A Clinical profile and Factors associated with Migraine in Pediatric patients

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A Clinical profile and Factors associated with Migraine in Pediatric patients

Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 1

Abstract

Introduction: The epidemiology of pediatric headache is described in numerous articles of international origin. Aims and Objectives: To Study Clinical profile and Factors associated with Migraine in Pediatric patients. Methodology: This was a cross-sectional study carried out at the Pediatric department of a tertiary health care center during one-year period from January 2015 to December 2015. All the Pediatric patients were screened except less than 3 yrs. as it was expected that children below this age might not be able to express their symptoms clearly. Prensky's criteria for migraine was used to diagnose the Patients the patients associated with other reasons of headache like sinusitis, refractive errors, hypertension, chronic renal illness, neurological disorders and neoplasms were excluded from the study. All detail clinical and associated or precipitating factors history was asked. Result: The majority of the Patients were from age group of 3-6 i.e. 10.25% followed by 7-10-35.89%; 11-12 -53.84%. The majority of the patients were females i.e. 58.97% followed by Males 41.03%. The most common symptoms were Pulsating or throbbing headache which shifts to a unilateral or to temporal location were 53.84% followed by bi-temporal/bi-frontal/Retro-orbital headache in 46.15% patients; Nausea /Vomiting in 41.02% of patients; Photophobia in 35.89% patients; Abdominal Pain in 30.76% patients and Sweating in 25.64% patients; Visual Disturbances in 25.64% of patients. Giddiness (Vertigo) in 23.07% patients. Tingling sensation in hands or Perioral area were present in 12.82% of patients. The most common associated or Precipitating factors were Sunlight -64.10%; Mental stress- 53.84%; Physical strain -48.71%; Family history -46.15%. Watching TV -43.58%; Exposure to unpleasant smell -33.33%. Hunger -28.20%; Winter season -23.07%. Conclusion: Migraine was having late childhood onset; the majority of the patients were females Most common clinical features were Pulsating or throbbing headache which shifts to a unilateral or to temporal location, The most common associated or Precipitating factors were Sunlight, Mental Stress Physical strain etc.

Authors and Affiliations

Shivakumar R

Keywords

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