Spectrum of complicated migraine in children: A common profile in aid to clinical diagnosis

Ictal Electroencephalographic Findings in Children with Migraine Headache

OBJECTIVES

In this study, the EEG findings in children with migraine headache were assessed in Bahrami Hospital, Tehran, Iran from 2014 to 2016.

MATERIALS & METHODS

In this observational cross-sectional study, 71 consecutive children with migraine headache were enrolled. The EEG findings were determined and compared with other variables.

RESULTS

There were 25 cases (35.2%) with abnormal EEG and the type of EEG abnormality comprised slow waves and sharp waves in 19(68%) and 8(32%) patients, respectively.

CONCLUSION

Nearly one-third of children with migraine might have abnormal EEG.

Spectrum of migraine variants and beyond: The individual syndromes in children

"Migraine-related conditions" are probably the second most common condition after seizure encountered in pediatric neurology requiring frequent Emergency Department visits. Among migraines, migraine-related condition presents with an acute onset sign or symptom other than headache or visual aura of unknown etiology. A delay in diagnosis is a common occurrence. Previously, the authors proposed a common clinical profile and suggested that the future review should seek the applicability of the common profile in aid to clinical diagnosis of migraine-related individual syndromes. Authors describe the clinical characteristics and differential diagnosis of the spectrum of migraine variants and beyond in children.