Age- and sex-related differences in the presentation of paediatric migraine: A retrospective cohort study
| Autor: | David Borsook, Alyssa Lebel, Sophie L. Wilcox, Allison Ludwick |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Migraine Disorders Pain quality Disease Age and sex 03 medical and health sciences 0302 clinical medicine Age groups medicine Humans 030212 general & internal medicine Child Retrospective Studies Sex Characteristics business.industry Age Factors Retrospective cohort study General Medicine medicine.disease Migraine Child Preschool Female Neurology (clinical) Presentation (obstetrics) business 030217 neurology & neurosurgery |
| Zdroj: | Cephalalgia. 38:1107-1118 |
| ISSN: | 1468-2982 0333-1024 |
| Popis: | Introduction Although migraine is a common headache complaint in children and adolescents there remains a significant gap in understanding the unique aspects of the disease in these age groups and their evolution with development. The aim of this retrospective cohort study was to identify migraine features that are influenced by age and sex. Methods The headache characteristics of 359 paediatric patients with a clinical diagnosis of migraine from a tertiary paediatric headache clinic were assessed. Patients retrospectively reported headache characteristics during a structured intake interview and clinical exam. Headache characteristics, description and associated symptoms were compared between children (age ≤ 12 years) and adolescents (age > 12 years), and between male and female migraineurs. Results Several migraine features differed significantly with age and/or sex, including: (i) a marked change from a 1:1 sex ratio in children to a 2:1 predominance of girls in adolescents; (ii) a higher frequency of headache attacks per month in adolescents and female migraineurs; (iii) a higher proportion of adolescents endorsed a ‘throbbing’ pain quality; (iv) a higher proportion of children reporting nausea and vomiting; and (v) a higher proportion of adolescents, particularly female migraineurs, had a diagnosis of a co-morbid anxiety. Conclusion The presentation of migraine, both in terms of its headache characteristics and associated symptoms, appear to vary as a function of age and sex. Given that migraine symptoms have a neural basis, it is not surprising that during the key period of neurodevelopment from childhood to adolescence this may impact their presentation. |
| Databáze: | OpenAIRE |
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