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Chronic daily headache in children and adolescents

Shashi S Seshia1

  • 1Manitoba Clinic, Winnipeg, MB, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|September 21, 2004
PubMed

Insights

Chronic daily headache is common in children and adolescents, particularly teenage girls. This study highlights the need for a neuropsychiatric approach to manage this condition effectively.

Area of Science:

  • Pediatric Neurology
  • Headache Medicine
  • Neuropsychiatry

Background:

  • Chronic daily headache (CDH) is a prevalent condition in pediatric populations.
  • Understanding the characteristics and contributing factors of CDH in individuals under 20 is crucial for effective management.

Purpose of the Study:

  • To characterize chronic daily headache in patients younger than 20 years.
  • To identify demographic, clinical, and etiological features of CDH in this age group.

Main Methods:

  • A prospective, observational, and sequential study design was employed.
  • Data were collected from 463 patients referred for headache at a pediatric neurology clinic.
  • Patients were followed for one month to four years.

Main Results:

  • Of 463 referred patients, 143 (31%) had CDH, with a median age of 13 years. Females were more prevalent (93 vs. 50 males).
  • Transformed tension-type headache was the most common diagnosis (56%), with 94% exhibiting tension-type features. Stressors and comorbid anxiety/depression were significant factors.
  • Neuroimaging revealed normal or incidental findings. Of the 121 patients with follow-up, 95% improved, with 55% achieving this without specific treatment.

Conclusions:

  • Chronic daily headache is a common disorder in children and adolescents, disproportionately affecting teenage girls.
  • A prospective neuropsychiatric approach is essential for evidence-based management due to the mental health, social, and economic implications of CDH.
Abstract

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