Diagnostic criteria of pediatric migraine without aura

The objectives of this study were to assess the validity of the International Classification of Headache Disorders-I (ICHD-I) and the International Headache Society-Revised (IHS-R) criteria and to evaluate the other headache features that are not included in these criteria for migraine withou...

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Main Authors: Nesrin Senbil, Yahya Kemal Yavuz Gürer, Omer Faruk Aydin, Bengii Rezaki, Levent Inan
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2006-01-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2592
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author Nesrin Senbil
Yahya Kemal Yavuz Gürer
Omer Faruk Aydin
Bengii Rezaki
Levent Inan
author_facet Nesrin Senbil
Yahya Kemal Yavuz Gürer
Omer Faruk Aydin
Bengii Rezaki
Levent Inan
author_sort Nesrin Senbil
collection DOAJ
description The objectives of this study were to assess the validity of the International Classification of Headache Disorders-I (ICHD-I) and the International Headache Society-Revised (IHS-R) criteria and to evaluate the other headache features that are not included in these criteria for migraine without aura in the pediatric population. One hundred and thirty-two children who referred to our clinic with the complaint of chronic or recurrent headache were evaluated. Clinical diagnosis of the pediatric neurologist was used as the gold standard in evaluating the validity of ICHD-I and IHS-R criteria and the other headache features. After eliminating patients with other migraine types, secondary headache, and missing data, 92 patients were included in the study according to their records. Sixty-one children (66.3%) were diagnosed as migraine without aura. Using the clinical diagnosis as the gold standard, the specificity of ICHD-I criteria was detected as 93.5%, while the sensitivity was detected as 36.1%. IHS-R criteria had 90.3% specificity and 78.7% sensitivity. Relief of headache with sleeping or lying down in a dark, quiet room was found to be the highest specific and sensitive factor of the other headache features not included in these criteria. IHS-R criteria were found to be more valid in the diagnosis of migraine without aura than ICHD-I criteria. IHS-R criteria are recommended both in clinical practice and in the studies requiring migraine without aura case definitions in the pediatric population.
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spelling doaj-art-17907d1c11fd4e3eb43662bd30cbb9132025-08-20T03:00:55ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212006-01-01481Diagnostic criteria of pediatric migraine without auraNesrin Senbil0Yahya Kemal Yavuz GürerOmer Faruk AydinBengii RezakiLevent InanDepartment of Pediatric Neurology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey. The objectives of this study were to assess the validity of the International Classification of Headache Disorders-I (ICHD-I) and the International Headache Society-Revised (IHS-R) criteria and to evaluate the other headache features that are not included in these criteria for migraine without aura in the pediatric population. One hundred and thirty-two children who referred to our clinic with the complaint of chronic or recurrent headache were evaluated. Clinical diagnosis of the pediatric neurologist was used as the gold standard in evaluating the validity of ICHD-I and IHS-R criteria and the other headache features. After eliminating patients with other migraine types, secondary headache, and missing data, 92 patients were included in the study according to their records. Sixty-one children (66.3%) were diagnosed as migraine without aura. Using the clinical diagnosis as the gold standard, the specificity of ICHD-I criteria was detected as 93.5%, while the sensitivity was detected as 36.1%. IHS-R criteria had 90.3% specificity and 78.7% sensitivity. Relief of headache with sleeping or lying down in a dark, quiet room was found to be the highest specific and sensitive factor of the other headache features not included in these criteria. IHS-R criteria were found to be more valid in the diagnosis of migraine without aura than ICHD-I criteria. IHS-R criteria are recommended both in clinical practice and in the studies requiring migraine without aura case definitions in the pediatric population. https://turkjpediatr.org/article/view/2592
spellingShingle Nesrin Senbil
Yahya Kemal Yavuz Gürer
Omer Faruk Aydin
Bengii Rezaki
Levent Inan
Diagnostic criteria of pediatric migraine without aura
The Turkish Journal of Pediatrics
title Diagnostic criteria of pediatric migraine without aura
title_full Diagnostic criteria of pediatric migraine without aura
title_fullStr Diagnostic criteria of pediatric migraine without aura
title_full_unstemmed Diagnostic criteria of pediatric migraine without aura
title_short Diagnostic criteria of pediatric migraine without aura
title_sort diagnostic criteria of pediatric migraine without aura
url https://turkjpediatr.org/article/view/2592
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