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Pediatric Migraine Phenomena and Variants: Don't Let Them Go Over Your Head
Shanna Swartwood1, Kendra Pham2, Meghan S Candee3
1Division of Pediatric Neurology, Department of Pediatrics, University of Utah and Primary Children's Hospital, Salt Lake City, UT, USA.
Current Pain and Headache Reports
|July 17, 2020
Summary
Pediatric migraine with aura and its variants require clear understanding for accurate diagnosis. Early identification of these childhood migraine syndromes reduces costs and anxiety for families.
Area of Science:
- Pediatric Neurology
- Neuroscience
- Genetics
Background:
- Migraine is a common headache disorder in children, with variants often presenting early.
- Accurate diagnosis of pediatric migraine with aura is crucial for effective management.
Purpose of the Study:
- To provide a clear understanding of pediatric migraine with typical aura and its variants.
- To guide primary care providers and pediatric neurologists in diagnosing and managing these conditions.
Main Methods:
- Review of current literature on pediatric migraine with aura.
- Highlighting genetic mutations, ophthalmologic phenomena, and early manifestations.
- Emphasis on the 2018 International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria.
Main Results:
- Identified genetic mutations linked to specific migraine with aura types.
- Discussed ophthalmologic signs and early childhood migraine presentations with adult correlates.
- Emphasized the prevalence of migraine with or without aura and tension-type headaches in children.
Conclusions:
- Early and accurate diagnosis of episodic syndromes associated with migraine is essential.
- Adherence to ICHD-3 criteria can minimize unnecessary investigations and reduce patient/family burden.
- Improved understanding benefits patients through reduced imaging, referrals, costs, and anxiety.
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