Comparison of the Prevalence of Infantile Colic Between Pediatric Migraine and Other Types of Pediatric Headache

2020 ◽  
Vol 35 (9) ◽  
pp. 607-611
Author(s):  
Yoel Levinsky ◽  
Tal Eidlitz-Markus

Background/Objective: The International Headache Society lists infantile colic under “episodic syndromes that may be associated with migraine” in the ICHD3-beta version of its classification of headache disorders. The aim of this study was to examine whether this association is specific to migraine or applies to all pediatric headache types. Methods: A cross-sectional historical study was conducted including 219 patients aged 3-18 years who presented to a tertiary pediatric headache clinic in 2016-2017. Parents were asked a series of questions to determine if their child had had infantile colic as defined in the ICHD3-beta version. The prevalence of a positive history of colic was compared between children diagnosed with migraine or other primary headache types. Results: There were 132 girls (60.2%) and 87 boys (39.8%) of mean age 12.8 ± 3.48 years at presentation. Migraine headache was diagnosed in 170 patients (77.6%) and other types primary of headache (9 in total) in 49 patients (22.3%). Fifty-one patients had a history of infantile colic. They included 45 patients in the migraine group (26.5%) and 5 in the comparison groups (10.2%); the difference in the rate of colic was statistically significant ( P = .0196; OR 3.17, 95% CI 0.1.17-6.17). There was no association of specific migraine parameters or symptoms with infantile colic. Conclusion: There appears to be an association of infantile colic with pediatric migraine but not with other types of pediatric headache. These findings reinforce the theory that infantile colic has common pathogenic roots with migraine.

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
K Fendrich ◽  
M Vennemann ◽  
V Pfaffenrath ◽  
S Evers ◽  
A May ◽  
...  

This population-based cross-sectional study examined the 3-month prevalence of headache, migraine and tension-type headache (TTH) among adolescents aged 12-15 years in Germany Students ( n = 3324) from 20 schools completed a questionnaire on general and headache-specific pain which included a sociodemographic module. The headache-specific questionnaire complied with the respective revised criteria of the International Headache Society (IHS). 'Modified criteria' changed the item 'duration' in migraine (>30 min instead of >4 h). The overall 3-month prevalence of headache was 69.4% (boys 59.5%, girls 78.9%), with 4.4% of the adolescents suffering from frequent (≥ 14 days/3 months) and severe (grade 8-10 on a 10-point visual analogue scale) headache and 1.4% (boys 0.9%, girls 1.9%) from headache ≥15 days/month. The 3-month prevalence of migraine was 2.6% (boys 1.6%, girls 3.5%) applying strict IHS criteria and 6.9% (boys 4.4%, girls 9.3%) with modified criteria; 12.6% (boys 8.3%, girls 16.7%) suffered from probable migraine, 0.07% fulfilled the criteria for chronic migraine, 4.5% (boys 4.6%, girls 4.3%) suffered from TTH, 0.2% from chronic TTH and 15.7% (boys 14.5%, girls 16.9%) from probable TTH. Headache and migraine were more common in girls than in boys and in teenagers, especially in girls, aiming at higher education. Recurrent headache and primary headache disorders are common complaints among German adolescents, especially among girls.


Cephalalgia ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 510-517 ◽  
Author(s):  
V Tarasco ◽  
G Grasso ◽  
A Versace ◽  
E Castagno ◽  
F Ricceri ◽  
...  

Aim The aim of this article is to analyze the epidemiological and clinical features of migraine in a pediatric headache center. Methods A retrospective study was performed over six years. Hospital record databases were screened for the diagnosis of migraine with aura (MA) or without aura (MO), based on the ICHD-II criteria. Statistical analysis: Fisher’s test or Mann-Whitney U test, significance at p < 0.05. Results Migraine was diagnosed in 495 children (29.7% MA, 70.3% MO). The majority of diagnoses were made between ages 9 and 14 years. After stratification for age into five groups, we observed an increase of diagnoses in females, with a peak after the age of 15 years, and an increase of MA. In both groups, the attacks were usually severe, infrequent (<1–3/month) lasting <2 hours, and associated with nausea/vomiting, photophobia, phonophobia (more frequent in MO). Osmophobia was reported in 24.7% of the patients with MO. Dizziness was more frequent in patients with MA. Visual auras were the most common occurrence (87.1%). Confusional state was observed in 10.88% of the patients. A positive family history of headache was observed in >88% of the patients. Conclusion We describe the characteristics of pediatric migraine based on the ICHD-II criteria, showing a likely significant loss of diagnoses using the ICHD-III beta. The incidence of migraine increases with age. MO occurs more commonly and shows more frequent attacks and a higher prevalence of associated symptoms, in particular osmophobia. Although males are prevalent in the entire sample, the proportion of females is higher among patients with MA in all of the age groups. Phenotype and sexual prevalence of migraine acquire adult characteristics and become more frequent in females from the onset of puberty.


