Characterization of Migraine in Children and Adolescents With Generalized Joint Hypermobility: A Case-Control Study

Neurol Clin Pract. 2023 Oct;13(5):e200188. doi: 10.1212/CPJ.0000000000200188. Epub 2023 Aug 17.

Abstract

Background and objectives: The prevalence of generalized joint hypermobility (GJH) is 5-65% in children and adolescents. The hypothesis of this study was to see whether there is an association between headache characteristics and GJH in children and adolescents with migraine.

Methods: We performed a primary retrospective case-control analysis of an established database of patients with headache aged 5-17 years.

Results: We included 5435 participants. Approximately 31.6% of participants (1,719/5,435) were diagnosed with GJH (Beighton score ≥ 6). Nausea (73.1% vs 67.5%, χ2 with 1 degree of freedom = 17.0, p < 0.0001), phonophobia (87.3% vs 78.8%, χ2 with 1 degree of freedom = 18.0, p < 0.0001), and the PedMIDAS score (48.2 ± 52.5, 95% CI 45.7-50.6 vs 41.6 ± 51.2, 95% CI 40.0-43.3, effect size = 0.13, p < 0.0001) were noted to be more severe in participants with GJH than those without GJH.

Discussion: Youths with GJH and migraine were noted to have more severe migraine characteristics.