Multicenter prospective evaluation of proposed pediatric migraine revisions to the IHS criteria

P. Winner, W. Wasiewski, J. Gladstein, S. Linder, R. Hamel, M. Haugh, R. Lipton, W. Molofsky, R. Nett, F. Sheftell, S. Silberstein

Research output: Contribution to journalArticlepeer-review

112 Scopus citations


Eighty-eight children and adolescents were prospectively evaluated at eight specialty clinics comparing the diagnostic criteria of the International Headache Society (IHS) and the proposed revised (IHS-R) classification to the clinical diagnosis. The proposed revisions to the IHS classification for pediatric migraine include: duration-1 hour to 48 hours; location - bifrontal/bitemporal or unilateral; and symptoms - to include photophobia or phonophobia. A comparison of the diagnostic rates of pediatric migraine with and without aura of the total sample revealed IHS (66%) versus IHS-R (93%) and comparison of a subset of those patients less than 12 years of age (n=39) revealed IHS (49%) versus IHS-R (87%). Significant improvement in the diagnostic sensitivity of migraine in the pediatric population was obtained by specific modifications to the IHS criteria pertaining to duration, location, and the symptoms of photophobia and phonophobia in an ongoing multicanter prospective study. These revisions may help to form the basis for future research guidelines and for further modifications to improve the diagnostic sensitivity of pediatric migraine maintaining the IHS model.

Original languageEnglish (US)
Pages (from-to)545-548
Number of pages4
Issue number9
StatePublished - Oct 1 1997
Externally publishedYes


  • Diagnostic criteria
  • International Headache Society
  • Pediatric migraine

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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