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Short-lasting headaches in children
J P Vieira1, A B Salgueiro, M Alfaro
1Serviço de Neurologia, Hospital de Dona Estefânia, Lisboa, Portugal. josepedrovieira@hotmail.com
Insights
Brief headaches in children, often stabbing pains, share similarities with adult primary headache types. However, these headaches in children frequently occur at a younger age and outside the trigeminal nerve area.
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Short-lasting headaches are understudied in children.
- Applicability of adult primary headache classifications to pediatric populations is unclear.
Purpose of the Study:
- To investigate the characteristics of brief headaches in a pediatric cohort.
- To determine if adult primary headache categories apply to children.
Main Methods:
- Retrospective case series of 20 children with brief headaches.
- Clinical characteristics including pain location, associated symptoms, and family history were analyzed.
Main Results:
- Two patients had secondary headaches; one showed features of paroxysmal hemicrania.
- Seventeen patients experienced very brief headaches, comparable to idiopathic stabbing headache in children.
- Key differences included younger patient age and more frequent extratrigeminal pain location.
Conclusions:
- Extratrigeminal ice-pick pain may represent a variant of idiopathic stabbing headache in young children.
- Pediatric brief headaches may differ from adult counterparts, particularly in pain location and age of onset.
Abstract:
Short-lasting headaches have been studied infrequently in children and it is not known if the main categories of primary headaches of this type in adults are applicable to children. We report our experience with a group of 20 children with a brief headache. Two patients had a secondary headache. One patient had a headache with some clinical characteristics of paroxysmal hemicrania. The remaining 17 had a very brief headache. They were in many aspects comparable to others from previous studies on idiopathic stabbing headache in children: no associated symptoms, no other associated headache, frequent family history of migraine. They differed, however, in the younger age of the patients and the more frequent extratrigeminal location of the pain. Extratrigeminal ice-pick pain may be a variant of idiopathic stabbing headache, more prevalent in young children.
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