General and acute paediatrics
The prognosis of childhood abdominal migraine
F Dignan, I Abu-Arafeh, G Russell
Department of Child
Health, University of Aberdeen, Scotland AB25 2ZD, UK
Correspondence to: Dr Russell george.russel{at}arh.grampian.scot.nhs.uk
Accepted 27 November
2000
AIMS
To determine the clinical
course of childhood abdominal migraine, seven to 10 years after the diagnosis.
METHODSA total of 54 children with
abdominal migraine were studied; 35 were identified from a population
survey carried out on Aberdeen schoolchildren between 1991 and 1993, and 19 from outpatient records of children in the same age group who
had attended the Royal Aberdeen Children's Hospital. Controls were 54 children who did not have abdominal pain in childhood, matched for age
and sex, obtained from either the population survey or the patient
administration system. Main outcome measures were presence or
resolution of abdominal migraine and past or present history of
headache fulfilling the International Headache Society (IHS) criteria
for the diagnosis of migraine.
RESULTSAbdominal migraine had
resolved in 31 cases (61%). Seventy per cent of cases with abdominal
migraine were either current (52%) or previous (18%) sufferers from
headaches that fulfilled the IHS criteria for migraine, compared to
20% of the controls.
CONCLUSIONSThese results support
the concept of abdominal migraine as a migraine prodrome, and suggest
that our diagnostic criteria for the condition are robust.
Keywords: abdominal migraine; prognosis; headache
© 2001 by Archives of Disease in Childhood
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