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Management of chronic daily headache in children

Kenneth J Mack1

  • 1Mayo Clinic Pediatric Center, 200 First Street SW, Rochester, MN 55905, USA. mack.kenneth@mayo.edu

Expert Review of Neurotherapeutics
|September 8, 2010
PubMed

Insights

Pediatric chronic daily headaches, often migrainous, lack high-quality treatment studies. Current management relies on adult data, episodic migraine research, and expert consensus for effective care.

Area of Science:

  • Pediatric Neurology
  • Headache Medicine

Background:

  • Children and adolescents frequently experience headaches, with severe cases often being migrainous.
  • Chronic daily headache (CDH) is a significant concern in pediatric populations.

Purpose of the Study:

  • To review the characteristics of children and adolescents with chronic daily headaches.
  • To discuss current treatment strategies for pediatric migrainous headaches.
  • To highlight the limitations in high-quality evidence for treating this condition.

Main Methods:

  • Review of existing literature on pediatric chronic daily headaches.
  • Analysis of treatment approaches based on adult studies, episodic migraine data, and expert opinion.

Main Results:

  • No high-quality studies specifically guide the treatment of chronic daily headache in children.
  • Treatment decisions are often extrapolated from adult migraine data or episodic pediatric migraine studies.
  • Expert opinion plays a crucial role in current management strategies.

Conclusions:

  • There is a critical need for high-quality research into the treatment of chronic daily headaches in children and adolescents.
  • Current treatment protocols are based on limited evidence and require further validation.
  • Further investigation is necessary to establish evidence-based guidelines for pediatric CDH.

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