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The "other" primary headaches in children and adolescents

Donald W Lewis1, Yeisid F Gozzo, Marc T Avner

  • 1Division of Pediatric Neurology, Department of Pediatrics, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, Norfolk, USA.

Pediatric Neurology
|October 26, 2005
PubMed

Insights

Pediatric headache reviews often overlook tension-type headaches, which are more common than previously thought in children and adolescents. This review examines these under-recognized primary headache disorders.

Area of Science:

  • Pediatric Neurology
  • Headache Medicine
  • Clinical Epidemiology

Background:

  • Headache is a frequent reason for pediatric neurology referrals.
  • Migraine and chronic daily headache are commonly diagnosed but may not be the most prevalent types.
  • Tension-type headache is underrepresented in pediatric headache literature despite its high prevalence.

Purpose of the Study:

  • To review and highlight the 'other' primary headache disorders in children and adolescents.
  • To address the diagnostic and research gap concerning less common pediatric headache types.
  • To encourage greater focus on the full spectrum of primary headaches in pediatric populations.

Main Methods:

  • Literature review of primary headache disorders in pediatric populations.
  • Analysis of epidemiological data on headache prevalence in children and adolescents.
  • Synthesis of current understanding of less-studied headache types.

Main Results:

  • Migraine and chronic daily headache are overemphasized in current pediatric literature.
  • Tension-type headache and other primary headaches are significantly more common than often reported.
  • There is a lack of focused research and clinical attention on these prevalent pediatric headache disorders.

Conclusions:

  • Pediatric headache management should encompass a broader range of primary headache disorders.
  • Further research is needed to understand the pathophysiology and treatment of less common pediatric headaches.
  • Increased awareness and clinical focus on tension-type and other primary headaches are crucial for comprehensive pediatric care.

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