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[Risk factors in headache in children from 7 to 15]

D de S Carvalho1, E Zukerman, S N Hanuch

  • 1Disciplina de Neurologia, Escola Paulista de Medicina.

Insights

Childhood migraine is linked to several symptoms like abdominal pain, dizziness, and motion sickness. Family history also plays a role, suggesting potential migraine risk factors in children.

Area of Science:

  • Pediatric Neurology
  • Clinical Epidemiology

Background:

  • Migraine is a common neurological disorder with significant impact on children's quality of life.
  • Identifying associated symptoms and risk factors in pediatric migraine is crucial for early diagnosis and management.

Purpose of the Study:

  • To investigate the association between specific symptoms (sleep troubles, abdominal pain, motion sickness, hyperactivity, dizziness, limb pain, cyclic vomiting, pseudoangine) and family history of headache/migraine in children with migraine.
  • To compare the prevalence of these factors in children with migraine versus non-headache sufferers.

Main Methods:

  • A comparative study involving 68 children diagnosed with migraine and 68 age-matched controls (7-15 years) without headache history.
  • Data collection focused on the presence of specific symptoms and family history of headache or migraine.

Main Results:

  • Migraine sufferers showed a significant predominance of recurrent abdominal pain, motion sickness, hyperactivity, dizziness, and family history of headache/migraine compared to controls.
  • Pseudoangine showed no significant difference between groups.
  • Sleep troubles were significant in male migraineurs, while limb pains were significant in female migraineurs.

Conclusions:

  • Recurrent abdominal pain, motion sickness, hyperactivity, dizziness, and family history are potential risk factors for childhood migraine.
  • Gender-specific associations exist for sleep troubles and limb pain in pediatric migraine sufferers.
  • Further research is warranted to confirm these factors as definitive migraine risk factors.

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