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Analysis of the International Classification of Headache Disorders for diagnosis of migraine and tension-type headache in children.
Dev Med Child Neurol. 2008 Apr; 50(4):305-10.DM

Abstract

In 2004, the revised International Classification of Headache Disorders (ICHD-II) was published. This study evaluates: (1) the results obtained from applying ICHD-II to children with primary headaches to distinguish between migraine without aura (MO) and tension-type headache (TTH); and (2) the results obtained from introducing modifications of the classification criteria for MO as suggested by various authors. There were 200 participants (93 males, 107 females; age range 3-17 y, mean 9 y 8 mo [SD 2 y 7 mo]). According to the ICHD-II, MO compared with TTH was characterized by: higher intensity of pain; higher frequency of associated symptoms; and higher number of precipitating factors. The significant difference found between patients with MO/probable MO and those with TTH/probable TTH for the variables used in the ICHD-II shows that these variables describe the two forms well. However, 15.5% of children proved to be unclassifiable, mainly because they could not give information for some criteria; other reasons for this were too short a duration of episodes and the possible overlap of criteria describing probable MO and probable TTH. The frequency of one variable, pulsating pain, significantly increased with age. Reduction of duration to 1 hour for MO produced a statistically non-significant increase in the number of children with MO. Behaviour during attacks was found to be simple to apply in evaluating intensity and therefore was introduced as a new criterion. Severe intensity was related to MO, whereas moderate or low-intensity was related to TTH.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Rossi LN
1st Pediatric Department, University of Milan and IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy. livia.rossi@unimi.it
Vajani S
No affiliation info available
Cortinovis I
No affiliation info available
Spreafico F
No affiliation info available
Menegazzo L
No affiliation info available

MeSH

AdolescentAge FactorsChildChild, PreschoolDiagnosis, DifferentialFemaleHeadache DisordersHumansMaleMigraine without AuraNeurologic ExaminationPain MeasurementTension-Type Headache

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18312425

Citation

Rossi, Livia N., et al. "Analysis of the International Classification of Headache Disorders for Diagnosis of Migraine and Tension-type Headache in Children." Developmental Medicine and Child Neurology, vol. 50, no. 4, 2008, pp. 305-10.
Rossi LN, Vajani S, Cortinovis I, et al. Analysis of the International Classification of Headache Disorders for diagnosis of migraine and tension-type headache in children. Dev Med Child Neurol. 2008;50(4):305-10.
Rossi, L. N., Vajani, S., Cortinovis, I., Spreafico, F., & Menegazzo, L. (2008). Analysis of the International Classification of Headache Disorders for diagnosis of migraine and tension-type headache in children. Developmental Medicine and Child Neurology, 50(4), 305-10. https://doi.org/10.1111/j.1469-8749.2008.02041.x
Rossi LN, et al. Analysis of the International Classification of Headache Disorders for Diagnosis of Migraine and Tension-type Headache in Children. Dev Med Child Neurol. 2008;50(4):305-10. PubMed PMID: 18312425.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Analysis of the International Classification of Headache Disorders for diagnosis of migraine and tension-type headache in children. AU - Rossi,Livia N, AU - Vajani,Stefania, AU - Cortinovis,Ivan, AU - Spreafico,Federica, AU - Menegazzo,Lucia, Y1 - 2008/02/27/ PY - 2008/3/4/pubmed PY - 2008/5/22/medline PY - 2008/3/4/entrez SP - 305 EP - 10 JF - Developmental medicine and child neurology JO - Dev Med Child Neurol VL - 50 IS - 4 N2 - In 2004, the revised International Classification of Headache Disorders (ICHD-II) was published. This study evaluates: (1) the results obtained from applying ICHD-II to children with primary headaches to distinguish between migraine without aura (MO) and tension-type headache (TTH); and (2) the results obtained from introducing modifications of the classification criteria for MO as suggested by various authors. There were 200 participants (93 males, 107 females; age range 3-17 y, mean 9 y 8 mo [SD 2 y 7 mo]). According to the ICHD-II, MO compared with TTH was characterized by: higher intensity of pain; higher frequency of associated symptoms; and higher number of precipitating factors. The significant difference found between patients with MO/probable MO and those with TTH/probable TTH for the variables used in the ICHD-II shows that these variables describe the two forms well. However, 15.5% of children proved to be unclassifiable, mainly because they could not give information for some criteria; other reasons for this were too short a duration of episodes and the possible overlap of criteria describing probable MO and probable TTH. The frequency of one variable, pulsating pain, significantly increased with age. Reduction of duration to 1 hour for MO produced a statistically non-significant increase in the number of children with MO. Behaviour during attacks was found to be simple to apply in evaluating intensity and therefore was introduced as a new criterion. Severe intensity was related to MO, whereas moderate or low-intensity was related to TTH. SN - 0012-1622 UR - https://www.unboundmedicine.com/medline/citation/18312425/Analysis_of_the_International_Classification_of_Headache_Disorders_for_diagnosis_of_migraine_and_tension_type_headache_in_children_ DB - PRIME DP - Unbound Medicine ER -