Evidence map›Paper›PMID 40868415›Full record

ArticleChildren (Basel, Switzerland)2025

Pediatric-Onset Multiple Sclerosis and Primary Headache: Is There a Link?

Giuseppe Tiralongo, Gabriele Monte, Michela A N Ferilli, Fabiana Ursitti, Giorgia Sforza, Claudia Ruscitto, Giuseppe Mazzeo, Alessandro Borrelli, Massimiliano Valeriani, Laura Papetti

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Giuseppe TiralongoAcademy of Pediatrics, Tor Vergata University of Rome, 00133 Rome, Italy.ORCID 0009-0006-7251-992X
Gabriele MonteDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Michela A N FerilliDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Fabiana UrsittiDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Giorgia SforzaDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0003-3068-4768
Claudia RuscittoDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Giuseppe MazzeoFaculty of Medicine and Surgery, Sapienza University of Rome, 00185 Rome, Italy.
Alessandro BorrelliDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Massimiliano ValerianiDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0001-6602-103X
Laura PapettiDevelopmental Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0002-3336-9205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric-onset multiple sclerosis (POMS) is a rare but often more aggressive form of multiple sclerosis, associated with early cognitive impairment and significant impact on quality of life. Multiple sclerosis and primary headaches, particularly migraine, are well established in adults, but data on pediatric populations remain limited.

methodsThe purpose of this retrospective study was to examine 64 POMS patients, divided into groups with and without headaches, to determine potential correlations between headache presence, age at POMS onset, and MRI lesion burden.

resultsHeadaches were reported by 78% of patients, predominantly migraines (68%), with a significantly higher prevalence in females (74%). No significant differences were found in age at MS onset or lesion load on brain MRI between patients with and without headaches. Among those with headaches, migraines represented a higher frequency of attacks and a greater need for prophylactic treatment compared to other headache types. Headache characteristics, including pain location and associated symptoms, showed no correlation with age at MS onset or lesion burden.

conclusionsThese findings indicate that while headaches are common in POMS and more frequent in females, their presence and features do not appear to directly influence the clinical or neuroradiological course of the disease. Further research with larger cohorts and longitudinal follow-up is warranted to better understand the underlying mechanisms and long-term impact of headaches in pediatric MS.

Indexed as

childhoodheadachesmigrainepediatric multiple sclerosisPOMS

Identifiers

PMID40868415
PMCPMC12384353

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.