Complaints Of Headache Research Articles

Management of Cervicogenic Headache - A Case Study

Purpose: To describe the use of manual therapy and muscle reeducation for an individual with cervicogenic headache. Background: This patient was a 30-year-old woman with complaint of headache. She was functionally limited with posture. She also demonstrated impairments in cervical mobility and muscular performance. Methods and measures: This patient was treated 8 sessions over a 8 week period. Study design: Case study Intervention: Intervention included manual upper cervical spine mobilization techniques, muscle re-education for deep neck flexors muscles and scapular stabilization exercises. Results: Following treatment, the patient demonstrated in an increase in cervical mobility, improved muscular performance, a decrease in headaches, and resolution of functional limitations. Statistical analysis of the data showed significant differences from pre to post intervention from Day 1 to Day 8. There was clinical and statistical significance found in ROM and functional ability. Conclusion: Findings suggest that the mulligans manual therapy with exercises is more effective in reducing headache, improving range of motion of cervical spine and functional ability in patients with Cervicogenic Headache. Keywords: Cervicogenic headache (CGH), mulligans mobilization, snags, manual therapy, sub occipital muscle release.

Efforts to Reduce Headache in Grade II Tuberculosis Meningitis Patients: A Case Study

Tuberculous meningitis is a life-threatening disease and can cause severe manifestations and neurological disorders. Headache is one of the symptoms that occurs in patients with tuberculosis meningitis. An 18-year-old woman was admitted with complaints of unilateral headache in the holocranial region with a description of throbbing pain on a scale of 6 (0-10), which decreases when she closes her eyes and sleeps. The pain is felt continuously and slightly interferes with activities. This case study aim to describe intervention that can reduce headache in Grade II Tuburculosis Meningitis. Nursing actions are given to minimize the pain experienced by patients with tuberculosis meningitis, namely carrying out pharmacological and non-pharmacological pain management by collaborating in giving paracetamol 500 mg and teaching non-pharmacological pain management by facilitating patient rest, teaching deep breathing relaxation. In addition, immediate treatment is needed by administering anti-tuberculosis drugs (OAT) and corticosteroids. Corticosteroids are given to minimize complications and death rates by suppressing the inflammatory response in the subarachnoid space. After being given care, the problem of acute pain is partially resolved so that further treatment is needed with participation of the patient and family for the success of nursing care. It is necessary to improve pain management in treating patients with TB meningitis headaches.

Fourteen intracranial aneurysms in a single patient—the largest number ever reported in the literature

A 52-year-old female came with complaints of intense headaches for the past 10 days. The CT brain revealed SAH in the bilateral Sylvain fissure (left more than right) with Hunt and Hess Grade 1. An urgent CT cerebral angiogram was done, which revealed multiple bilateral MCA, ACA, and basilar top aneurysms. DSA was done the next day, which revealed multiple aneurysms, a total of fourteen in number. Such multiple aneurysms in a single patient were never reported in the literature until now, according to the present author's knowledge.

Challenges in Diagnosing Functional Visual Loss and Malingering: a Case Report

Abstract
 Introduction : Functional Visual Loss (FVL) is decreased visual acuity and/or altered visual fields without any associated organic pathology and is considered within the spectrum of malingering. It manifests as either simulating an ophthalmic disease or denying ophthalmic disease. Thorough history-taking and careful examination of the patient are essential in reaching the diagnosis.
 Case Illustration : A 17-year-old female came with complaints of a spinning headache, sudden and painless blurry vision in both eyes, double vision, and a history of syncope for the last two days. Ophthalmology examination revealed UCVA was 0.5/60 for both eyes with inconsistent answers from the patient. The confrontation test, light reflex, funduscopy, Humphrey visual test, OCT, and MRI were normal. Malingering was suspected and a psychiatric consultation was made. The patient was found to be a victim of bullying and had a history of visual hallucinations. The patient was then diagnosed with severe depression with psychotic signs.
 Discussion : 
 Conclusion : FVL can be suspected when there is inconsistency in the results of some clinical basic tests. Despite the association between FVL and psychological problems like depression is complicated, this condition may occur in a bidirectional relationship in which depression leads to disability or contrarily. In conclusion, diagnosing visual problems in malingering patients can be challenging. Subjective and objective tests are needed to help practitioners confirm the malingering state of the patient. Practitioners also should be aware of the underlying risk of psychological problems among persons reporting visual function loss.

