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Abstract:
The incidence and different presentations of basilar migraine are described in a series of 132 children (80 boys, 52 girls) presenting with recurring headache considered to be migraine. Basilar migraine occurred in 29 children, and a further 18 had minor symptoms compatible with but not diagnostic of this form. The course was most often benign, with infrequent, fragmentary attacks and little disability. Rarely, attacks were both severe and frequent, but even then the clinical pattern and outcome usually followed a similar course. Only two children (with the youngest ages at onset) have serious disability, with mental slowing and (in one) permanent neurological sequelae. The relationship between basilar migraine and the syndrome of alternating hemiplegia of infancy is discussed. Because of the limited present knowledge, it is suggested that rigid definitions of migraine should be avoided.
Insights
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.
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.