• Curr Pain Headache Rep · Feb 2022

    Review

    Premonitory and Accompanying Symptoms in Childhood Migraine.

    • Sampaio Rocha-FilhoPedro AugustoPAhttp://orcid.org/0000-0001-5725-2637Division of Neuropsychiatry, Centro de Ciências Médicas, Federal University of Pernambuco (UFPE), Recife, Brazil. pedroasampaio@gmail.com.Headache Clinic, Oswaldo Cruz University Hospit and José Luiz Dias Gherpelli.
    • Division of Neuropsychiatry, Centro de Ciências Médicas, Federal University of Pernambuco (UFPE), Recife, Brazil. pedroasampaio@gmail.com.
    • Curr Pain Headache Rep. 2022 Feb 1; 26 (2): 151-163.

    Purpose Of ReviewTo review the literature on the clinical characteristics of the symptoms other than headache that occurs during a migraine attack in childhood and adolescence.Recent FindingsPremonitory 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. 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.© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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