Electroencephalogram Variations in Pediatric Migraines and Tension-Type Headaches

Özkan, Mehpare; Teber, Serap; Deda, Gülhıs

doi:10.1016/j.pediatrneurol.2011.11.016

Cited by 19 publications

(14 citation statements)

References 36 publications

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“…There are a few studies on the characteristics of EEGs according to the type of headache and the implication of EEGs for headache patients. EEG abnormalities were reported to vary (8.8–20%) in pediatric headache patients ( 8 , 10 , 11 ), and the most common abnormalities were epileptiform discharge seen in 0.4–20% of the patients ( 12 – 18 ). Piccinelli et al reported electroencephalographic abnormalities in 12.8% of all children with headaches ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…Piccinelli et al reported on electroencephalogram abnormalities in 12.8% of all children with headaches ( 8 ) and more commonly in children manifesting migraines with aura ( 9 ). Study of electroencephalogram variations in pediatric migraines and tension-type headaches indicate that electroencephalogram abnormalities are particularly prevalent in migraines, especially during headache attacks ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

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EEG Characteristics and Diagnostic Implications in Childhood Headache: A Multi-Center Study

et al. 2020

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Introduction: Epilepsy and migraines are frequently observed as comorbidities, with the occurrence of one disorder increasing the probability of the other. The aim of our study was to evaluate the EEG characteristics by the type of headache and the implications of EEGs in headache patients, comparing the clinical characteristics and treatments between the headache patients with normal and abnormal EEGs. Methods: We conducted a retrospective analysis reviewing the medical records of 259 patients with headaches who visited the pediatrics departments of five university hospitals and underwent EEGs over a period of 3 years. Based on the data entered, analyses of the following items were conducted: (1) comparison of the EEG abnormalities by the type of headache and the characteristics of the EEG findings and (2) comparison of the clinical characteristics between patients with normal and abnormal EEGs. Results: Of the 259 patients, 31 showed abnormal EEGs, while 228 had normal EEGs. Of the 31 patients with abnormal EEGs, 17 showed epileptiform discharges, and 11 showed rhythmic slowing. The frequency of EEG abnormalities was significantly high in patients with migraines with auras than other types of headache. The Pediatric Migraine Disability Assessment (PedMIDAS) score was significantly higher in the abnormal EEG group compared with the normal EEG group ( p = 0.001). Conclusion: The results of this study suggest that the abnormal EEG group had more significant disruptions in their daily lives due to headaches than the normal EEG group and that patients with migraines with aura may need EEGs and they might also have overlapping pathophysiologic mechanisms with epilepsy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

EEG Characteristics and Diagnostic Implications in Childhood Headache: A Multi-Center Study

et al. 2020

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“…In a prospective study from our department, EEGs were recorded in children with migraine and tension-type headaches and 36% of migraineurs and 12% of tension-type headache patients had epileptiform abnormalities with spikes, sharp waves, and slow waves during headaches, but only 16 and 2% persisted at headache-free EEGs, respective-ly. 13 Migraine and epilepsy share some common features such as cortical hyperexcitability, aura and migraine is more prevalent in children with epilepsy compared with controls, differentiating neurologic phenomena caused by migraine from those resulting from seizure may be challenging for providers. 14 We believe EEG can potentially contribute to differential diagnosis of recurrent headaches, in selected patients.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Yield of Neuroimaging and Electroencephalography in Children with Recurrent Headaches

Hismi

Teber

Özkan

et al. 2020

Journal of Pediatric Neurology

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Neuroimaging and electroencephalography (EEG) are commonly used for pediatric recurrent headache evaluation, although not routinely recommended. In this study, data of 517 children with recurrent headaches were analyzed to evaluate the diagnostic yield of neuroimaging and EEG. Neuroimaging was performed in 55% (n = 283) of children, 61% with magnetic resonance imaging and 39% with computed tomography. Abnormal findings were reported in 17% (n = 48), and 5% (n = 13) were significant abnormalities altering headache management. Among children with significant imaging abnormalities, 85% had alarming signs on history, physical, or neurological examination. The diagnostic yield of imaging was 0.7% (n = 2), picking a cavernous hemangioma and a giant arachnoid cyst. EEG was performed in 69% (n = 356) of children, significant findings were reported in 8% (n = 29), with sharp waves/spikes in 4.1% (n = 15), and intermittent focal slow waves in 3.9% (n = 14). EEG was diagnostic for epilepsy in 1.6% (n = 6) of children with recurrent headaches. When there are no red flags on history or physical examination, diagnostic yield of neuroimaging is low for pediatric recurrent headaches. EEG can be helpful in selective cases, and when performed during and at headache-free periods.

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“…Ein EEG kann bei Aurasymptomatik zur Abgrenzung von seltenen fokalen epileptischen Anfällen indiziert sein [21]. Zum Aus-schluss anderer hirnorganischer Erkrankungen ist es nicht geeignet, da EEG-Veränderungen bei Kindern in der Kopfschmerzepisode (36 % bei Migräne und 12 % bei Spannungskopfschmerzen) und im kopfschmerzfreien Intervall (16 % bei Migräne und 2 % bei Spannungskopfschmerzen) zu häufig sind [35].…”

Section: Diagnostikunclassified

Chronische Kopfschmerzen bei Kindern und Jugendlichen

2018

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ZusammenfassungPrimäre Kopfschmerzerkrankungen wie Spannungskopfschmerzen und Migräne beginnen in der Kindheit und werden mit der Einschulung und Pubertät häufiger. Bei Spannungskopf-schmerzen spielt die zentrale Schmerzsensibilisierung und Aktivierung zentraler nozizeptiver Neurone eine wichtige Rolle. Die Migräne ist eine primäre Erkrankung des Gehirns mit Auffälligkeiten schmerzmodulierender Systeme und der kortikalen Reizverarbeitung. Bei beiden Kopfschmerzformen spielen bio-psycho-soziale Faktoren eine entscheidende Rolle. Sekundäre Kopfschmerzen durch eine entzündliche oder strukturelle hirnorganische Ursache sind selten. Die Diagnose erfolgt anhand der Anamnese und der körperlichen Untersuchung sowie apparativer Untersuchungen bei Auffälligkeiten. Bei Spannungskopfschmerzen steht die multimodale Schmerztherapie im Vordergrund, bei Migräne die medikamentöse Therapie der Attacken und bei sekundären Kopfschmerzen die Behandlung der Grunderkrankung. Behandlungsziele sind die Minderung der Schmerzwahrnehmung, Förderung von Kontroll- und Selbstwirksamkeitserfahrungen, die Steigerung der körperlichen Leistungsfähigkeit sowie die Wiederaufnahme normaler Alltagsstrukturen und sozialer Kontakte als Voraussetzung für eine zunehmende Schmerzminderung.

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Electroencephalogram Variations in Pediatric Migraines and Tension-Type Headaches

Cited by 19 publications

References 36 publications

EEG Characteristics and Diagnostic Implications in Childhood Headache: A Multi-Center Study

EEG Characteristics and Diagnostic Implications in Childhood Headache: A Multi-Center Study

Diagnostic Yield of Neuroimaging and Electroencephalography in Children with Recurrent Headaches

Chronische Kopfschmerzen bei Kindern und Jugendlichen

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