SUCESSFULL MANAGEMENT OF CHILDHOOD BASIC-TYPE ESOTROPIA IN ADULT PATIENT

Introduction : Strabismus in adults may indicate other pathological causes, such as neurological disorders or trauma. Diagnosis of esotropia in adult patients has to be made carefully to determine the right treatment. Management’s goal of strabismus in adult patients is mainly cosmetic by diminishing deviation.
 Case Illustration : A 46-year-old woman, complaint of inward deviation of both eyes since childhood. There were no complaints of double vision, headaches, nor trauma history. Visual acuity of right eye was 0.4 with BCVA and left eye was 0.8 with BCVA 0.8. Hirschberg test was 45o (Figure 2A). Prism cover test was 75 PD base out in near and distance. Patient was diagnosed with basic-type esotropia. The patient already given spectacles but the deviation persisted so she underwent bilateral medial rectus recess surgery (Figure 2B). Ocular alignment without spectacles 1 week after surgery showed orthotropia and small esophoria. (Figure 2C).
 Discussion : Each esotropia types has a different treatment approach. Basic-type esotropia with large deviation usually needs surgical treatment. Management of childhood onset strabismus in adult patients is challenging because those patients have lesser ability to maintain fusion. Older patients and large deviation are poor prognostic factors to achieve good functional and cosmetics outcome after strabismus surgery.
 Conclusion : Establishing a definite diagnosis in adult strabismus patients, including esotropia, is challenging. Careful diagnosis and management decision will determine the outcome of the patient’s condition.

A peculiar case of idiopathic orbital myositis in adolescence

Abstract
 Introduction : Idiopathic orbital myositis, an inflammation localized at the extraocular muscles, is rarely reported in pediatrics. Until now, the prevalence and incidence of orbital myositis remain unknown. This paper aims to report a case of idiopathic orbital myositis in a young girl with headache.
 Case Illustration : A-16-year-old presented with a droopy eyelid of the left eye (LE) and double vision since 1 week before admission. She also experienced swollen eyelid and cluster headache for 5 months with no neurological abnormalities. Ophthalmic examinations showed exotropia with limited eye movement of LE. Ptosis of LE was noted with margin reflex distance 1 (MRD-1) +2 mm, while MRD-1 +6 mm for the right eye. Other examinations were unremarkable with normal funduscopy and negative RAPD. Non-contrast orbital sinus CT-Scan revealed an enlargement of the superior rectus and lateral rectus muscle. The laboratory result showed slight leucocytosis and normal ESR. High-dose intravenous corticosteroid was administered and tapered with oral steroid. The orbital clinical findings showed improvements, better ocular movements, and diminished headache complaints.
 Discussion : As a rare case, the diagnosis of orbital myositis in adolescence can be challenging and requires detailed examination, and proper imaging to exclude other diagnosis such as ophthalmoplegic migraine, infections, malignancies, or congenital lesions (hemangioma). The first-line therapy is a systemic corticosteroid, which well responded in this patient.
 Conclusion : In this patient, intravenous corticosteroid represent an effective treatment. Close monitoring of the disease progression is required after switching to oral therapy to prevent relapse.

