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.

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