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Neuropsychiatr Dis Treat. 2012;8:509-13. doi: 10.2147/NDT.S36863. Epub 2012 Nov 01.

Can headache impair intellectual abilities in children? An observational study.

Neuropsychiatric disease and treatment

Maria Esposito, Antonio Pascotto, Beatrice Gallai, Lucia Parisi, Michele Roccella, Rosa Marotta, Serena Marianna Lavano, Antonella Gritti, Giovanni Mazzotta, Marco Carotenuto

Affiliations

  1. Center for Childhood Headache, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Naples.

PMID: 23139628 PMCID: PMC3490685 DOI: 10.2147/NDT.S36863

Abstract

BACKGROUND: The purpose of this study was to assess the cognitive functioning of children affected by headache, pinpointing the differences in intelligence style between subjects affected by migraine without aura and subjects with tension-type headache.

METHODS: The study population consisted of 147 children (mean age 10.82 ± 2.17 years) with headache, recruited from the Headache Center for Developmental Age, Child and Adolescent Neuropsychiatry Clinic, Second University of Naples. Cognitive profiling was performed using Weschler Intelligence Scale for Children Third Edition throughout the sample. According to the International Classification of Headache Disorders II criteria for pediatric age, subjects were divided into a migraine without aura group (n = 75; 43 boys, 32 girls) and a tension-type headache group (n = 72; 49 boys, 23 girls). The results were compared with the findings obtained from a sample of 137 healthy control subjects recruited from schools in the Campania region, matched for age and gender.

RESULTS: No difference in full intelligence quotient was found between the groups, but the children with tension-type headache had a lower verbal intelligence quotient and a higher performance intelligence quotient than the healthy controls and children with migraine. Factor analysis data showed that the children with migraine seemed to have lower perceptual organization than the children affected by tension-type headache.

CONCLUSION: To our knowledge, studies on cognitive functioning in children affected by headache in the interictal phase are scarce, and our results suggest a new perspective in understanding of the neuropsychological aspects of young patients affected by headaches.

Keywords: Weschler Intelligence Scale for Children Third Edition; childhood headache; intelligence; intelligence quotient; migraine

References

  1. Cephalalgia. 1988 Jun;8(2):67-70 - PubMed
  2. Headache. 1990 May;30(6):352-8 - PubMed
  3. Arch Clin Neuropsychol. 1999 May;14(4):389-99 - PubMed
  4. Headache. 2012 Nov-Dec;52(10):1471-82 - PubMed
  5. Cephalalgia. 2009 Jan;29(1):3-16 - PubMed
  6. Cephalalgia. 2002 May;22(4):291-302 - PubMed
  7. Cephalalgia. 1999 Jul;19(6):557-65; discussion 541 - PubMed
  8. J Headache Pain. 2005 Sep;6(4):281-3 - PubMed
  9. Arq Neuropsiquiatr. 2011 Apr;69(2A):192-5 - PubMed
  10. Cephalalgia. 1989 Mar;9(1):25-8 - PubMed
  11. Eur J Pediatr. 2012 Nov;171(11):1599-604 - PubMed
  12. J Headache Pain. 2010 Feb;11(1):45-51 - PubMed
  13. Neurosci Lett. 2008 Aug 1;440(2):92-6 - PubMed
  14. Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Apr;25(2):92-5, 126 - PubMed
  15. Acta Neurol Scand. 1997 Dec;96(6):392-6 - PubMed
  16. Headache. 2002 Sep;42(8):776-9 - PubMed
  17. Br J Clin Psychol. 1984 Feb;23 ( Pt 1):27-35 - PubMed
  18. Funct Neurol. 1987 Jan-Mar;2(1):69-77 - PubMed
  19. Curr Pain Headache Rep. 2011 Aug;15(4):280-8 - PubMed
  20. Arch Neurol. 1986 Jul;43(7):709-12 - PubMed
  21. Neurol Sci. 2011 Oct;32(5):875-81 - PubMed
  22. Cephalalgia. 2000 Jun;20(5):475-8 - PubMed
  23. Cephalalgia. 2004;24 Suppl 1:9-160 - PubMed

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