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Chronic daily headache in children and adolescents: science and conjecture
Mark Connelly1, Jennifer Bickel
1Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO 64108, USA.
Insights
Pediatric chronic daily headache is common, but research on its causes and treatments is limited. This review synthesizes current knowledge on classification, epidemiology, etiology, and treatment for this condition.
Area of Science:
- Neurology
- Pediatrics
- Pain Medicine
Background:
- Chronic daily headache (CDH) is a prevalent condition in children and adolescents.
- Despite its frequency, understanding of CDH's pathophysiological mechanisms is limited.
- Existing data on the relative efficacy of various treatments for pediatric CDH are sparse.
Purpose of the Study:
- To provide an updated review of pediatric chronic daily headache.
- To cover classification, epidemiology, etiology, and treatment strategies.
- To synthesize available empirical data and expert consensus.
Main Methods:
- Literature review of existing empirical data.
- Inclusion of general consensus in the field where data is lacking.
- Focus on contemporary information.
Main Results:
- The review synthesizes current understanding of CDH in pediatrics.
- It addresses classification, epidemiology, and etiology.
- Treatment options are discussed based on available evidence and consensus.
Conclusions:
- Further research is needed to elucidate the mechanisms and optimize treatments for pediatric CDH.
- This review serves as a resource for clinicians and researchers.
- A comprehensive understanding is crucial for effective management of pediatric headache disorders.
Abstract:
SUMMARY Chronic daily headache comprises a group of headache disorders in which headaches occur almost daily or continuously over several months. Although chronic daily headache is one of the most common chronic pain disorders in pediatrics, data on pathophysiological mechanisms and relative efficacy of treatments remain sparse. In this review, we aim to provide contemporary information on classification, epidemiology, etiology and treatment of pediatric chronic daily headache based on extant empirical data when available, or general consensus in the field when not.
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