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Erschienen in:
22.01.2022 | Childhood and Adolescent Headache (SE Evers, Section Editor)
Premonitory and Accompanying Symptoms in Childhood Migraine
Erschienen in: Current Pain and Headache Reports | Ausgabe 2/2022
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Purpose of Review
To review the literature on the clinical characteristics of the symptoms other than headache that occurs during a migraine attack in childhood and adolescence.
Recent Findings
Premonitory symptoms (42–67%) and postdrome phase (82%) are frequent. The most frequent auras were visual. There was no association between age or sex and the occurrence of auras. Cranial autonomic symptoms are also frequent (40–70%) and are most often bilateral. Most studies suggest that age is not associated with the frequency of nausea, vomiting, photophobia, and phonophobia. Cephalic cutaneous allodynia (15–37%) and osmophobia (20–53%) are common symptoms in children with migraine. Osmophobia has low sensitivity and high specificity for the diagnosis of migraine and is associated with the severity of the migraine.
Summary
Migraine is a complex disease, and although headache is its best-known symptom, other symptoms also occur frequently during migraine attacks in children and adolescents.