Diagnostic factors in pediatric primary headache

J Clin Epidemiol. 1988;41(1):27-33. doi: 10.1016/0895-4356(88)90006-6.

Abstract

Primary headaches are frequent in children. They are difficult to diagnose because there is much disagreement about the interpretation of the historical data and the use of signs and/or symptoms in diagnosis. It would be useful, therefore, to standardize this procedure. We used linear discriminant analysis to determine a classification rule capable of diagnosing new cases of chronic and recurrent primary headache in children. We considered 23 symptoms in 118 patients. Through discriminant analysis we chose five variables: frequency of the attacks, type of pain, neurologic deficits, nausea, and vomiting. With this classification rule, we obtained a total correct classification of 84.7% for migraine, psychogenic headache, and non-defined headache in respect to the diagnoses formulated by a pediatrician and a child neuropsychiatrist after 3 months of follow-up. Our method for diagnosing migraine has a sensitivity of 95% and a specificity of 100%. The algorithm, validated on another 105 pediatric patients, produced a total correct result of 82.9%.

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Child
  • Child, Preschool
  • Diagnosis, Computer-Assisted
  • Diagnosis, Differential
  • Female
  • Headache / diagnosis*
  • Headache / psychology
  • Humans
  • Male
  • Migraine Disorders / diagnosis
  • Predictive Value of Tests
  • Probability