Migraine in Children

Vahlquist, B

doi:10.1159/000228238

Cited by 272 publications

(122 citation statements)

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“…Five selected articles published before 1980 that were found in bibliographies of recent publications also were included as they contained important epidemiologic data from large case series of children. 2,7,[10][11][12] The age qualifier of 3 to 18 years was selected, as this is the age group, based on previous literature, when most children are seen for pediatric or neurologic evaluation. Searches included titles from English and non-English language journals.…”

Section: Methodsmentioning

confidence: 99%

“…[7][8][9][10][11][12] Based on data from six retrospective case series between 1962 and 1994 of 13,130 children and adolescents, prevalence data for migraine headache by age groups were: 3 to 7 years old-1.2 to 3.2% (male [M] Ͼ female [F]); 7 to 11 years old-4 to 11% (M ϭ F); and 11 to Ն15 years old: 8 to 23% (F Ͼ M). [7][8][9][10][11][12] The evaluation of a child with headache begins with a thorough medical history followed by methodical physical examination with measurement of vital signs, particularly blood pressure, and a complete neurologic examination including examination of the optic fundus. Diagnosis of primary headache disorders of children rests principally on clinical criteria as set forth by the International Headache Society.…”

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confidence: 99%

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Practice parameter: Evaluation of children and adolescents with recurrent headaches

Lewis

Ashwal²,

Dahl³

et al. 2002

Neurology

349

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Abstract-Objective:The Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society develop practice parameters as strategies for patient management based on analysis of evidence. For this parameter, the authors reviewed available evidence on the evaluation of the child with recurrent headaches and made recommendations based on this evidence. Methods: Relevant literature was reviewed, abstracted, and classified. Recommendations were based on a four-tiered scheme of evidence classification. Results: There is inadequate documentation in the literature to support any recommendation as to the appropriateness of routine laboratory studies or performance of lumbar puncture. EEG is not recommended in the routine evaluation, as it is unlikely to define or determine an etiology or distinguish migraine from other types of headaches. In those children undergoing evaluation for recurrent headache found to have a paroxysmal EEG, the risk for future seizures is negligible; therefore, further investigation for epilepsy or treatments aimed at preventing future seizures is not indicated. Obtaining a neuroimaging study on a routine basis is not indicated in children with recurrent headaches and a normal neurologic examination. Neuroimaging should be considered in children with an abnormal neurologic examination or other physical findings that suggest CNS disease. Variables that predicted the presence of a space-occupying lesion included 1) headache of less than 1-month duration; 2) absence of family history of migraine; 3) abnormal neurologic findings on examination; 4) gait abnormalities; and 5) occurrence of seizures. Conclusions: Recurrent headaches occur commonly in children and are diagnosed on a clinical basis rather than by any testing. The routine use of any diagnostic studies is not indicated when the clinical history has no associated risk factors and the child's examination is normal.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Practice parameter: Evaluation of children and adolescents with recurrent headaches

Lewis

Ashwal²,

Dahl³

et al. 2002

Neurology

349

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show abstract

“…The prevalence of migraine was studied using criteria developed by Vahlquist [10] throughout the years 1974 -1989. These criteria are recurrent, paroxysmal headache attacks separated by symptom-free intervals, with at least two of the following factors: nausea, unilateral location, visual scotoma or related phenomena, and family history of headache.…”

Section: Methodsmentioning

confidence: 99%

A population-based follow-up study of headache from age 7 to 22 years

Aromaa¹,

Sillanpää

Aro³

2000

J Headache Pain

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“…In migraine patients, there was a similar age of first onset, and the age of predilection were similar, to the previous report (Trued, 1974). In the series of Western children, 18-35 % with migraine type, complained of headaches before their fourth or fifth year (Holguin et al 1967;Krupp et al 1953;Vahlquist, 1955). However, in Japanese children (including our series) there was a low incidence of onset at ages less than the fifth year (Kato, 1977;Aritaki et al 1979;Nomura, 1983).…”

Section: Discussionmentioning

confidence: 57%

Recurrent headaches in Japanese children 128 cases.

et al. 1984

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Summary: One hundred and twenty-eight cases with chronic recurrent headaches were studied in Japanese children with regard to classification, the detailed clinical features, genetic data, and electroencephalographic and computed tomographic findings. The 128 children were classified into the following classes: 1) vascular headaches of migraine type, 46 %, 2) muscle-contraction headaches, 21 %, 3) psychogenic headaches, 14 %, 4) traction headaches, 2 %, 5) unclassifiable, 17 %. Clinical characteristics of migraine in children is summarized as unilateral (60 %) paroxysmal headaches localized in the frontal or temporal areas (76 %), sometimes with preceding symptoms (28 %) and almost all with nausea and/or vomitings (80 %). The frequency of headaches in 128 children was more than once a week (67 %) but the duration was shorter (77 %, less than a few hours) than those in adults. Appropriate classification of recurrent headaches in children and differentiation from epileptic headaches are also described.

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Migraine in Children

Cited by 272 publications

References 0 publications

Practice parameter: Evaluation of children and adolescents with recurrent headaches

Practice parameter: Evaluation of children and adolescents with recurrent headaches

A population-based follow-up study of headache from age 7 to 22 years

Recurrent headaches in Japanese children 128 cases.

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