Evaluation of the diagnostic value of clinical characteristics and situations associated with primary headache in children: International classification of headache Disorders-3 edition

dc.authoridCokyaman, Turgay/0000-0002-7108-6839
dc.authoridAylanc, Hakan/0000-0002-8907-3809
dc.contributor.authorCokyaman, Turgay
dc.contributor.authorAylanc, Hakan
dc.date.accessioned2025-01-27T20:45:34Z
dc.date.available2025-01-27T20:45:34Z
dc.date.issued2020
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: In the childhood period, diagnosis of primary headache is based on anamnesis essentially. This study investigated the effects of characteristics of headache (type of pain, localization and attack time), family migraine history and total duration from onset of headache to clinical diagnosis on primary headache diagnosis. Patients and Methods: Headache history was taken from children aged 6-18 years with a suitable form of International Classification of Headache Disorders, 3rd edition. Children's demographic findings were recorded. Headache characteristics (type of pain, localization and attack time), whether there is family migraine history and total duration from onset of headache to clinical diagnosis were recorded and sensitivity and specificity were calculated. The effects of pulsatile pain, forehead localization, attack time >= 2 h, family history of migraine and total time from onset of headache to clinical diagnosis on final diagnosis of primary headache (migraine without aura or others) were also assessed with regression analysis. Results: Of a total of 277 patients, 52 % were diagnosed with migraine without aura. Regression analysis revealed that family history of migraine was the most determinant factor for migraine without aura diagnosis (OR 2.922, 95 %CI 1.622-5.264). This was followed by the pursuing risk coefficients for migraine without aura diagnosis in order of forehead localization (OR 2.751, 95 %CI 1.537-4.923), attack time of >= 2 h (OR 2.615, 95 %CI 1.406-4.864), nausea (OR 2.163, 95 %CI 1.192-3.924), pulsatile pain (OR 2.102, 95 %CI 1.185-3.729) and total duration (OR 1.973, 95 %CI 1.105-3.521). Conclusion: Family history of migraine and total duration of longer than 6 months from onset of headache to clinical diagnosis may be additional markers for migraine without aura diagnosis. Due to difficulties experienced in diagnosis of primary headache based on anamnesis in the childhood period, there is a need for additional diagnostic markers.
dc.identifier.doi10.1016/j.clineuro.2020.106039
dc.identifier.issn0303-8467
dc.identifier.issn1872-6968
dc.identifier.pmid32623213
dc.identifier.scopus2-s2.0-85087289358
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.clineuro.2020.106039
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24634
dc.identifier.volume196
dc.identifier.wosWOS:000572305500022
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofClinical Neurology and Neurosurgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectHeadache disorder
dc.subjectPediatric
dc.subjectDiagnosis
dc.titleEvaluation of the diagnostic value of clinical characteristics and situations associated with primary headache in children: International classification of headache Disorders-3 edition
dc.typeArticle

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