Cephalalgia ◽  
2015 ◽  
Vol 35 (13) ◽  
pp. 1181-1191 ◽  
Author(s):  
Anne-Berit Krogh ◽  
Bo Larsson ◽  
Mattias Linde

Background Headache is common in adolescents and affects schoolwork and relations with friends and family. In most previous epidemiological surveys, only the most bothersome headache has been documented. The aim was to determine headache prevalence not only taking into account the most bothersome headache, but also to compare characteristics of the most bothersome and less bothersome headaches, and to investigate headache-related disability. Methods A cross-sectional school-based study was conducted in which 493 representative adolescents aged 12–18 years were recruited by stratified cluster sampling and interviewed. Headache diagnosis was made according to the new classification system of the International Headache Society (ICHD-3 beta), and the Pediatric Migraine Disability Assessment (PedMIDAS) was used to evaluate disability. Results The one-year prevalence of any headache type, definite migraine, probable migraine and tension-type headache was 88%, 23%, 13% and 58%, respectively. The point prevalence of any headache was 38%. Nine percent of participants fulfilled criteria for more than one headache diagnosis. The most bothersome headache had a significantly longer duration ( p < 0.001) and higher intensity ( p < 0.001) than the less bothersome headache, but similar frequency ( p = 0.86). Adolescents with headaches lost up to nine days of activity each year, implicating headache as a major health issue. Conclusions Headaches are very common and disabling among adolescents. The full extent of this health problem is better appreciated if inquiry is not limited to the most bothersome subtypes.


2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Tamer M. Attia ◽  
Ahmad M. Hamdan

Abstract Background Olfaction is a complex process involving different neurological mechanisms with a correlation between the chemical structure and quality of odors regarding pleasantness. This study aimed to compare the detection of pleasant and unpleasant odors in different grades of hyposmia. A descriptive cross-sectional study was conducted preceded by a preliminary pilot study, including 20 normal subjects without a history of hyposmia. The pilot study was carried out using the University of Pennsylvania Smell Identification Test (UPSIT) with the assessment of pleasantness of odors using a visual analog scale (VAS). Fifty patients diagnosed with organic hyposmia/anosmia were included in the main study and assessed for the degree of hyposmia/anosmia using UPSIT. The number of detected odors out of the five odors with highest VAS for pleasantness and five odors with lowest VAS for pleasantness, as detected by the pilot study, for every patient was assessed and compared. Results There was a significant difference between the detection of pleasant and unpleasant odors in mild, moderate, and severe hyposmia (p value = 0.02, 0.005, and 0.03 respectively) with a highly significant difference in the whole study group ( p < 0.00001) with more loss of ability to detect unpleasant odors compared with pleasant odors. Conclusion The current study showed significantly less ability to detect unpleasant odors compared with pleasant odors in different grades of hyposmia. This finding suggests that the pattern of degeneration of the olfactory sense organ is not uniform with the topographic nature of the olfactory membrane.


Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 148
Author(s):  
Liliana Valencia-Sánchez ◽  
Rafael Almendra-Pegueros ◽  
Luis Jose Diaz R-Valdez ◽  
David Esmer-Sánchez ◽  
Úrsula Medina ◽  
...  

