IntroductionMigraine affects 7.7% of children and adolescents and presents with short duration, bilateral and generally frontotemporal localization, however, the relationship of pain and sensitivity symptoms and their correlations with physical tests as well as range of motion are not well understood in these groups. ObjectiveCorrelate sensitization including allodynia and pressure pain threshold (PPT) of cervical muscles with neck mobility in children and adolescents with migraine. MethodsFifty children (CH) and adolescents (AD) diagnosed with migraine by ICHD-III were screened, of both sexes, aged between 6 and 17 years at the tertiary headache outpatient clinic. Allodynia was assessed by the adapted allodynia questionnaire based on the ICHD-III and the sensitivity of the cervical muscles sternocleidomastoid, elevator, suboccipital, trapezius and scalene by the pressure pain threshold (PPT) using a digital algometer DDK-20 Kratos®. The active mobility of the cervical spine (ROM) was evaluated in the movements of flexion, extension, lateral flexion, and rotation by the Flexion Rotation Test (FRT), using the CROM®. ResultsThe mean age of patients was 11.7 years (SD=3.0), most of them female (n=31/62%), adolescents (n= 28/56%) with a diagnosis of episodic migraine (n=32/64%), of low intensity (2.4; SD=0.6), pulsatile quality, duration in hours (18.0; SD=22.7) and more than half of the sample had no aura (n=32/64%). More than 70% of the sample had some comorbidity associated with the diagnosis of migraine, and neurological diseases, such as epilepsy, were more prevalent in both children (25.2%) and adolescents (26.3%), followed by respiratory diseases in children (20.1%) and psychological conditions in adolescents (19.8%). (To see the complete abstract, please, check out the PDF).

IntroductionChildhood headache is one of the most common neurological symptoms that affects about 60% of children (CR) and adolescents (AD) and its prevalence increases with age. Primary and secondary childhood headache have different characteristics and prevalence, but also have similarities, such as the diagnostic and treatment method. However, the data available in the literature do not take into account the level of complexity at healthy service where these children and adolescents are treated. ObjectivesTo analyze the clinical characteristics of children (CH) and adolescents (AD) with primary and secondary headaches of tertiary-level headache outpatient clinic. MethodsRetrospective study, based on review of medical records of CH and AD with primary or secondary headaches between the years 2016 and 2021. Sociodemographic data, medical history, clinical history, and daily routine of the child were obtained. The proportion of primary and secondary headaches in the CH and AD groups was also calculated. For continuous variables and categorical data, the chi-square test was used, considering p<0.05. ResultsA total of 386 medical records were included, of which 206 were CH (n=112; 54.8% girls) and 178 AD (n=118; 66.8% girls). Headaches were episodic in CH (57.3%) and chronic in AD (49.7%), [X2(2)=10.001; p=0.007], of mild intensity in CH (64.1%), strong in AD (48.5%), [X2(3)=25.802; p=0.000]. In CH, the mostprevalent type of headache was in pressure (64.3%) and pulsatile in AD (52.8%), [X2(5)=14.595; p=0.012]. (To see the complete abstract, please, check out the PDF).

Introdução As cefaleias primárias e secundárias atingem em torno de 60% das crianças e adolescentes, e cerca de 80% deles possuem comorbidades. Objetivo Avaliar a prevalência de diagnóstico e comorbidades de crianças e adolescentes com cefaleias atendidos em um hospital terciário nos últimos cinco anos. Material E Métodos Estudo retrospectivo, baseado na revisão de prontuários de crianças e adolescentes atendidas no Ambulatório de Cefaleia Infantil localizado no HCFMRP/USP entre os anos de 2016 e 2021. O estudo foi aprovado pelo Comitê de Ética em Pesquisa Local (CAAE: 45631321.0.0000.5440). Os pacientes foram classificados de acordo com a idade, como crianças (CR; <12 anos) e adolescentes (AD; 12 a 18 anos). As comorbidades apresentadas foram classificadas de acordo com o tipo de doença. Os dados foram analisados utilizando o programa Microsoft Corporation® Excel.  Resultados Foram analisados 242 prontuários, sendo que 54% da amostra eram crianças (8,7 anos, DP 2,0) e 46% adolescentes (14,4 anos, DP 1,8). Os indivíduos foram diagnosticados com migrânea (CR 80,7%; AD 74,2%), cefaleia tensional (CR 2,3%; AD 1,8%) e cefaleias secundárias (CR 6,2%; AD 6,8%). Pacientes com mais de um diagnóstico foram classificados com cefaleia mista (CR 4,6%; AD 12,6%), e aqueles sem diagnóstico definido, com diagnóstico inconclusivo (CR 6,2%; AD 4,6%). As principais comorbidades observadas nas crianças foram distúrbios do sono (25,6%) e doenças respiratórias (23,3%), como a rinite. Já em adolescentes, além das doenças respiratórias (23,1%) e distúrbios do sono (19,8%), as doenças neurológicas (23,1%) como a epilepsia, também foram altamente prevalentes. Conclusão A prevalência de migrânea se destaca tanto em crianças quanto em adolescentes. Quanto às comorbidades, as doenças respiratórias e os distúrbios do sono foram comuns em crianças e em adolescentes, e doenças neurológicas apresentaram alta prevalência apenas entre os adolescentes.