Critical analysis of diagnostic criteria (ICHD-3 beta) about migraine in childhood and 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.

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Bibliographic Details
Main Authors: Lima,Márcia Maria Ferreira, Bazan,Rodrigo, Martin,Luis Cuadrado, Martins,Antônio Sérgio, Luvizutto,Gustavo José, Betting,Luiz Eduardo Gomes Garcia, Zanini,Marco Antônio
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001201005
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