Background and objectives: Dipeptidyl-Peptidase 4 (DPP-4) is a protein expressed in numerous cells and tissues. Recently it has shown its involvement as a catalyst in the inflammatory response in various pulmonary, autoimmune, intestinal and other pathologies. The objective of this study was to compare the preoperative serum levels of DPP-4 in patients with and without surgical finding of perivesicular inflammation. Materials and methods: a cross-sectional analytical study nested in a prospective cohort, including patients scheduled for elective cholecystectomy, without surgical complications, that were 18–70 years of age, with low cardiovascular risk, without a history of peritonitis, pancreatitis, or jaundice and underwent ERCP protocol, type 2 diabetes mellitus, acute inflammatory (Protein C Reactive < 3 mg/L, leucocytes < 10 1000/mm3), neoplastic, nephrologic or liver disease, the use of anti-inflammatory drugs, steroids and/or antibiotics, the use of pacemakers or metallic implants and without major amputations and whom agreed to participate by providing their informed consent. Ethical and Research register: 45–16. Prior to surgery we compiled anthropometric data and a blood sample to determine the serum levels of DPP-4. The presence of perivesicular inflammation was determined in the surgery. The data was analyzed using the statistical program Rstudio. Results: High BMI values were observed (27.8 ± 6.4); waist circumference (94.7 ± 15.1) and percentage of fat mass (34.7 ± 11.7), showing a cumulative frequency of 65.9% for overweight/obesity. In 27.3% of the interventions, intraoperative perivesicular inflammation findings were reported. The serum levels of DPP-4 were lower in the group of patients with perivesicular inflammation (3947.6 ± 1659.5 vs. 3053.2 ± 1469.6, LC95% of the difference: 160.4–1628.3), being statistically significant (p = 0.018). Conclusions: In the subacute or chronic phases of cholecystitis, there appears to be a constant consumption of DPP-4, which would modulate a better immune response that could be related to the reduction of postoperative complications, so the use of Serum levels of DPP-4 as an early biomarker could improve the diagnostic accuracy of this pathology and the surgical approach.


2017 ◽  
Vol 11 (1) ◽  
pp. 61 ◽  
Author(s):  
Retty Anisa Damayanti ◽  
Lailatul Muniroh ◽  
Farapti Farapti

Stunting is an accumulative process of inadequacy number of nutrients in a long period of time. The purpose of this research was to analyse the difference of nutrients adequacy and the history of exclusive breastfeeding between stunting and non stunting toddler. This cross sectional research was done in 113 toddler who is categorized to 27 stunting toddler and 86 non stunting toddler at Kejawan Putih Tambak village, Surabaya. The number of sample was calculated with proportional sampling. To compare the nutrients adequacy and the history of exclusive breastfeeding,Chi-square test and Exact Fisher were used, to compare amount of intake, Independent T-test and Odds Ratio were calculated. As a result, there was a difference in energy, protein, zinc and iron consumption, and there was also a difference in history of exclusive breastfeeding between stunting and non-stunting toddler (p = 0.000), Non stunting toddler have a higher intake of energy, protein, zinc, and iron than stunting toddler. Toddler with non exclusive breastfeeding have a higher risk to be stunting than toddler with exclusive breastfeeding, and toddler who have inadequate energy, protein, zinc, and iron intake have a higher risk to be stunting than toddler with adequate energy, protein, zinc and iron intake (non-exclusive breastfeeding = 16.5 times, inadequate energy = 4.84 times, inadequateprotein = 3.4 times, inadequate zinc = 3.72 times, inadequate iron = 2.36 times). Advice that can be given is that mother should increase food intake of toddler, especially food that contain protein, zinc, and iron and mother should give also more attention to the exclusive breastfeeding and complementary feeding which is suitable with the toddler’s age.Keywords: exclusive breastfeeding, toddler, stunting, nutrient adequacy


2007 ◽  
Vol 58 (2) ◽  
pp. 223-231 ◽  
Author(s):  
Jovanka Karadžinska-Bislimovska ◽  
Jordan Minov ◽  
Snežana Risteska-Kuc ◽  
Sašo Stoleski ◽  
Dragan Mijakoski

