Child Migraine Spectrum

Migraine is a heterogeneous disorder and prevalence of migraine increasing. Migraine phenotype differs somewhat in the developing brain, and childhood episodic syndromes may arise before typical migraine headache. Some studies showed abnormalities in the maturation of brain functions in migraine children and adolescents. Migraine has two major subtypes but migraine is spectrum that involved different clinical face from headache to hemiplegia. Migraine without aura is a clinical syndrome characterized by headache with specific features and associated symptoms. Migraine with aura is primarily characterized by the transient focal neurological symptoms that usually precede or sometimes accompany the headache. Hemiplegic migraine description is migraine with aura including motor weakness. Retinal migraine is repeated attacks of monocular visual disturbance, including scintillations, scotomata or blindness, associated with migraine headache. Migraine and epilepsy are prototypical examples of paroxysmal brain disorders. Although migraine-like headaches are quite frequently seen in the epileptic postictal period, sometimes a seizure occurs during or following a migraine attack. Childhood episodic syndromes such as recurrent gastrointestinal disturbance, cyclical vomiting syndrome, abdominal migraine, benign paroxysmal vertigo, benign paroxysmal torticollis that may be associated with migraine although historically noted to occur in childhood, they may also occur in adults. Migraine preventive strategies are particularly important in children. The first essential step is to explain the condition to the child and his or her parents. Explanation and reassurance may be the only treatment needed in some cases. As with migraine, the best treatment is prevention. The aim was to establish the occurrence of migraine spectrum in child neurology practice and among migraine, and to discuss their presentation.