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New daily persistent headache in children and adolescents
Eric P Baron1, A David Rothner
1Department of Neurology, Center for Headache and Pain/T33, Cleveland Clinic Neurological Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA. barone2@ccf.org
Current Neurology and Neuroscience Reports
|April 29, 2010
Summary
New daily persistent headache (NDPH) is a chronic daily headache (CDH) that begins abruptly on a specific date. Early patient history is crucial for diagnosing NDPH, distinguishing it from other chronic headache types.
Area of Science:
- Neurology
- Headache Medicine
Background:
- New daily persistent headache (NDPH) is a subtype of chronic daily headache (CDH).
- NDPH can present with features overlapping migraine and tension-type headaches.
- Distinguishing NDPH from other CDH forms is critical for effective management.
Observation:
- NDPH is uniquely characterized by patients recalling the exact onset date of their unremitting headache.
- Unlike other CDH types, NDPH does not have a gradual increase in headache frequency preceding onset.
- Despite potential phenotypic similarities after months, the distinct onset differentiates NDPH.
Findings:
- Early historical information is the primary diagnostic key for NDPH.
- Medical evaluations to rule out secondary headache causes are typically negative in NDPH cases.
- NDPH presents a significant treatment challenge, necessitating a multimodal therapeutic strategy.
Implications:
- Further prospective research is essential for a comprehensive understanding of NDPH.
- Enhanced diagnostic criteria and characterization are needed.
- Developing more effective and targeted treatments for NDPH is a priority.
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