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  • Title: Critical analysis of diagnostic criteria (ICHD-3 beta) about migraine in childhood and adolescence.
    Author: Lima MM, Bazan R, Martin LC, Martins AS, Luvizutto GJ, Betting LE, Zanini MA.
    Journal: Arq Neuropsiquiatr; 2015 Dec; 73(12):1005-8. PubMed ID: 26465286.
    Abstract:
    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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