Critical Analysis of the International Classification of Headache Disorders Diagnostic Criteria (ICHD I-1988) and (ICHD II-2004), for Migraine in Children and Adolescents

The present study analyzed the (ICHD I-1988) and (ICHD II-2004) diagnostic criteria in children and adolescents. Our population consisted of 496 patients of the Headache Outpatient Ward for Children and Adolescents retrospectively studied from 1992 to 2002. Individuals were classified according to t...

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Bibliographic Details
Published in:Cephalalgia 2005-11, Vol.25 (11), p.1042-1047
Main Authors: Lima, MMF, Padula, NAMR, Santos, LCA, Oliveira, LDB, Agapejev, S, Padovani, C
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Child
Child, Preschool
children
classification criteria
Female
Humans
Male
Migraine
Migraine Disorders - classification
Migraine Disorders - diagnosis
Retrospective Studies
sensitivity
Sensitivity and Specificity
specificity
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Summary:The present study analyzed the (ICHD I-1988) and (ICHD II-2004) diagnostic criteria in children and adolescents. Our population consisted of 496 patients of the Headache Outpatient Ward for Children and Adolescents retrospectively studied from 1992 to 2002. Individuals were classified according to three diagnostic groups: Intuitive Clinical Diagnosis (Gold Standard), ICHD I-1988 and ICHD II-2004. They were statistically compared using the variables: Sensitivity (S), Specificity (Sp), Positive Predictive Value (PPV), Negative Predictive Value (NPV). When ICHD I-1988 was used, the sensitivity of migraine without and with aura was 21% and 27%, respectively, whereas in ICHD II-2004 it changed to 53% and 71% without affecting specificity. As a conclusion, the current classification criteria (ICHD II-2004) showed greater sensitivity and high specificity for migraine than ICHD I-1988, although it improved migraine diagnosis in children and adolescents, the sensitivity remains poor.
ISSN:0333-1024
1468-2982
DOI:10.1111/j.1468-2982.2005.00954.x