Fibrous dysplasia of sphenoid wing with secondary aneurysmal bone cyst: a rare case report

BackgroundAn aneurysmal bone cyst is a locally destructive benign lesion affecting mostly the long bones. Aneurysmal bone cyst of the skull bones is a very rare phenomenon and the involvement of the sphenoid bone of the skull with extension into the orbit is even rarer. We present a case of 15-year-old adolescent with fibrous dysplasia of the sphenoid wing with secondary aneurysmal bone cyst.Case presentationA 15-year-old male presented to us with chief complaints of headache with swelling in the left temporal region of the face and proptosis of the left eye associated with decreased vision for the past 2 months. NCCT showed a large heterogeneous mass in the left temporal region extending into left orbit. Gadolinium-enhanced MRI showed a well-defined multiloculated osteo-expansile lesion in the left middle cranial fossa extending into the anterior cranial fossa consistent with the fibrous dysplasia of the sphenoid bone with associated aneurysmal bone cyst. Digital subtraction angiography brain to look for any feeders to the lesion was done followed by microsurgical gross total excision of the tumor. The histopathology report confirmed it to be fibrous dysplasia secondary to aneurysmal bone cyst.ConclusionAneurysmal bone cyst is a rare entity, commonly affecting the long bones of the body. The involvement of sphenoid wing of skull is very rare occurrence. It can be primary or secondary to fibrous dysplasia, chondroblastoma, giant cell tumor, fibromyomas, etc. Fibrous dysplasia with secondary aneurysmal bone cyst should be kept in mind as one of the differential diagnoses while dealing with osteolytic bone lesions of skull.

Efficacy of Marma Chikitsa in pain management of Cervical Spondylosis - A Single Case Study

Cervical spondylosis is a chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral discs of the neck as well as the contents of spinal canal. It is characterized by neck pain radiating to shoulders, arms, head and person is unable to perform daily routine work. Patient aged 47 years came to our institute with the complaint of headache, pain and stiffness in cervical region & pain is radiated to hand, tingling sensation in hand, restricted movement of cervical spine for 6 month. He was diagnosed as case of cervical spondylosis. MRI of cervical spine suggested protrusion at C5-C6 level causing anterior thecal sac compression & bilateral moderate neural foraminal narrowing with left exiting nerve compression. In this case study effect of Marma Chikitsa in pain management of cervical spondylosis is evaluated. This case study shows that pain in cervical spondylosis may be successfully managed by Marma Chikitsa.

Age as a predictive factor for reduced intracranial compliance in patients with headache.

Increased intracranial pressure (ICP) consists of a set of signs and symptoms related to changes in intracranial compliance (ICC) and ICP. This study presents a retrospective analysis of patients who underwent non-invasive monitoring of ICC based on complaints of headache, correlating decreased brain compliance and increased intracranial pressure. Noninvasive ICC monitoring was performed using a Brain4care device, which contains a strain gauge and a recorder connected to a mechanical device that touches the scalp surface in the frontoparietal area lateral to the sagittal suture. This tool monitors the ICP by identifying small changes in skull measurements that are caused by pressure variations, i.e., skull deformation is associated with the detection of changes in mean ICP. A clinical evaluation of 32 patients with complaints of headache occurred from the analysis of their medical records. Of the 32 patients initially chosen, it was possible to complete the analysis of 18 due to the availability of data in the medical records. From the non-invasive monitoring of the ICC, the following data were collected: time-to-peak, P2/P1 ratio, age, and gender. From the statistical analysis of age and P2/P1 ratio, it was noted that as age increases, ICC tends to decrease regardless of sex (p < 0.05). This study concluded that there is a correlation between changes in intracranial compliance and headache complaints in outpatients. There was also a relationship between age and decreased intracranial compliance but without a specific pain pattern.

