Objective: To assess the relations between pediatric migraine and TTH.
Methods: Children presenting with headache to three hospital`s pediatric neurologic clinics in the last 5 years were assessed. 262 children, 5-18 years of age, who met the criteria for migraine were included.
Results: Of 262 children (54% female) who had migraine, 26.2% had Migraine with aura. 59 children (24.5%) complaint that beside their Migraine headache, they had also headaches that met the criteria for TTH – Mixed headaches. Females were more than 2.8 times as likely to experience Mixed headaches compared to males (OR: 2.81, 95% CI: 1.43-5.54; p<.003). Multiple logistic regression analysis revealed that older age (p<0.02), family history of aura (p<.02) and (lack of) TTH (p<.003) were significant predictors of aura, whereas gender was not significant (p>0.20). Children who had Migraine with aura were less likely to have mixed headaches than children who did not have aura (OR: 0.26, 95% CI: 0.11-0.63; p<.003).
Conclusions: TTH and migraine without aura in children might be part of a continuum which can explain the high incidence of their co-occurrence as opposed to migraine with aura.
