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Headache is a common complaint among children.
In this article,
it has been observed that children with migraine without aura frequently have
concomitant tension-type headache (TTH) which is termed as mixed headaches.
While, migraine with aura has unique heritage and attributes.
Headache is a
common complaint among children. The most common primary headache syndromes in
childhood are migraine and TTH. However, many times they seem to overlap. The
purpose of our study was to assess the relationship between pediatric migraine,
tension-type headache (TTH) and learning disabilities.
Children
presenting with headache to three pediatric neurology clinics in the last 5
years were assessed. Two hundred sixty-two children, 5–18 years of age, who met
the criteria for migraine were included.
Of 262 children
(54 % female) who had migraine, 26.2 % had migraine with aura. 59 children
(22.5 % of the full sample) reported also having headaches that met the
criteria for episodic TTH/mixed headaches. Females were more than 2.8 times
more likely to experience mixed headaches than males (OR: 2.81, 95 % CI:
1.43–5.54; p <.003). Multiple logistic regression analysis revealed that
older age (p <0.02), family history of aura (p <.02), and (lack of) TTH
(p <.003) were significant predictors of aura, whereas gender was not
significant (p >0.20). Children who had migraine with aura were less likely
to have mixed headaches than children who did not have aura (OR: 0.26, 95 % CI:
0.11–0.63; p <.003). Children with mixed headaches were 2.7 times more
likely to have a learning disability than children with migraine alone.
Episodic TTH and
migraine without aura (mixed headaches) in children might be part of a
continuum, which can explain the high incidence of their co-occurrence as
opposed to migraine with aura. Children with mixed headaches have a higher
incidence of learning disability compare to those with migraine alone.
J Headache Pain 2016;17:42
Pediatric mixed headache-The relationship between migraine, tension-type headache and learning disabilities - in a clinic-based sample
Jacob Genizi et al.
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