Author(s): Lima,Márcia Maria Ferreira ; Bazan,Rodrigo ; Martin,Luis Cuadrado ; Martins,Antônio Sérgio ; Luvizutto,Gustavo José ; Betting,Luiz Eduardo Gomes Garcia ; Zanini,Marco Antônio
Date: 2015
Origin: Oasisbr
Subject(s): headache; diagnostic criteria; childhood; adolescence
Objective The objective of this study was to prospectively evaluate the International Classification of Headache Disorders I (ICHD-I) diagnostic criteria for migraine in children and adolescents. Methods 150 pain diaries were analyzed during an initial consultation. The duration of migraine headache attacks were divided into 2 groups: Group I, for attacks lasting > 2 hours, and Group II, for attacks lasting < 2 hours.The two groups were statistically compared using Fisher’s exact test (p < 0.05). Results In this study, 51(34%) subjects were male and 99 (66%) were female, aged 7–15 years. Fisher’s exact test demonstrated that the ICHD-3 beta had a 58% sensitivity for Group I diagnoses and a 94% sensitivity for Group II diagnoses (p < 0.001). Conclusion The current ICHD-3 beta classification improves and advances migraine diagnosis in children and adolescents; however, more research is needed to identify additional characteristics of headache in this age group.
