To highlight the diagnostic approach, including exclusion of symptomatic headaches and the role of investigations.

Main Methods:

  • Clinical diagnosis based on recurrent headache episodes with free intervals, excluding intracranial pathology.

Related Experiment Videos

  • Evaluation of common migraine symptoms in children, including headache, nausea, vomiting, abdominal pain, and paresthesias.
  • Consideration of complex migraine presentations, basilar artery migraine, and acute confusional states.

    • Main Results:

    • Pediatric migraine attacks commonly feature hemicranial headaches, nausea, vomiting, abdominal pain, and paresthesias; scotomata are less frequent.
    • Electroencephalogram (EEG) abnormalities are common, and cerebrospinal fluid (CSF) pleocytosis may occur in complex migraine.
    • The prognosis for pediatric migraine is generally favorable, with preventive treatment indicated for severe or refractory attacks.

    Conclusions:

    • Migraine is the most common cause of recurrent headaches in children, often diagnosed clinically.
    • While generally benign, severe or complex cases may require further investigation and preventive strategies.
    • Differentiating migraine from symptomatic headaches is crucial, sometimes necessitating laboratory examinations.