Neuroanesthesia Management in Transspenoidal Pituitary Cyst Surgery

Background: Neuroanesthesia management of patients with masses in the sella area undergoing transspenoidal surgery is a challenge for anesthesiologists. Good preoperative, intraoperative and postoperative management is shown to improve the patient’s quality of life. Case: A 45-year-old man with chief complaints of headache and visual disturbances, from the results of the vision examination obtained visus 1/60 (count fingers) and narrowed visual field area. From computerized tomography (CT) scan and Magnetic resonance imaging (MRI) images of the Head obtained a picture of cystic mass of the suprasellar sella pressing the optic chiasm. The patient was planned for surgical excision of pituitary cyst per transspenoidal. The patient underwent general anesthesia with endotracheal intubation with intravenous induction fentanyl, propofol, atracurium and lidocaine, followed by maintenance with sevoflurane inhalation agent with 60% oxygen. During the operation the hemodynamic condition was stable and postoperatively the patient was extubated in the operating room and then treated in the intensive care unit. Conclusion: In pituitary cyst patients undergoing transspenoidal surgery, the preoperative evaluation is mainly aimed at airway assessment, neurological disorders and hormonal disorders in patients. During intraoperative, the anesthesiologist is expected to optimize cerebral oxygenation, maintain hemodynamic stability, facilitate the surgical area, prevent and manage intraoperative complications and rapid recovery of consciousness. Postoperatively a good neuroendocrine evaluation is required

Headaches in Children After Transcatheter Device Closure of Atrial Septal Defects: A Single-Centre Experience

BackgroundTranscatheter device closure (TDC) is the most common treatment for isolated atrial septal defects in children. In the adult population, the incidence of new-onset migraine headache after TDC is well recognized and is estimated at 15%. New-onset headache after paediatric TDC has not been well described. We reviewed our centre’s experience to estimate the rate of headache complaints among paediatric patients after TDC. MethodsWe performed a single-centre, retrospective review of all children who underwent TDC between January 1, 2018, and December 31, 2021. For the included patients, we comprehensively reviewed the electronic medical record to identify patients reported to experience post-TDC headache. ResultsA total of 165 consecutive patients underwent TDC during the study period. Of these, 134 met inclusion criteria, and 20 patients (15%) had headache documented in the electronic medical record. Of 20 patients, 4 (20%) had headaches that led to further investigation or changed postprocedural medical management. Two patients had brain magnetic resonance imaging to investigate headaches; both studies were interpreted as nonpathologic. One patient required emergency department management for status migrainosus. A second, with a prior history of migraine, required admission for migraine exacerbation. In addition to those needing symptomatic management, 3 patients had a change in their antiplatelet regimen from aspirin to clopidogrel. ConclusionsOur study suggests a minimal estimate of 15% as the incidence of headache in children who undergo TDC. This estimate can inform counselling before TDC. Determination of the true incidence will require focused prospective data collection.

MANAGEMENT OF ARDHAVABHEDAKA W S R TO MIGRAINE – A CASE STUDY

Ardhavabhedaka is the disease that mainly affects the shiras mentioned in Dashapranayatana. Ardhavabhedaka described in ayurveda, and Migraine have absolute similarity. There are a variety of causes and ways to manage this condition. Modern management to treat this condition has various loopholes like drug dependency, resistance and gastric irritations. A 46-year male patient visited Kayachikitsa OPD of Padma Hospital, SDMT AMC Terdal. With complaints of unilateral severe headaches having similar complaints intermittently for 15 years, the patient was treated with Nasya karma and Shamana chikitsa. Encouraging result was noted without recurrence of symptoms and adverse effects.

Патология шейного отдела позвоночника и головная больу пациентов с синдромом дисплазии соединительной ткани

This study aimed at evaluating the role of pathologic changes in the vertebral motor segment (VMS) of the cervical spine in the development of headache in patients with connective tissue dysplasia (CTD). &#x0D; Materials and methods. The study involved 130 patients, aged 18-59, with complaints of headache. 100 patients (76.9 %) had clinical manifestations of CTD (main group). The control group consisted of 30 patients (23.1 %) without CTD manifestations. The presence of CTD was confirmed by phenotyping according to T.I. Kadurina’s tables. The headache nature, frequency, and intensity were analyzed in all patients, and standard neurological examination, manual testing, and neuroimaging studies of all patients were performed.&#x0D; In the study presented, it was found that chronic migraine, headache associated with temporomandibular joint dysfunction (TMJD) was more common in the group of patients with CTD. Patients with headache on the background of CTD had pathological changes in the cervical spine in the vast majority of cases. Functional blockade of the VMS of the cervical spine with the formation of myofascial trigger zones in the trapezius and pericranial muscles is detected significantly more often in patients with CTD.&#x0D; Thus, it is necessary to take into account the presence of functional disorders in the VMS of the cervical spine when diagnosing and treating headache in patients with CTD.

