Abstract

Intraduction: The occurrence of anticardiolipin antibodies has been related to a variety of neurologic disorders including migraine in adult patients. But, their presence in pediatric population with migraine headache is uncertain. The aim of this study was to investigate the presence of anticardiolipin antibodies in children with the diagnosis of migraine headache.Patents And

Method: Twenty consecutive patients with the diagnosis of migraine were enrolled to the study (14 female; mean age 13.55±2.60). Twenty healthy subjects served as the control group (12 female; mean age 13.65±2.23). Anticardiolipin antibodies were assayed by enzymelinked immunosorbent assay (ELISA). The results were compared between the study and control groups.

Results: One of the twenty study patients showed elevated serum anticardiolipin antibody titer. This 14 years old girl had common migraine since two years and her cranial magnetic resonance imaging showed white matter hyperintensities suggesting subcortical infarcts. Serum levels of anticardiolipin antibodies in the control subjects were normal. The difference between the two groups was not statistically significant.

Conclusion: Our data overlap with the results of previous reports which did not find increased serum levels of anticardiolipin antibodies in migraine patients. On the other hand, in selected migraine patients with cranial imaging abnormalities suggesting infarcts, the evaluation of serum anticardiolipin antibodies could be of value. Studies with larger numbers of patients are warranted to determine if anticardiolipin antibodies have a specific role in pediatric migraine patients

Keywords: Anticardiolipin antibodies, migraine, childhood

References

  1. Swaiman KF, Ashwal S. Eds. Headaches in infants and child- ren. Pediatric Neurology, 4th ed. St Louis, Missouri. Mosby Pres ;1183-1202.
  2. Straube A, Padovan CS, Förderreuther S, Wick M. Antinuclear and anticardiolipin antibodies in primary headache syndromes. Schmerz 1998;12:342-346.
  3. Pilarska E, Lemka M, Bakowska A. Prothrombotic risk factors in ischemic stroke and migraine in children. Acta Neurol Scand ;114:13-16. Harris EN, Baguley E. Clinical and serological features of the an- tiphospholipid syndrome. Br J Rheumatol 1987;26:19-25.
  4. Verro P, Levine SR, Tietjen E. Cerebrovascular ischemic events with high positive anticardiolipin antibodies. Stroke 1998;29:2245
  5. Asherson RA, Haris EN. Anticardiolipin antibodies: clinical asso- ciations. Postgrad Med J 1986;62:1081-1087.
  6. Levine SR, Deegan MJ, Futrell N, Welch KMA. Cerebrovascular and neurologic disease associated with antiphospholipid antibodi- es: 48 cases. Neurology 1990;40:1181-1189.
  7. Tanne D, Hassin-Baer S. Neurologic manifestations of the antip- hospholipid syndrome. Curr Rheumatol Rep 2001;3:286-292.
  8. Headache Classification Committee of the International Headac- he Society. The international classification of headache disorders, nd ed. Cephalalgia 2004;24:1-160.
  9. Loizou S, McCrea JD, Rudge AC, Reynolds R, Boyle CC, Haris EN. Measurement of anti-cardiolipin antibodies by an enzyme- linked immunosorbent assay (ELISA): standardization and quan- titation of results. Clin Exp Immunol 1985; 62: 738-745.
  10. Angelini L, Zibordi F, Zorzi G, Nardocci N, Caporali R, Ravelli A, Martini A. Neurological disorders, other than stroke, associated with antiphospholipid antibodies in childhood. Neuropediatrics ;27:149-153. Asherson RA, Cervera R. Antiphospholipid syndrome. J Invest Dermatol 1993;100:21-27.
  11. Hering R, Couturier EG, Asherson RA, Steiner TJ. Anticardiolipin antibodies in cluster headache. Cephalalgia. 1991;11:101-102.

How to cite

1.
Kurul SH, Yiş U, Dirik E. THE INVESTIGATION OF SERUM ANTICARDIOLIPIN ANTIBODIES IN CHILDREN WITH THE DIAGNOSIS OF MIGRAINE HEADACHE. Turk J Pediatr Dis [Internet]. 2009 Jun. 1 [cited 2025 May 24];3(3):12-6. Available from: https://turkjpediatrdis.org/article/view/67