Pediatric migraine equivalents

Altwaijri, Waleed; Shevell, Michael

doi:10.1016/s0887-8994(01)00416-7

Cited by 145 publications

(12 citation statements)

References 19 publications

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“…Known as “migraine equivalents” [3, 4], “childhood periodic syndromes” [2, 5, 6] and more recently “episodic syndromes” [1], symptoms described under this category are various and include a large range of clinical conditions. The International Classification of Headache Disorders, 3 rd edition (ICHD-III) describes only four migraine equivalents [1].…”

Section: Introductionmentioning

confidence: 99%

“…These are “Cyclical vomiting syndrome” (1.6.1.1), “Abdominal migraine” (1.6.1.2), “Benign paroxysmal vertigo (1.6.2) and “Benign paroxysmal torticollis” (1.6.3) [1]. There is still no agreement on the prevalence of migraine equivalents and related symptoms (MERS) and data depend on the population sample and/or included symptoms [3, 4]. Although not universally accepted, other clinical entities (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Migraine equivalents and related symptoms, psychological profile and headache features: which relationship?

Tarantino¹,

Ranieri²,

Dionisi³

et al. 2015

J Headache Pain

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BackgroundMigraine equivalents are common clinical conditions in children suffering from headache. Very few studies dealt with the psychological profile of children/adolescents with migraine equivalents. Our main aim was to compare the psychological profile between migraine children with and without migraine equivalents. Moreover, as secondary aim, exclusively in children with migraine equivalents, we investigated the possible relationship between migraine attack frequency and intensity and psychological factors.MethodsWe enrolled 136 young migraineurs. They were divided in two groups (patients with and without migraine equivalents). The psychological profile was assessed by means of SAFA Anxiety and Somatization questionnaires.ResultsMigraine equivalents were present in 101 patients (74.3 %). Anxiety (p = 0.024) and somatization (p = 0.001) levels, but not hypochondria (p = 0.26), were higher in patients with migraine equivalents. In children with migraine equivalents, a low frequency of attacks was related to separation anxiety (p = 0.034).ConclusionsMigraine equivalents patients tend to feel more fearful and to experience more shyness. This, together with the tendency to somatization, may lead them to become vigilant in attachment relationships with their caregivers.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Migraine equivalents and related symptoms, psychological profile and headache features: which relationship?

Tarantino¹,

Ranieri²,

Dionisi³

et al. 2015

J Headache Pain

View full text Add to dashboard Cite

show abstract

“…Sleep disorders, post-traumatic stress disorder, social anxiety disorder (school phobia) attention-deficit/hyperactivity disorder (ADHD), conduct disorder, learning disorder, enuresis, encopresis and tic disorder should be carefully looked for and treated when found, considering their negative burden in disability and prognosis of pediatric headache. This statement is proved by pediatric reports regarding headache and psychiatric disorders [ 85 – 90 ].…”

Section: Methodsmentioning

confidence: 88%

Experts’ opinion about the pediatric secondary headaches diagnostic criteria of the ICHD-3 beta

et al. 2017

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BackgroundThe 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies. The aim of this work was to review the Secondary Headache Disorders and Cranial Neuralgias and Other Headache Disorders sections of ICHD-3 beta data on children and adolescents (age 0–18 years) and to suggest changes, additions, and amendments.MethodsSeveral experts in childhood headache across the world applied different aspects of ICHD-3 beta in their normal clinical practice. Based on their personal experience and the available literature on pediatric headache, they made observations and proposed suggestions for the mentioned headache disorders on children and adolescents.ResultsSome headache disorders in children have specific features, which are different from adults that should be acknowledged and considered. Some features in children were found to be age-dependent: clinical characteristics, risks factors and etiologies have a strong bio psychosocial basis in children and adolescents making primary headache disorders in children distinct from those in adults.ConclusionsSeveral recommendations are presented in order to make ICHD-3 more appropriate for use in children.

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“…On the contrary to migraine, detailed laboratory and imaging screen should be performed in case of migraine equivalents [36]. Subjects who have any signs or symptoms of focal/progressive neurological disturbances should be investigated by cranial computed tomography (CT) or magnetic resonance imaging (MRI) [37].…”

Section: How To Diagnose Headachementioning

confidence: 99%

Overview of diagnosis and management of paediatric headache. Part I: diagnosis

et al. 2011

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Headache is the most common somatic complaint in children and adolescents. The evaluation should include detailed history of children and adolescents completed by detailed general and neurological examinations. Moreover, the possible role of psychological factors, life events and excessively stressful lifestyle in influencing recurrent headache need to be checked. The choice of laboratory tests rests on the differential diagnosis suggested by the history, the character and temporal pattern of the headache, and the physical and neurological examinations. Subjects who have any signs or symptoms of focal/progressive neurological disturbances should be investigated by neuroimaging techniques. The electroencephalogram and other neurophysiological examinations are of limited value in the routine evaluation of headaches. In a primary headache disorder, headache itself is the illness and headache is not attributed to any other disorder (e.g. migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias). In secondary headache disorders, headache is the symptom of identifiable structural, metabolic or other abnormality. Red flags include the first or worst headache ever in the life, recent headache onset, increasing severity or frequency, occipital location, awakening from sleep because of headache, headache occurring exclusively in the morning associated with severe vomiting and headache associated with straining. Thus, the differential diagnosis between primary and secondary headaches rests mainly on clinical criteria. A thorough evaluation of headache in children and adolescents is necessary to make the correct diagnosis and initiate treatment, bearing in mind that children with headache are more likely to experience psychosocial adversity and to grow up with an excess of both headache and other physical and psychiatric symptoms and this creates an important healthcare problem for their future life.

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Pediatric migraine equivalents

Cited by 145 publications

References 19 publications

Migraine equivalents and related symptoms, psychological profile and headache features: which relationship?

Migraine equivalents and related symptoms, psychological profile and headache features: which relationship?

Experts’ opinion about the pediatric secondary headaches diagnostic criteria of the ICHD-3 beta

Overview of diagnosis and management of paediatric headache. Part I: diagnosis

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