INTRODUCTION The diagnosis of migraine is based entirely on clinical data, and generally accepted and valid criteria should be applied as a common diagnostic reference. AIMS. The aim of this work was to study the epidemiological and clinical characteristics of migraine in the paediatric age and to analyse the validity of the criteria used in its diagnosis.
PATIENTS AND METHODS A total of 290 histories of patients with recurring headaches (150 with migraine and 140 with non-migraine headaches) were reviewed, epidemiological and clinical data were collected, and complementary examinations were performed, when necessary. The sensitivity, specificity and likelihood ratio of the Vahlsquit, Prensky and IHS criteria for migraine were all calculated.
RESULTS 32% of cases were migraines with aura. The age of onset of migraine was 8.7±2.9 years, with no differences between sexes. Nevertheless, in migraine with aura the age of onset (9.8±3.3 years) and prevalence of females (63.3%) were significantly higher (p < 0.05). Family history was positive in 77.3% of the cases. In migraine, the pain was unilateral (44.4%) or bilateral (55.6%), throbbing (93.7%), interrupted daily activities (63.2%), got worse on doing exercise (68.1%) and was accompanied by nausea (70.1%) and sensitivity to light and sound (66.2%). The throbbing quality, vomiting, one-sidedness and moderate to severe intensity were the items that displayed the greatest discriminating capacity and the IHS criteria were those with the highest diagnostic validity. Diagnosis was not altered by the complementary examinations.
CONCLUSIONS Migraine is a common pathology among children in the paediatric age and generally begins in the school age. The IHS criteria allow it to be diagnosed, although monitoring its progress would be the reference test with which to validate the diagnostic criteria.
KeywordsHeadacheInfancyMigraineCategoriesCefalea y MigrañaDolor
FULL TEXT(solo disponible en lengua castellana / Only available in Spanish)
Si ya es un usuario registrado en Neurologia, introduzca sus datos de inicio de sesión.
Rellene los campos para registrarse en Neurologia.com y acceder a todos nuestros artículos de forma gratuita
¿Olvidó su contraseña? Introduzca su correo electrónico y le haremos llegar una nueva
¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!
Al hacerse premium, está apoyándonos para que Revista de Neurología
siga siendo uno de los referentes de habla hispana en la difusión del
conocimiento en neurociencias. ¡Gratuita tanto para autores como para
todos los usuarios de la web!
Además, por convertirte en usuario premium, recibirá las siguientes ventajas:
Plaza asegurada en todos nuestros Másteres (www.ineurocampus.com)
Descuento del 5% en los cursos de “Actualización en Neurología”, la FMC que estará disponible próximamente en la web.
Descarga gratuita en formato PDF dos de las obras con más éxito publicadas por Viguera Editores:
Oromotors Disorders in childhood (M. Roig-Quilis; L. Pennington)
Manual de Neuropsicología 2ª ed. (J. Tirapu-Ustárroz; M. Ríos-Lago; F. Maestú)
El precio para hacerse Premium durante el periodo de un año es de 5€, que podrá pagar a continuación a través de una pasarela de pago seguro con tarjeta de crédito, transferencia bancaria o PayPal:
OPEN ACCESS
