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New daily persistent headache in the paediatric population.
E Kung1, S J Tepper, A M Rapoport
1Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Cephalalgia : an International Journal of Headache
|January 8, 2009
Summary
New daily persistent headaches (NDPH) are common in children and adolescents with chronic daily headaches (CDH). Most patients do not overuse medication, and migraine features are frequently observed in these cases.
Area of Science:
- Neurology
- Pediatrics
- Headache Medicine
Background:
- Chronic daily headaches (CDH) pose a significant challenge in pediatric populations.
- Understanding the specific clinical features of new-onset CDH is crucial for effective management.
Purpose of the Study:
- To describe the clinical characteristics of new-onset chronic daily headaches (CDH) in children and adolescents.
- To investigate the prevalence of medication overuse and migraine features in this cohort.
Main Methods:
- A clinic-based study reviewed clinical records and headache diaries of 306 children and adolescents.
- 187 individuals with CDH were identified and analyzed using modified ICHD-2 criteria for new daily persistent headaches (NDPH).
Main Results:
- New daily persistent headaches (NDPH) were common in children and adolescents with CDH.
- Most patients (91.8%) with NDPH did not overuse medication.
- Migraine features were present in individuals with NDPH on an average of 18.5 days per month.
Conclusions:
- New daily persistent headaches (NDPH) are a frequent diagnosis in pediatric CDH.
- Medication overuse is uncommon in pediatric NDPH.
- Migraine features are a common comorbidity in pediatric NDPH.
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