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

Arquivos de Neuro-Psiquiatria

Márcia Maria Ferreira Lima¹  Rodrigo Bazan¹  Luis Cuadrado Martin¹  Antônio Sérgio Martins¹  Gustavo José Luvizutto¹  Luiz Eduardo Gomes Garcia Betting¹  Marco Antônio Zanini¹ 

关键词: headache;    diagnostic criteria;    childhood;    adolescence;    cefaléia;    critério diagnóstico;    infância;    adolescência;   

DOI  :  10.1590/0004-282X20150162

来源: SciELO

【 摘 要 】

ObjectiveThe 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.Methods150 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).ResultsIn 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).ConclusionThe 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.

【 授权许可】

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