SYNOPSIS
Prodromes of classic migraine were retrospectively studied from the records of 325 patients as regards their type, number, duration, frequency and sidedness in relation to the headache phase. We conclude:
1. Prodromes can affect any of the senses, but most commonly affect the visual field.
2. When more than one prodrome was present, the most common combinations were: Visual + Sensory for two prodromes; visual + sensory + speech for three prodromes; and visual + sensory + speech + motor for four prodromes,
3. Duration and Frequency of prodromes vary widely.
4. A definite statement about sidedness of headache in relation to prodrome could not be made.
We feel a prospective study of prodromes is necessary to examine prodrome phenomena in greater detail.
SYNOPSIS
We have developed a computerized interview program suitable for school‐age children with headaches. Behavioral assessment questions have been included. Between 18 and 39% of children and teenagers acknowledge that something happens to influence their headache either the day before, or the day of the headache. Some of the more frequent antecedents included “an especially hard day at work/school/home,” skipping a meal, worrying a lot, and unexpected excitement or pressure. The older the child or adolescent, the more likely he/she acknowledged that an “unpleasant emotional situation” preceded the headache. Chocolate was the only food or beverage identified as a headache antecedent. Heat and sun glare were reported most frequently as weather concomitants of headache. Approximately 30% of the children and teenagers were concerned about headaches interfering with their activities, and between 22 and 46% wanted to control their headaches without medications. Our experience indicates that children who read can complete a computer‐based interview containing behavioral assessment questions, and that an appreciable number of children brought to medical attention for their headaches are receptive to behavioral therapies.
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