Современные подходы к диагностике и восстановительному лечению синдрома позвоночной артерии с помощью остеопатических методов

The article presents the results of a study of the effectiveness of osteopathic treatment of young women aged 18-45 with vertebral artery syndrome. The study involved more than 100 women. Patients with signs of psychiatric pathology and organic brain diseases were excluded. Laser Doppler flowmetry of blood microcirculation was chosen as a method of the evidence-based control. The main group was exposed to osteopathic and conservative treatment while the comparison group (control group) was treated by the generally accepted methods. It was found out from to the study results that osteopathic treatment significantly improved the quality of life including reduction in complaints of fatigue, tinnitus, dizziness and absence of complaints of headache and pain in the cervical region. No changes were registered in the control group during the same examination periods.

An analysis of the etiology composition and clinical characteristics of bilateral optic disc swelling

Objective: To investigate the etiology composition and clinical characteristics of bilateral optic disc swelling(ODS). Methods: The medical records of all newly diagnosed bilateral ODS patients admitted to the neurology ward of Beijing Tongren Hospital from January 2017 to June 2021 were retrospectively searched to classify the etiology, obtain demographic and clinical information, and compare the differences in clinical characteristics. Results: A total of 131 patients with bilateral ODS were included, including 56 males and 75 females, aged 15-73 (39±14) years. The most common cause of the bilateral ODS was increased intracranial pressure (ICP)(56/131, 42.7%), followed by optic neuritis (ON)(40/131, 30.5%). Other causes included vascular optic neuropathy (13/131, 9.9%), pseudopilledema (9/131, 6.9%); uveitis (6/131, 4.6%), toxic optic neuropathy (3/131, 2.3%) and unknown causes (4/131, 3.1%). Idiopathic intracranial hypertension (IIH) (43/56, 76.8%) was the most common etiology for papilledema. In the comparison of the two main causes of intracranial hypertension and the clinical characteristics of ON in ODS, there was no statistically significant difference in the incidence of age, gender, complaints of ocular pain or headache, and hemorrhage of optic disc(P>0.05). Visual acuity abnormalities and low vision were more common in ON group than the increased ICP group[36/40(90%) vs 33/56(58.9%), P=0.001; 35/80(43.8%) vs 22/112(19.6%), P<0.001], while severe papilledema was more common in increased ICP group[38/112(33.9%)vs 9/80(11.3%), P<0.001]. Conclusions: The most common cause for bilateral ODS is increased ICP, but it can also be triggered by a variety of other causes. Optic neuritis(ON) is the most important differentiating disease in the study of Chinese patients.

Effect of correction of refractive error and threshold estimation in ocular headache patients in a tertiary eye care center

Purpose: Headache is one of the most common symptoms in patients with refractive error. Our study aimed to find the effect of refractive error correction and estimate the threshold of refractive error in patients with ocular headaches in a tertiary eye care center. Methods: We enrolled patients who came with complaints of headaches. It was a prospective, interventional study. All the patients underwent comprehensive ocular examination that included a detailed headache history, objective and subjective refraction, cycloplegic refraction, Humphrey visual fields test (30-2), cover test, and dilated fundus examination. We excluded uveitis, glaucoma, optic atrophy, papilledema, sinusitis, migraine, dental cavities, and neuropathy patients. We prescribed glasses after the post-mydriatic test. We surveyed via phone call regarding the compliance of spectacle wear and relief of headaches. Results: Out of the 98 enrolled patients, 67 were female and 31 were male in the age group of 16 to 35. The patients had simple astigmatism (57.14%), simple myopia (15.30%), simple myopic astigmatism (23.46%), and hyperopia (9.18%). The threshold value of dioptric power was −1.25 D, −1.00 D, −0.75 DS/−0.75 DC, and +1.00 D for simple astigmatism, simple myopia, simple myopic astigmatism, and hyperopia, respectively. 86.73% recovered with glasses. Simple astigmatism had the highest recovery rate. Headaches frequently occurred in the frontal (44.89%), followed by temporal (32.65%), parietal (16.32%), occipital, and parietal (11.22%). Conclusion: Lower degrees of refractive error caused the headache. We reported the threshold values of the refractive error that caused the ocular headache. Correcting the refractive error relieved the headache

