Impact of Puberty in Pediatric Migraine : A Pilot Prospective Study
Fonseca, Elena (Hospital Universitari Vall d'Hebron)
Torres-Ferrús, Marta (Hospital Universitari Vall d'Hebron)
Gallardo, Víctor J.. (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Macaya Ruiz, Alfons (Hospital Universitari Vall d'Hebron)
Pozo-Rosich, Patricia (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	The short-term evolution of pediatric migraine remains unclear. We aimed to describe the evolution of migraine before and after puberty and its relationship with lifestyle habits. We prospectively selected prepuberal patients from a neuropediatric unit who had a migraine diagnosis. Their medical history, migraine characteristics and impact, and lifestyle habits were recorded at the baseline visit. After 2 years we performed a telephone follow-up assessment. Nineteen patients were recruited (age 10. 2±2. 9 years, mean±SD; 57. 9% female), of whom 27. 5% had migraine with aura. The accompanying symptoms had changed at the follow-up, with significantly higher prevalence rates of dizziness (44. 4% vs. 88. 9%), vertigo (11. 1% vs. 66. 7%), mood changes (38. 9% vs 83. 3%), confusion (5. 6% vs. 77. 8%), and allodynia (27. 8% vs. 61. 1%). Sleep disturbances (5. 6% vs. 38. 9%) and schedule changes (0% vs. 38. 9%) increased significantly as triggers. Prodromal symptoms became more prevalent (16. 7% vs. 50%), with a higher proportion of sleep disturbances reported (50. 0% vs. 87. 5%). Prodromal symptoms increase in pediatric migraine after 2 years, and some trigger factors for migraine become more prevalent, including sleep disturbances. New accompanying symptoms are also identified. These changes provide information about how migraine changes during puberty along with physical and lifestyle changes, and represent a dynamic physiopathological process that deserves more research.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Migraine ; Puberty ; Adolescence ; Natural history ; Lifestyle
Publicat a:	Journal of Clinical Neurology (Seoul, Korea), Vol. 16 (july 2020) , p. 416-422, ISSN 2005-5013

DOI: 10.3988/jcn.2020.16.3.416
PMID: 32657062

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