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Primary headache disorders in children under 7 years of age

S Ramdas1, M Prasad, I Abu-Arafeh

  • 1Stirling Royal Infirmary, UK.

Scottish Medical Journal
|April 19, 2013
PubMed

Insights

Migraine is the most common headache disorder in young children under seven. Atypical presentations are frequent, and chronic tension-type headache can occur in early childhood.

Area of Science:

  • Pediatric Neurology
  • Headache Medicine

Background:

  • Limited research exists on headache disorders in young children.
  • Understanding causes and clinical features in this age group is crucial.

Purpose of the Study:

  • To determine the causes and clinical presentations of headaches in young children.
  • To analyze data from children attending a specialist headache clinic.

Main Methods:

  • Prospective data collection over a 9-year period.
  • Inclusion of all children attending the specialist headache clinic.
  • Diagnosis based on the International Classification of Headache Disorders-II (2004).

Main Results:

  • 73 children (8%) under 7 years of age were analyzed.
  • Migraine was the most frequent diagnosis (34 children).
  • Atypical presentations and unclassified headaches (20%) were noted, with chronic tension-type headache observed.

Conclusions:

  • Migraine is the predominant headache disorder in young children presenting to specialist clinics.
  • Headache presentations in young children are often atypical.
  • Chronic tension-type headache can manifest in early childhood, challenging previous assumptions.
Abstract

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