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Departments of Pediatrics and Neurology, Washington University School of Medicine, and the Division of Pediatric Neurology, St. Louia Children's Hospital, St. Louis, Missouri.
We here enumerate criteria that we believe are suitable for the diagnosis of migraine in children. Using these criteria, we identified 84 children retrospectively, and studied their illness for 3 to 9 years thereafter. The majority were male, and 47 patients had frontal headaches. EEGs were performed in 64 children: 17 were paroxysmal, but 7 patients never developed seizures. Referral to a neurologist occurred when there was a marked increase in the frequency or severity of headaches. Irrespective of the form of treatment, about one-half of all patients had more than a 50 percent reduction in headache frequency in the 6 months following their initial visit to a neurologist.
Dr. Prensky's address is St. Louis Children's Hospital, 500 South Kings-highway Boulevard, St. Louis, MO 63110.
This work was supported in part by the Allen P. and Josephine B. Green Foundation.
Accepted for publication July 14, 1978.
This article has been cited by other articles:
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 M. L. Chu and S. Shinnar Headaches in Children Younger Than 7 Years of Age Arch Neurol, January 1, 1992; 49(1): 79 - 82. [Abstract] [PDF]
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A. Leviton Do Learning Handicaps and Headache Cluster? J Child Neurol, October 1, 1986; 1(4): 372 - 377. [Abstract] [PDF]
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 R. C. Woody and M. E. Blaw Ophthalmoplegic Migraine in Infancy Clinical Pediatrics, February 1, 1986; 25(2): 82 - 84. [Abstract] [PDF]
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 J. G.w Z. Nealis and S. Miller School Problems and Other Factors in Childhood Headache Syndromes J Learn Disabil, November 1, 1984; 17(9): 556 - 559. [Abstract] [PDF]
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A. Leviton, W. V. Slack, D. Bana, and J. R. Graham Age-Related Headache Characteristics Arch Neurol, July 1, 1984; 41(7): 762 - 764. [Abstract] [PDF]
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