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QUESTION: In children and adolescents with headache, are their drawings of headache pain accurate for diagnosing migraine?
Blinded comparison of children’s drawings with clinical diagnosis.
A pediatric neurology clinic in Boston, Massachusetts, USA.
226 children who were 4 to 19 years of age (mean age 11.4 y, 54% girls) and had headache.
Description of test and diagnostic standard
Children were given a blank, unlined, white piece of paper (8.5 × 11 inches) and a number 2 pencil with a rubber. They were asked to draw a picture of themselves having a headache, showing where the pain was, what the pain felt like, and any other changes or symptoms that occurred before or during the headache. When children complained of having >1 type of headache, they drew a …