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Published on: June 2, 2014
Short-term outcomes of tension type and migraine headache in children
Somjit Sri-udomkajorn1, Surapee Ruangsuwan
1Division of Child Neurology, Queen Sirikit National Institute of Child Health, Department of Medical Service, Ministry of Pubic Health, College of Medicine, Rangsit University, Bangkok, Thailand. Somjit3d@yahoo.com
Insights
This study shows that reassurance and medication effectively reduce childhood migraine and tension-type headaches. However, specific factors influencing treatment outcomes in pediatric headache patients were not identified.
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Childhood headaches, including migraine and tension-type headache, significantly impact quality of life.
- Effective short-term management strategies are crucial for pediatric patients.
Purpose of the Study:
- To evaluate the short-term outcomes of treating childhood migraine and tension-type headaches.
- To identify factors associated with treatment success in these pediatric patients.
Main Methods:
- Children (≤16 years) with newly diagnosed migraine or tension-type headache received reassurance and treatment.
- Treatment included avoiding triggers, intermittent analgesics, or daily preventive medications (propranolol or amitriptyline).
- Patients were followed up at 2 weeks and 2 months to assess outcomes.
Main Results:
- Pre-treatment headache frequency was high (81% migraine, 43.5% tension-type).
- Post-treatment, frequency significantly decreased (4% migraine, 16% tension-type).
- Factors like gender, age, severity, triggers, and family history did not show statistical significance in short-term outcomes.
Conclusions:
- Treatment involving reassurance, trigger avoidance, analgesics, and medications like propranolol or amitriptyline demonstrated good efficacy.
- The study could not identify specific factors associated with the treatment outcomes in childhood headaches.
Objective:
To study the short-term outcome and the factors associated with the outcome in childhood tension type and migraine headache patients.
Material And Method:
Children aged 16 years or less with first diagnosed of either migraine or tension-type headache were reassured the cause of headache and treated by avoiding triggering factors, taking intermittent analgesics or a daily preventive medication such as propanolol 10 mg two times a day or amitriptyline 10 mg at night for patients who were suffered from the frequent headache attacks whether had to stop activity or go to sleep. They were followed up at 2 weeks and 2 months to confirm the diagnosis and the response to the treatment. The short-term outcomes and the possible factors associated with the outcomes were analysed.
Results:
Pre-treatment 81% of migraine patients and 43.5% of tension-type patients were significant frequently suffered from headache attacks. Post-treatment revealed that it reduced to 4% in migraine patients and 16% tension-type patients. Gender; age at onset, severity before treatment, precipitating factors; hot weather sleep deprivation, learning stress, familial stress, night awakening, familial history of headache were not statistically significant in short-term outcomes.
Conclusion:
Treatment childhood tension-type and migraine headache by reassurance, avoid the probably precipitating factors, intermittent analgesics and usage of amitriptyline or propanolol had good efficacy in reducing the severity of attack. The authors cannot identify the associated factor with the outcome of treatment.
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