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Primary headaches in children under the age of 7 years
Ishaq Abu-Arafeh1, Rachel Howells
1Royal Hospital for Sick Children, Glasgow and Forth Valley Royal Hospital, Larbert, UK, iabu-arafeh@nhs.net.
Insights
Recurrent headaches are common in young children, with migraine and tension-type headaches being prevalent. This review offers guidance on assessing and managing these primary headache disorders in pediatric patients.
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Recurrent headaches are increasingly diagnosed in young children.
- Migraine and tension-type headaches are common primary headache disorders in this age group.
- Headaches in young children are often 'unclassifiable' due to challenges in history taking.
Purpose of the Study:
- To review prevalent primary headache types in young children.
- To provide advice on focused headache assessment for pediatric patients.
- To offer guidance on the management of primary headaches in this demographic.
Main Methods:
- Review of recent epidemiological data on pediatric headaches.
- Synthesis of clinical experience with primary headache disorders in children.
- Guidance development based on current understanding of pediatric headache assessment and management.
Main Results:
- Highlights common primary headache types in young children.
- Emphasizes the diagnostic challenges and 'unclassifiable' nature of headaches in this population.
- Presents strategies for focused headache assessment and management.
Conclusions:
- Accurate assessment and timely management are crucial for pediatric headaches.
- Understanding prevalent headache types aids in diagnosis and treatment.
- Further research may improve classification and management of headaches in young children.
Abstract:
Recurrent headache is increasingly recognised in young children. Migraine and tension-type headache feature commonly amongst the primary headache disorders seen at this age. Headaches at this age are more likely than in older patients to be 'unclassifiable', possibly a reflection of the difficulties in obtaining a detailed headache history from a young child. Together with recent epidemiological data this review highlights the more prevalent primary headache types with advice on making a focussed headache assessment and guidance on management in this age group.
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