Migraine Headaches in Adolescents: A Five-Year Follow-Up Study
Version of Record online: 11 DEC 2002
Headache: The Journal of Head and Face Pain
Volume 42, Issue 10, pages 1000–1005, November 2002
How to Cite
Camarda, R., Monastero, R., Santangelo, G., Raimondo, D., Puma, D., Pipia, C., Camarda, L. K. C., Camarda, C. and Raieli, V. (2002), Migraine Headaches in Adolescents: A Five-Year Follow-Up Study. Headache: The Journal of Head and Face Pain, 42: 1000–1005. doi: 10.1046/j.1526-4610.2002.02229.x
- Issue online: 11 DEC 2002
- Version of Record online: 11 DEC 2002
- IHS criteria;
- migraine without aura;
- migrainous disorder;
Background and Objectives.—Longitudinal studies of juvenile migraine are very few. We investigated the prevalence and evolution over 5 years of migraine without aura (MWOA) and migraineous disorder (MD) in an adolescent population.
Methods.—Sixty-four subjects (34 girls and 30 boys, mean age 17.3±1.1 years) out of 80 selected in our 1989 epidemiological survey were included in the study. The diagnostic criteria of the International Headache Society were used in both studies.
Results.—Thirty-two of 64 subjects (50%) had MWAO, 18 (28.1%) had MD, and 14 (21.9%) had headache not classifiable (HnC). Our results show that MWOA persisted in 56.2%, converted to MD or HnC in 9.4% and 3.1% of cases, respectively, changed to episodic tension-type headache (ETTH) in 12.5%, and remitted in 18.8%. MD persisted in 11.1%, converted to MWOA or HnC in 27.8% and 5.5% of cases, respectively, changed to ETTH in 11.1%, and remitted in 44.5%. HnC persisted in 14.3%, converted to MD or MWOA in 21.4% and 14.3% of cases, respectively, changed to ETTH in 14.3%, and remitted in 35.7%.
Conclusions.—Our data indicate that juvenile-onset MWOA and MD may change in character over time, generally with a favorable prognosis.