Histopathological Spectrum of Central Nervous System Tumours in Adolescent and Young Adults: A Cross-sectional Study from Punjab, Northern India

Introduction: Central Nervous System (CNS) tumours are a common cause of cancer-related deaths in adolescents and young adults. The challenges in diagnosing and treating CNS tumours in this age group are unique and require special attention. Aim: To study the histopathological spectrum of CNS tumours in Adolescents and Young Adults (AYA). Materials and Methods: Present five-year cross-sectional study was conducted on CNS biopsies received in the Department of Pathology at Dayanand Medical College and Hospital, Ludhiana, Punjab, India, from July 1, 2016, to June 30, 2021, to analyse the histopathological spectrum of CNS tumours in the AYA group based on the site of the lesion, age, gender, and Isocitrate Dehydrogenase (IDH) status. Results: During the study period, a total of 215 cases of CNS tumours were identified, of which 52 (24.2%) belonged to the AYA group. Of these, 35 (67.3%) were males and 17 (32.7%) were females. The majority of the patients presented with complaints of headache (50/52, 96.1%), with the frontal lobe being the most common site of involvement (21/52, 40.4%). Diffuse astrocytic and oligodendroglial tumours were the most commonly observed (23/52, 44.2%). Conclusion: CNS tumours are one of the most common cancer diagnosis among the AYA group, and awareness should be enhanced among histopathologists and oncologists regarding these tumours based on the updated classification.

Ayurvedic management of Dome-shaped maculopathy: A case report

Dome-Shaped Maculopathy (DSM) is a rare condition characterized by the anterior convex elevation of the macula toward the vitreous cavity. Due to a lack of available data about DSM, the exact cause is not known. In Ayurveda, analysis of DSM can be done on the basis of the predominance of aggravated Dosha (~regulatory functional factors of the body) and their specific Gunas (~properties). This condition can be taken as a result of the vitiation of all three Doshas with the dominancy of Vata. Timira (~one of the diseases causing visual disturbance) is one of the Drishtigata roga (~ eyesight disorders). A 31-year-old female presented to the Shalakya tantra outpatient department with blurred vision in her left eye and headache that had persisted for four years. On the basis of the optical coherence tomography, she was diagnosed with DSM along with subretinal fluid. Ama pachana (~enhancing digestion), Vatanulomana (~pacification of obstructed Vata), Tridosha shamaka (~reducing alleviated regulating functional factors), Rasayana (~rejuvenation therapy), and Shothahara chikitsa (~anti-inflammatory) were adopted in the management that was focused in reducing the subretinal fluid and preventing further complications such as retinal detachment. In this case, subretinal fluid was decreased after Virechana karma, but the level of subretinal fluid was noticed again after Tarpana. The visual acuity was improved from 6/24 to 6/12 in the left eye and was maintained after one month of follow-up and the complaint of headache was also resolved. The patient in this case was nonmyopic with dome-shaped macula and subretinal fluid and with Ayurvedic intervention; the subretinal fluid was lessened, resulting in an improvement in visual acuity.

