Pediatric migraine and the International Headache Society (IHS) criteria

Maytal, Joseph; Young, Melissa; Shechter, Aaron; Lipton, Richard B.

doi:10.1212/wnl.48.3.602

Cited by 171 publications

(214 citation statements)

References 8 publications

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“…Since 1992, many papers have shown the high specificity but low sensitivity of ICHD-I diagnostic criteria for migraine without aura in childhood [3][4][5][6][7][8][9][10][11][12][13][14][15]. Several published series have shown that the percentage of children in which the attack duration is less than 2 hours ranged from 11% to 32% [3,5,7,8,11].…”

Section: Discussionmentioning

confidence: 99%

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Decreasing the minimal duration of the attack to 1 hour: is this sufficient to increase the sensitivity of the ICHD-II diagnostic criteria for migraine in childhood?

et al. 2004

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We applied the second edition of the International Classification of Headache Disorders (ICHD-II) in 417 children (age range, 2–12 years) with chronic headaches attending a pediatric headache clinic. The initial diagnosis was made according to the ICHD-II while the final diagnosis was, based on the longitudinal intuitive clinical diagnosis (LICD), deemed to be the gold standard. The diagnosis of migraine without aura had a sensitivity of 52%, a specificity of 100% and a positive predictive value of 100%; for the diagnosis of migraine (at the one-digit level) these values were 87%, 100% and 100%, respectively. The ICHD-II criteria for migraine without aura have high specificity but low sensitivity in childhood, even considering the minimal duration of the attacks to be 1 hour. Other factors, such as the existence of subgroup 2.4 (probable tension-type headache), are responsible for the low sensitivity of ICHD-II criteria for the diagnosis of migraine without aura in patients of this age group.

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Section: Discussionmentioning

confidence: 99%

“…Several published series have shown that the percentage of children in which the attack duration is less than 2 hours ranged from 11% to 32% [3,5,7,8,11]. This fact has the been seen as main reason for the low sensitivity of the aforementioned criteria.…”

Section: Discussionmentioning

confidence: 99%

Decreasing the minimal duration of the attack to 1 hour: is this sufficient to increase the sensitivity of the ICHD-II diagnostic criteria for migraine in childhood?

et al. 2004

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“…meters have been discussed both for migraine and tensiontype headache [7][8][9][10][11][12][13][14][15]. The suggested changes to IHS criteria for the diagnosis of migraine in children refer to shorter duration, not always unilateral localization, and the variable occurrence of photophobia and phonophobia.…”

Section: S98mentioning

confidence: 99%

Up to date on the use of triptans for child and adolescent migraine: state of the art

2001

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The introduction of triptans, in the early 1990s, has improved the therapy for acute migraine attack, offering a new quality of life for those patients who suffer from this disabling neurological disorder. Epidemiological data point out that about 10% of school–age children suffer from migraine, with a progressive increase in incidence and prevalence up to the threshold of adulthood. The increase in extent and prevalence of migraine from the years of growth stresses the importance of the application and adjustment of ad hoc therapeutic (either pharmacological or not) and diagnostic measures. Indeed, the peculiar neurobiological and psychological aspects which are typical of an “evolving” organism preclude the use, by simple “transposition” or “proportion”, of the knowledge acquired from adult–targeted studies. That requires the implementation of studies to analyze the specific responses of children and adolescents to the triptans. To date, the studies on such issues are absolutely insufficient to draw definitive conclusions and indications for the use of triptans for child and adolescent migraineurs.

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“…2,3 Children rarely present with auras, but often exhibit autonomic symptoms such as pallor, nausea, vomiting and abdominal pain.…”

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confidence: 99%

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Katis

2004

CJEM

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Pediatric migraine and the International Headache Society (IHS) criteria

Abstract: The IHS criteria for migraine without aura have poor sensitivity but high specificity using a clinical diagnosis as the gold standard. The IHS criteria should be modified to better reflect current pediatric clinical practice.

Cited by 171 publications

References 8 publications

Decreasing the minimal duration of the attack to 1 hour: is this sufficient to increase the sensitivity of the ICHD-II diagnostic criteria for migraine in childhood?

Decreasing the minimal duration of the attack to 1 hour: is this sufficient to increase the sensitivity of the ICHD-II diagnostic criteria for migraine in childhood?

Up to date on the use of triptans for child and adolescent migraine: state of the art

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