Migraine in Thai Children: Prevalence in Junior High School Students

Abstract

A cross-sectional study to determine the prevalence of migraine in seventh grade Thai students in 4 junior high schools in Bangkok, Thailand, according to the diagnostic criteria of the second edition of the Classification of Headache of the International Headache Society was conducted in July 2004. The study included a screening self-administered questionnaire and face-to-face interview with physical examination. The diagnosis of migraine was made and confirmed by 2 pediatric neurologists. All of 1789 students in participating schools completed the questionnaire. After 2 interviews, 248 students (13.8%) were diagnosed with migraine. The prevalence in girls was higher than that in boys (16.2% vs 11.7%). Migraine as having aura was diagnosed in 34 students (13.7%). One student had sporadic hemiplegic migraine. Among 248 children, 176 (71%) reported the duration of headache between 1 and 2 hours. The leading precipitating factor of migraine was the stress related to daily school activities (17.7%). There were 32 students (12.9%) with frequent and intense headache who were referred to their primary physicians for further management. This study had disclosed a high prevalence of migraine in seventh grade Thai students in Bangkok City and reflected the existing burden of this illness in Thai students.

Identified risk factors and adolescents’ beliefs about triggers for headaches: results from a cross-sectional study

“…The present findings on self-perceived triggers for headache correspond to some extent to results reported in adolescents with headache from Canada [9] or Thailand [10] and pediatric or adolescent migraine patients from a hospital samples in India [11] and France [12]. In these studies, environmental conditions, stress and lack of sleep were the most commonly perceived triggers for headache.…”

Primary Headache in Italian Early Adolescents: The Role of Perceived Teacher Unfairness

“…50,51 It is important that future research studies address such limitation by comparing the specific effects of teacher unfairness on both migraine and TTH. A major limitation of our study is that only adolescent self-report measures were used.…”

Migraine, céphalées de l’enfant et de l’adolescent

“…La durée varie de 1 heure à 10 jours. -La céphalée provoquée par l'activité sexuelle peut s'observer chez l'adolescent [39]. -La céphalée en coup de poignard [40] dure quelques secondes et peut se répéter sur plusieurs jours.…”

“…En 1998, Egger et al [20] avaient déjà montré chez l'enfant cette association entre les troubles des conduites et les céphalées mais uniquement dans la population masculine. Par ailleurs, une étude en population générale chez 1 047 sujets âgés de 13 à 17 ans a mis en évidence un risque plus élevé d'avoir un trouble déficitaire de l'attention avec hyperactivité (TDAH) chez les enfants céphalalgiques [39]. Une autre étude en population générale auprès de 1 856 sujets âgés de 5 à 10 ans n'a pas retrouvé d'association de la migraine ou d'un autre type de céphalée avec le TDAH.…”

“…PRRT2 est le gène majeur de plusieurs affections neurologiques paroxystiques familiales ou sporadiques : la dyskinésie paroxystique kinésigénique primaire (PKD, MIM 128200) [39,40], l'épilepsie infantile familiale bénigne (BFIE, MIM 605751) [41] et le syndrome de convulsions infantiles avec choréoathétose (ICCA, MIM 602066) [42]. Dans une étude française, des mutations de PRRT2 ont été identifiées chez 4/101 cas index de migraine hémiplégique familiale ou sporadique, tous non porteurs de mutation des gènes de la MHF1, MHF2 et MHF3.…”