Diagnostic value of combinations of symptoms of migraine and tension-type headache included in the diagnostic criteria for children and adolescents in the international classification of headache disorders 2nd edition

Pacheva, Iliyana; Milanov, Ivan; Ivanov, Ivan; Стефанов, Румен

doi:10.2478/folmed-2013-0027

Cited by 2 publications

(2 citation statements)

References 17 publications

(39 reference statements)

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“…The symptoms bilateral location of the headache, mild intensity, pressing character, and no aggravation due to physical activity best differentiate tension-type headache from migraine in children [95]. In general, the symptoms of tension-type headache are not that different from those in adults.…”

Section: Introductionmentioning

confidence: 99%

Primary headaches during lifespan

Straube¹,

Andreou

2019

J Headache Pain

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Primary headaches are one of the most prevalent neurological disorders and can occur during a wide range of lifespan. Primary headaches, especially migraine, are cyclic disorders with a complex sequence of symptoms within every headache attack. There is no systematic review of whether these symptoms changes during lifespan. Indeed, the clinical presentation of migraine shows an age-dependent change with a significantly shorter duration of the attacks and occurrence of different paroxysmal symptoms, such as vomiting, abdominal pain or vertigo, in childhood and, in contrast, largely an absence of autonomic signs and a more often bilateral headache in the elderly. The age-dependent differences in the clinical presentation are less distinct in cluster headache and, especially, in tension-type headache. The differences in the clinical presentation are in agreement with the idea that the connectivity of hypothalamic areas with different brainstem areas, especially the central parasympathetic areas, is important for the clinical manifestation of migraine, as well as, the change during lifespan.

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Section: Introductionmentioning

confidence: 99%

Primary headaches during lifespan

Straube¹,

Andreou

2019

J Headache Pain

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“…Moreover, comparison of the diagnostic values of Os calculated in our global analysis with those reported in the literature for other accompanying symptoms used as diagnostic criteria for M can further underscore the worth of our results. Sensitivity values appear lower than those of the other M accompanying symptoms such as phonophobia and photophobia, particularly in pediatric patients; however, when focusing on specificity and PPV, the comparison suggests that, both in adults and pediatric patients, the specificity and PPV of Os are higher than those of phonophobia or photophobia alone and, in some series, comparable to the values of these two symptoms combined or, particularly in adults, comparable to nausea (25,31,32,83–85).…”

Section: Discussionmentioning

confidence: 83%

A lost track in ICHD 3 beta: A comprehensive review on osmophobia

et al. 2016

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Background Osmophobia (Os) has been reported to be much more prevalent in migraine (M) than in other primary headaches, and its high specificity in the differential diagnosis between M and tension-type headache (TTH) has been reported. Os was included in the ICHD II Appendix as a diagnostic criterion of M. It disappeared in ICHD-3 beta. To understand this choice, we reviewed the literature after 2004. Methods This was a systematic review. We searched in PubMed, MEDLINE and Cochrane library for "osmophobia", "odour/odorphobia AND headache", "odour/odor hypersensitivity AND headache" and "olfactory hypersensitivity AND headache". Results 112 papers cited Os as an accompanying symptom of headache; 16 focused on Os in M diagnosis. With the data from 40 articles, we calculated the pooled prevalence of Os in 14,360 patients (2281 pediatric) affected by M (n = 12,496) and TTH (n = 1864). In M, the prevalence was 48.5% (CI 95% 41.4 to 55.8%) in adults and 23.4% (CI 95% 15.7 to 33.4%) in pediatric patients; in TTH, the prevalence was 8.9% (CI 95% 4.6 to 13.5%) in adults and 7.9% (CI 95% 3.3 to 18.1%) in pediatric patients. Ten of these papers allowed us to calculate the sensibility and specificity of Os in differential diagnosis between M and TTH. In adults, the value of specificity was 94.1% (CI 95% 88.9 to 96.9%), and sensitivity was 51.4% (CI 95% 38.4 to 64.2%). In pediatric patients, specificity was 92.0% (CI 95% 81.9 to 96.7%), and sensitivity was 22.1% (CI 95% 10.1 to 41.8%). Conclusion The literature endorses the inclusion of Os among M diagnostic criteria. On this ground, the decision to remove Os from ICHD 3 beta appears unjustified and a revision of this choice is recommended.

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Diagnostic value of combinations of symptoms of migraine and tension-type headache included in the diagnostic criteria for children and adolescents in the international classification of headache disorders 2nd edition

Cited by 2 publications

References 17 publications

Primary headaches during lifespan

Primary headaches during lifespan

A lost track in ICHD 3 beta: A comprehensive review on osmophobia

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