Early Diagnosis of Migraine Necessary in Children: 10-Year Follow-Up

Galinski, Michel; Sidhoum, Samira; Cimerman, Patricia; Perrin, Odile; Annequin, D.; Tourniaire, B.

doi:10.1016/j.pediatrneurol.2015.05.013

Cited by 24 publications

(22 citation statements)

References 25 publications

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“…Moreover, 36% had switched from one diagnosis to another, namely migraine to TTH or vice versa. Those findings were consistent with previous studies conducted to define the evolution of the temporal pattern of migraine and TTH during the transition from childhood to adulthood, which showed that that the diagnoses of one in four migraine patients switched to TTH and vice versa . Moreover, in our study a longer time between headache at onset and the first headache centre visit tended to predict mild‐to‐severe headache disability at follow‐up.…”

Section: Discussionsupporting

confidence: 93%

Longitudinal study shows that depression in childhood is associated with a worse evolution of headaches in adolescence

Amouroux¹,

Rousseau-Salvador

Pillant³

et al. 2017

Acta Paediatrica

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Section: Discussionsupporting

confidence: 93%

Longitudinal study shows that depression in childhood is associated with a worse evolution of headaches in adolescence

Amouroux¹,

Rousseau-Salvador

Pillant³

et al. 2017

Acta Paediatrica

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“…In coherence, chronic migraine seems to increase with age. 241,242 Trigeminovascular activation has also been observed as a response to inflammation, which could be involved in headache progression. 243 At a cellular level, systemic inflammation of L4/5 DRG, involved in transmission of sensory signal, seems to modify the SGCs.…”

Section: Chronification Of Pain In Primary Headachesmentioning

confidence: 99%

Perivascular neurotransmitters: Regulation of cerebral blood flow and role in primary headaches

Frederiksen

Haanes

Warfvinge

et al. 2017

J Cereb Blood Flow Metab

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In order to understand the nature of the relationship between cerebral blood flow (CBF) and primary headaches, we have conducted a literature review with particular emphasis on the role of perivascular neurotransmitters. Primary headaches are in general considered complex polygenic disorders (genetic and environmental influence) with pathophysiological neurovascular alterations. Identified candidate headache genes are associated with neuro- and gliogenesis, vascular development and diseases, and regulation of vascular tone. These findings support a role for the vasculature in primary headache disorders. Moreover, neuronal hyperexcitability and other abnormalities have been observed in primary headaches and related to changes in hemodynamic factors. In particular, this relates to migraine aura and spreading depression. During headache attacks, ganglia such as trigeminal and sphenopalatine (located outside the blood-brain barrier) are variably activated and sensitized which gives rise to vasoactive neurotransmitter release. Sympathetic, parasympathetic and sensory nerves to the cerebral vasculature are activated. During migraine attacks, altered CBF has been observed in brain regions such as the somatosensory cortex, brainstem and thalamus. In regulation of CBF, the individual roles of neurotransmitters are partly known, but much needs to be unraveled with respect to headache disorders.

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“…Moreover, the symptoms associated with headache, such as photophobia and phonophobia, are rarely mentioned by the young patient, and, as reported in ICHD-III, they can be inferred from children's behaviour. However, an early diagnosis is important to define the prognosis and provide an appropriate treatment (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of primary headache in children younger than 6 years: A clinical challenge

et al. 2016

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Background Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age. Objective Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis. Methods This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache. Results We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70% of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients ( p < 0.001). Conclusions Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.

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Early Diagnosis of Migraine Necessary in Children: 10-Year Follow-Up

Cited by 24 publications

References 25 publications

Longitudinal study shows that depression in childhood is associated with a worse evolution of headaches in adolescence

Longitudinal study shows that depression in childhood is associated with a worse evolution of headaches in adolescence

Perivascular neurotransmitters: Regulation of cerebral blood flow and role in primary headaches

Diagnosis of primary headache in children younger than 6 years: A clinical challenge

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