Recurrent and chronic headaches in children below 6 years of age

Vincenzo Raieli1, Mario Eliseo, Eleonora Pandolfi

  • 1Child Headache Center, Division of Child Neuropsychiatry, GF Ingrassia Hospital, A.U.S.L. n. 6, Palermo, Italy. vinzi.raielk@inwind.it

Insights

In young children under 6, migraine is the most common headache. However, secondary causes and dangerous headaches are more prevalent than in older children, with primary stabbing headache also being common.

Area of Science:

  • Pediatric Neurology
  • Headache Medicine

Background:

  • Headache diagnosis in pre-school children presents unique challenges.
  • Understanding headache subtypes in this age group is crucial for appropriate management.

Purpose of the Study:

  • To determine the frequency of headache subtypes in children under 6 years old.
  • To compare headache prevalence in this group with school-aged children.

Main Methods:

  • Retrospective review of medical records of children under 6 years old.
  • Headache classification based on International Headache Society (IHS) criteria (2004).
  • Exclusion criteria included fewer than three headache attacks or less than 15 days of daily headache.

Main Results:

  • Migraine was the most frequent diagnosis (35.2%).
  • Higher prevalence of secondary headaches, including post-traumatic (17.1%) and dangerous headaches (2.85%), was observed compared to school-aged children.
  • Primary stabbing headache showed a high prevalence in this age group (12.4%).

Conclusions:

  • Migraine is common in pre-schoolers, but secondary and dangerous headaches are more frequent than in older children.
  • Post-traumatic headaches and primary stabbing headaches are notable in this young population.
  • Early diagnosis and management are essential for potentially serious headache conditions in young children.

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