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[Clinical and psychophysiological characteristics of headache in childhood]
Insights
This study examined 210 children with headaches, finding chronic posttraumatic headache (CPH) often includes chronic tension headache (CTH). CPH mechanisms are similar to non-traumatic headaches, influenced by psychosocial factors and personality.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Psychophysiology
Context:
- Investigated 210 children experiencing various headache types, including migraine, chronic tension headache (CTH), and chronic posttraumatic headache (CPH).
- Detailed comparative analysis of cephalalgia (headache) types in pediatric patients.
- Explored the interplay between clinical psychophysiological and neurophysiological findings.
Purpose:
- To compare clinical psychophysiological and neurophysiological characteristics of different headache types in children.
- To elucidate the structure and underlying mechanisms of chronic posttraumatic headache (CPH) in pediatric populations.
- To understand the role of trauma as a trigger and the influence of psychosocial factors on chronic headaches.
Summary:
- Chronic posttraumatic headache (CPH) in children predominantly comprises chronic tension headache (CTH) (77.5%) and combined types (14.1%).
- The pathogenesis of CPH is fundamentally similar to non-traumatic headaches, with trauma acting as a non-specific trigger.
- Chronic headaches in children are significantly influenced by psychosocial factors and individual personality traits.
- Psychovegetative syndromes observed across migraine, CTH, and CPH reflect non-specific diencephalic disintegration, with clinical presentation varying by age rather than headache type.
Impact:
- Provides insights into the complex nature of pediatric headaches, particularly CPH.
- Highlights the significant contribution of psychosocial factors and personality to chronic headache development in children.
- Suggests that age, rather than specific headache diagnosis, is a key determinant of psychovegetative syndrome presentation in children.
Abstract:
Complex clinical psychophysiological as well as neurophysiological examinations of 210 children with migraine, chronic tension headache (CTH) and chronic posttraumatic headache (CPH) were carried out. Detailed comparative description of cephalalgia types is presented. In a CPH structure, predominates CTH (77.5%), combined type (14.1%); migraine (5.7%) and cervicogenic cephalalgia (2.7%) occur less often. CPH development mechanisms do not principally differ from non-traumatic cephalalgia pathogenesis. Trauma plays a role of a non-specific trigger in realization of these mechanisms. Chronic cephalalgia is caused mainly by poor social and psychological factors and patient's personality peculiarities. Psychovegetative syndrome in children with CTH, migraine or CPH reflects non-specifically diencephal structure disintegration; its clinical signs depending more on child's age than on cephalalgia type.