title: Critical analysis of diagnostic criteria (ICHD-3 beta) about migraine in childhood and adolescence.
abstract: OBJECTIVE
  The objective of this study was to prospectively evaluate the International Classification of Headache Disorders I (ICHD-I) diagnostic criteria for migraine in children and adolescents.
  
  
  METHODS
  150 pain diaries were analyzed during an initial consultation. The duration of migraine headache attacks were divided into 2 groups: Group I, for attacks lasting > 2 hours, and Group II, for attacks lasting < 2 hours.The two groups were statistically compared using Fisher's exact test (p < 0.05).
  
  
  RESULTS
  In this study, 51(34%) subjects were male and 99 (66%) were female, aged 7-15 years. Fisher's exact test demonstrated that the ICHD-3 beta had a 58% sensitivity for Group I diagnoses and a 94% sensitivity for Group II diagnoses (p < 0.001).
  
  
  CONCLUSIONS
  The current ICHD-3 beta classification improves and advances migraine diagnosis in children and adolescents; however, more research is needed to identify additional characteristics of headache in this age group.
authors.affiliation: Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Márcia Maria Ferreira
authors.initials: MM
authors.lastname: Lima
authors.affiliation: Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Bazan
authors.affiliation: Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Luis Cuadrado
authors.initials: LC
authors.lastname: Martin
authors.affiliation: Departamento de Cirurgia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Antônio Sérgio
authors.initials: AS
authors.lastname: Martins
authors.affiliation: Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Gustavo José
authors.initials: GJ
authors.lastname: Luvizutto
authors.affiliation: Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Luiz Eduardo Gomes Garcia
authors.initials: LE
authors.lastname: Betting
authors.affiliation: Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Marco Antônio
authors.initials: MA
authors.lastname: Zanini
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008881:Migraine Disorders / Q000145:classification / Q000150:complications / Q000175:diagnosis*; D010147:Pain Measurement; D011446:Prospective Studies; D012680:Sensitivity and Specificity