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Basilar migraine in childhood.

J M Hockaday

    Developmental Medicine and Child Neurology
    |August 1, 1979
    PubMed
    Summary

    Basilar migraine in children is often benign, with infrequent attacks and minimal disability. However, rare severe cases can lead to serious neurological issues, especially in younger children.

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    Area of Science:

    • Neurology
    • Pediatrics
    • Neuroscience

    Background:

    • Basilar migraine is a subtype of migraine headache.
    • This study examines the presentation and outcomes of basilar migraine in children.

    Observation:

    • A series of 132 children with migraine were analyzed.
    • Basilar migraine was diagnosed in 29 children, with 18 others showing compatible symptoms.

    Findings:

    • The majority of basilar migraine cases in children followed a benign course with infrequent attacks and low disability.
    • Severe and frequent attacks were rare, but typically followed a similar clinical pattern and outcome.
    • Two children, diagnosed at the youngest ages, experienced significant disability, including mental slowing and permanent neurological sequelae.

    Implications:

    • The findings suggest that basilar migraine in children is usually not disabling.
    • The study highlights the potential for severe outcomes in a small subset of young patients.
    • It is recommended to avoid rigid diagnostic criteria for migraine in pediatric populations due to limited current knowledge.

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