Thrombophilia Testing in High Pediatric Migraine Risk Children With Migraine

Yoel Levinsky, Avraham Zeharia, Joanne Yacobovich, Tal Eidlitz-Markus*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


This study sought to investigate the need for thrombophilia screening in pediatric migraineurs. The cohort included 45/824 children (5.5%) aged 3-18 years with migraine who were tested for thrombophilia at a tertiary pediatric headache clinic. Results were analyzed by background factors and indications for screening. Rates of thrombotic factors were compared with a healthy historical control group. At least 1 thrombotic factor was positive in 19/45 patients (42%). The total thrombophilia risk rate was higher in patients with aura (n = 32). Lipoprotein(a) was the factor most often abnormal in the thrombophilia group of all factors tested (8/19, 42%), regardless of migraine type or gender. It was the only factor with a significantly higher prevalence in the migraine than the historical control group. Full thrombophilia testing in migraine in pediatric headache clinics does not seem to be justified. The high prevalence of elevated lipoprotein(a) in children with migraine warrants further investigation.

Original languageEnglish
Pages (from-to)121-127
Number of pages7
JournalJournal of Child Neurology
Issue number3
StatePublished - 1 Mar 2019


  • adolescents
  • lipoprotein(a)
  • migraine with aura
  • migraine without aura
  • pediatric
  • thrombophilia testing


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