Endoscopic endonasal trans-cribriform approachfor drainage of frontal lobe abscess in invasivemucormycosis – A case report

Abstract Introduction:Mucormycosis is a belligerent fungal infection that can cause fatal complications. Patients at risk arethose with poorly controlled diabetes mellitus, and similar immunosuppressed states. Tissue invasion and infarctionsecondary to angioinvasion are the pathognomonic features of the disease. The management of brain abscesseshas become increasingly complicated requiring close collaboration between various departments encompassinginfectious disease specialists, neurologists, radiologists and neurosurgeons. ENT surgeons are seldom involved inthe management of brain abscesses, but with the advancements in Endoscopic Sinus Surgery techniques, ENTsurgeons are now treating the skull base, meningeal and brain pathologies.Methods:A case report of a 36-year-old male with complaints of headache, left-sided facial pain, difficultyin opening left eye for 10 days, with a history of one episode of generalized seizure that lasted for 4 min,recently detected type 2 diabetic mellitus. Local examination revealed left-sided nasal crusting and an old palataldefect. KOH mount was positive for mucorales. CT scan PNS revealed left-sided maxillary, ethmoidal, sphenoidalfrontal sinusitis with erosion of left lamina papyracea, left extraconal and intraconal involvement with erosion ofleft cribriform plate. MRI brain revealed additional hyperdensities in both medial frontal, and parietal lobe withdiffusion restriction. The patient underwent left-sided endoscopic sinus surgery with endoscopic endo- nasal trans-cribriform drainage of frontal lobe abscess, with retro bulbar Amphotericin B injection, with a neurosurgical team onstandby in the event of unexpected complications. The eschar and pus drained from the frontal lobe abscess wassent for histopathological examination, culture and sensitivity. The patient was extubated, and the postoperativeperiod was uneventful.

Эпизодические синдромы, ассоциированные с мигренью (клинико-эпидемиологическое исследование в педиатрической практике)

Abstract. Episodic syndromes of childhood that may be associated with migraine is an understudied condition rarely diagnosed in pediatric practice. The features of course in children of different age groups are not well described. The research purpose is to analyze the prevalence and characteristics of the course of childhood equivalents of migraine in children of various age groups in pediatric practice. Materials and methods. The study included the 1st (main) group of 250 children (120 (48 %) girls and 130 (52 %) boys) aged from 5 to 18 years (mean age – 13 (2.9) years, median age – 13 (11‒15) years) with complaints of headaches. The 2nd (comparative) group consisted of 250 children (119 (47.6 %) girls and 131 (52.4 %) boys) aged 5 to 18 years (mean age – 10.7 (3.6) years, median age – 10 (8‒14) years), who were treated in the pediatric department due to various somatic and neurological diseases (diabetes mellitus type I and II, gastritis, tachycardia, anemia, ventricular extrasystole, etc.) with no current complaints of headaches. An analysis of the socio-demographic, anamnestic, clinical and clinical-psychological characteristics of the studied groups was carried out. For statistical analysis and visualization of the obtained data we used the statistical computing environment R 4.3.0 (R Foundation for Statistical Computing, Vienna, Austria). The association was considered statistically significant at p &lt; 0.05. Results. All episodic syndromes associated with migraine are connected with a high possibility of developing subsequent migraine headaches. These syndromes include recurrent gastrointestinal disorders (cyclic vomiting syndrome; abdominal migraine), benign paroxysmal torticollis, benign paroxysmal vertigo. Conclusion. Episodic syndromes associated with migraine are considered as precursors of migraine in children. As a rule, they appear in the early stages. For example, abdominal migraine, infant colic – an analogue of adult migraine. Children who suffer from these diseases at an early age are significantly more likely to suffer from migraine in adulthood, which is accompanied by gastrointestinal disorders and other syndromes. It should also be noted that episodic childhood syndromes associated with migraine are often observed in children not as separate, isolated syndromes, but are harbingers of migraine itself, that is, they are observed in the prodrome phase followed by a migraine attack. It has also been shown that episodic childhood syndromes associated with migraine can also be observed in the postdrome phase after a migraine attack.