Feasibility of diagnosing pediatric migraine using a screening questionnaire: a pilot study

• Published in: Canadian journal of neurological sciences 2014-05, Vol.41 (3), p.S9-S9
• Main Authors: Whitney, R N, Borys, O K, Latchman, A, Callen, D
• Format: Article
• Language: English
• ISSN: 0317-1671

Background: Migraine affects approximately 4-11% of elementary school children, yet reaching a diagnosis in this age group can be challenging. This pilot study aimed to develop a screening migraine questionnaire, The McMaster Migraine Tool (MMT), and determine the feasibility of its use in diagnosing migraine in children 5-12 years-old. Methods: International Classification of Headache Disorders-II (ICHD-II) criteria for migraine were used to develop the MMT, which was completed by families prior to clinic visit. Feasibility was the primary outcome, as determined by willingness to participate, percentage of completion, and perceived ease of use. Secondary outcomes included sensitivity and specificity of the MMT when compared to assessment by a pediatric neurologist. Results: Of 71 families approached, 70 agreed to participate in the study and 69 completed the MMT. On average, families graded its ease of use to be 9/10 (10 being easy to use). The sensitivity and specificity of the MMT were 84% and 69% respectively. Conclusions: The MMT may be useful in diagnosing migraine in 5-12 year-old children, as it is readily completed and regarded as easy to use. Application of the MMT could lead to expedited diagnosis and management of migraine. Further validation of the MTT is a topic of further study.