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Prodrome and Postdrome Characteristics In Children and Adolescents With Migraine

Objectives: We aimed to determine characteristic features of prodromal and postdromal symptoms of migraine, and examine their relationship wtih age, headache severity, and drug use. Methods: This study was designed as a cross-sectional study. A pre-prepared questionnaire was applied to the patients with migraine during their outpatient visits. Demographic characteristics, headache, aura, prodrome and postdrome symptoms were evaluated in the questionnaire form. Results: A total of 43 patients (29 girls, 14 boys) diagnosed with migraine were included. The mean age during the interview was 15.05 years. Twenty-seven patients (62,7%) were diagnosed with migraine without aura; 16 (37.2%) had migraine with aura. Thirty-four (79%) of 43 patients reported a prodromal phase to headache. The most common complain was phonophobia (44.1%), while the least common problem was hyperactivity (2.9%). 14 patients stated they used anelgesics as abortive treatment due to prodromal symptoms; this treatment prevented the headache often in 14.2%, rarely in 21.4% of the patients. A total of 12 patients (27.9%) described at least one postdrome symptom; the most encountered postdrome symptoms were sleep disturbances (33.3%), nausea (25%), fatigue (25%), polydipsia (25%), and pain in the eye (25%). The vast majority (91.6%) of the patients with a postdrome phase also described prodromal symptoms. Postdromal and prodromal symptoms affected the quality of life significantly in 41.6% of all patients. Conclusion: Prodromal and postdromal symptoms in migraine patients can lead to disability and reduce their quality of life. More studies are needed in childhood, especially on the postdrome period.

Özge Kucur
Tekirdağ İsmail Fehmi Cumalıoğlu City Hospital
Turkey

Ergin Cücü
Dr Sami Ulus Maternity and Children Training and Research Hospital
Turkey

Nesrin Ceylan
Ankara City Hospital, Children's' Hospital
Turkey

Deniz Yüksel
Dr Sami Ulus Maternity and Children Training and Research Hospital
Turkey

 


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