Abstract
Literature on triggers of childhood migraine is sparse. This study was carried out in 200 children (7–15 years) with migraine from a metropolitan city in Eastern India, both retrospectively and prospectively, with headache diaries to note the incidence of various triggers. In the retrospective study, triggers could be identified in 94% of subjects while in 100% of children in the prospective part of the study more than one trigger could be identified. Most migraine triggers identified were environmental (sun exposure, hot humid weather, smoke and noise) and stress related (school stress mostly). Quite often these operated concurrently to precipitate individual migraine attacks.
Keywords: Childhood migraine, Migraine triggers
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References
- 1.Gowers WR. The border-land of epilepsy: migraine. Philadelphia: Old Hickory Bookshop; 1907. pp. 76–104. [Google Scholar]
- 2.Martin VT, Behbehari MM. Towards a rational understanding of migraine trigger factors. Med Clin N Am. 2001;85:911–941. doi: 10.1016/S0025-7125(05)70351-5. [DOI] [PubMed] [Google Scholar]
- 3.Davidoff RA. Initiators, precipitants and triggers. In: Davidoff RA, editor. Migraine: manifestations, pathogenesis and management. 2. New York: Oxford Press; 2002. pp. 90–119. [Google Scholar]
- 4.Kelman L. The triggers or precipitants of acute migraine attack. Cephalalgia. 2007;27:394–402. doi: 10.1111/j.1468-2982.2007.01303.x. [DOI] [PubMed] [Google Scholar]
- 5.Linder SL, Winner P. Pediatric headache. Med Clin N Am. 2001;85:1037–1053. doi: 10.1016/S0025-7125(05)70358-8. [DOI] [PubMed] [Google Scholar]
- 6.Millichap JG, Yee MM. The dust factor in pediatric and adolescent migraine. Pediatr Neurol. 2003;28:9–15. doi: 10.1016/S0887-8994(02)00466-6. [DOI] [PubMed] [Google Scholar]
- 7.Mack KJ. Episodic and chronic migraine in children. Semin Neurol. 2006;26:223–231. doi: 10.1055/s-2006-939923. [DOI] [PubMed] [Google Scholar]
- 8.Lewis DW. Pediatric migraine. Neurol Clin. 2009;27:481–501. doi: 10.1016/j.ncl.2008.11.003. [DOI] [PubMed] [Google Scholar]
- 9.Winner P, Linder SL, Wasiewski WW. Pharmacologic treatment of headache. In: Winner P, Rothner AD, editors. Headache in children and adolescents. Hamilton: B C Decker; 2001. pp. 87–115. [Google Scholar]
- 10.Headache Classification Subcommittee of the International Headache Society The international classification of headache disorders, 2nd edn. Cephalalgia. 2004;24(Suppl 1):8–160. doi: 10.1111/j.1468-2982.2003.00824.x. [DOI] [PubMed] [Google Scholar]
- 11.Chakravarty A, Mukherjee A, Roy D. Migraine pain location: how do children differ from adults? J Headache Pain. 2008;9:375–379. doi: 10.1007/s10194-008-0075-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Chakravarty A, Mukherjee A, Roy D. Migraine pain location at onset and during established headaches in children and adolescents: a clinic based study from Eastern India. Cephalalgia. 2007;27:1109–1114. doi: 10.1111/j.1468-2982.2007.01418.x. [DOI] [PubMed] [Google Scholar]
- 13.Chakravarty A. Chronic daily headaches in children and adolescents: a clinic based study from India. Cephalalgia. 2005;25:795–800. doi: 10.1111/j.1468-2982.2005.00958.x. [DOI] [PubMed] [Google Scholar]
- 14.Chakravarty A. Chronic daily headaches in India. Cephalalgia. 2003;23:348–353. doi: 10.1046/j.1468-2982.2003.00514.x. [DOI] [PubMed] [Google Scholar]
- 15.Wober C, Holzhammer J, Zeitlhofer J, Wesseley P, Wober-Bingol C. Trigger factors of migraine and tension type headache: experience and knowledge of the patients. J Headache Pain. 2006;7:188–195. doi: 10.1007/s10194-006-0305-3. [DOI] [PMC free article] [PubMed] [Google Scholar]