[Clinical manifestations of migraine in children].

Zh Nevrol Psikhiatr Im S S Korsakova

Published: September 2001

100 case records of children aged 2.5 to 15 years with main complaints of headache (HA) examined and treated in Children's Neurologic Department were analyzed. For making the diagnosis more precise, diagnostic criteria of International Society for HA Investigation (1988) were used. Migraine was diagnosed in 25 children (10 boys, 15 girls), the age of its debute was from 2.5 to 13 years. Migraine with aura was found in 36% of the children. Clinical picture of the attack was characterized by polymorphism, the HA attacks were more severe, but shorter, than in adults. HA attacks were arrested quite frequently by sleep or rest without any drugs. Hereditary analysis revealed migraine in 36% of the parents. CNS damage was found in the anamneses of 64% of the patients, a closed craniocerebral trauma in 40% of the cases. Clinical and neurophysiologic study didn't reveal any specific disturbances, though pronounced psychoautonomic disorders were quite frequent in children with migraine.

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