Bronchial Hyperresponsiveness in Women Cooks and CleanersThe aim of this cross-sectional study was to assess the prevalence and characteristics of bronchial hyperresponsiveness (BHR) in 43 women cleaners (aged 26 to 57) and 37 women cooks (aged 29 to 55) and compare them with 45 controls (women office workers aged 27 to 58). The evaluation of all subjects included a questionnaire, skin prick tests to common aeroallergens, spirometry, and histamine challenge (PC20≤8 mg mL-1). We found higher BHR prevalence in cleaners and cooks than in office workers (30.2 % and 29.7 %, vs. 17.7 %, respectively), but statistical significance was not reached. The prevalence of mild and moderate to severe BHR was similar in all groups. Borderline BHR prevalence was significantly higher in cleaners than in controls (16.2 % vs. 6.6 %, P=0.032) whereas the difference was on the verge of significance in cooks (13.5 % vs. 6.6 %, P=0.081). Moderate to severe BHR was strongly associated with positive family history of asthma and atopy in all groups. Mild BHR was significantly associated with daily smoking in cleaners (P=0.031) and cooks (P=0.021), as well as with the duration of exposure in cleaners (P=0.038). Borderline BHR was closely related to daily smoking and duration of exposure in both cleaners and cooks. Our findings indicate an important role of workplace exposure in borderline BHR development, as well as the significant effect of smoking on mild BHR development in women cleaners and cooks.


2016 ◽  
Vol 12 (1) ◽  
pp. 83-87
Author(s):  
Syeda Zeenat Laila ◽  
Anjuman Ara Beauty ◽  
Md Mahboob Hasan ◽  
Md Mizanur Rahman Khan

Introduction: Infantile colic is defined as excessive crying for more than three hours a day at least three days a week for one week or more in an otherwise healthy baby. It is most frequently observed in neonates and infants aged two weeks to four months. Objective: To assess the incidence of infantile colic and effectiveness of conventional therapy. Materials and Methods: This was a prospective cross sectional study of 50 cases carried out in Paediatric out patient department in Combined Military Hospital (CMH) Ghatail during the period of September 2010 to August 2012. Data recorded including demographics, clinical presentations, management and the outcome of therapy. Results: Out of the total 50 patients, 24(48%) were male and 26(52%) were female. Male:Female=1:1.08. Babies delivered vaginally suffered more 32(64%), full term delevered babies 33 (66%) suffered more than that of gestational age group <37 wk. Non-exclusive Breastfed (Formula fed, combination of breastfed and formula fed) babies having more incidence of colic 31(62%). Maximum patients 26(52%) had history of cry 4-5 hours per day. Motion (Rocking, bouncing, walking etc) 18(36%), change of diet 14(28%) were considerable satisfactory treatments. Conclusion: Since it is a self limiting condition, conventional therapy should be tried for instant relief. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 83-87


2021 ◽  
pp. 45-47
Author(s):  
Abhik Sinha ◽  
Debasish Sanyal ◽  
Salil Bhattacharya

Background : Dementia is one of the leading cause of disability in geriatric population . Dementia is associated with a reduced Quality of Life (QoL) the cause of which is multifactorial .Qol is a very important outcome measure of management in persons with dementia . The objectives of this study were t Objectives : o determine the clinico social prole in the geriatric population under study and to nd out the quality of life and its correlates in the persons with dementia under study Material & Method: Observational, descriptive study with cross-sectional design. The study was done in 432 geriatric population (>60 years) in the Rural Field Practice Area of a urban Medical College , Kolkata and in the Old Age Home and day Care Centers of a leading Geriatric NGO in Kolkata ., Kolkata. 441 (51%) of the study population were male and 423 (49%) were female. In persons wit Results: h dementia age of the person was negatively co-related with the Cornel Brown score. Per capita income was positively co-related with the Cornel Brown score. Number of care givers was positively co-related with the Cornel Brown score. Cornel Brown score was higher in the persons with dementia who have a family history of dementia. Cornel Brown score was signicantly higher among the female and the difference was statistically signicant. Conclusion: InGeriatricPersons with dementia quality of life is to be assessed properly and efforts are taken to be taken measures so that their quality of life can be better.


2014 ◽  
Vol 8 (3) ◽  
pp. 67-74
Author(s):  
Linda Iurato

The classification system of headaches is one of the oldest in medicine, and includes a hugeamount of types and causes. The International Headache Society has listed two broad categoriesfor headache disorders: primary headache disorders, which lack a clear underlying causativepathology, and secondary headache disorders, that have a known cause. This is an overviewaddressed to general practitioners to help making a first-line headache diagnosis basing on themost common types of headache listed in the 2013 International Classification of Headachedisorder 3rd edition (beta version). Although headache diagnosis and treatment have madesubstantial gains in the last decade, the disease is still underdiagnosed and undertreated:improvements in several areas are required, especially in General Medicine.


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