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Published on: June 2, 2014
Insights
Pediatric headache diagnoses include common migraine and tension-type headaches. This review covers rare primary headache disorders in children, aiding prompt diagnosis and treatment.
Area of Science:
- Pediatric Neurology
- Headache Medicine
Background:
- Migraine and tension-type headaches are common in children and adolescents.
- Unusual headaches can be alarming and perplexing for clinicians.
- Some adult headache syndromes can manifest in childhood.
Purpose of the Study:
- To review uncommon primary headache disorders in pediatric patients.
- To aid clinicians in identifying and managing these rare conditions.
- To prevent unnecessary neurological consultations and treatment delays.
Main Methods:
- Literature review of primary headache disorders in children and adolescents.
- Focus on conditions with unusual or peculiar features.
- Discussion of clinical presentation and diagnostic considerations.
Main Results:
- Identified several uncommon primary headache disorders presenting in pediatric clinics.
- Highlighted specific examples like brief stabbing headaches with lacrimation and continuous unilateral headaches.
- Emphasized that these conditions, though more common in adults, can occur in children.
Conclusions:
- Awareness of uncommon primary headaches is crucial for pediatricians.
- Accurate diagnosis can avert extensive neurological workups.
- Timely recognition facilitates appropriate and specific therapeutic interventions.
Abstract:
Migraine and tension-type headaches are common primary headache disorders encountered among children and adolescents presenting to a pediatric clinic. At times, children present with a headache with unusual or peculiar features that can be alarming and perplexing. These can be in the form of a brief stabbing headache with lacrimation in one eye or a continuous headache locked to one side of the head or face. These headache syndromes tend to be more common among adults but, on occasion, are known to occur or have their onset during childhood. This review outlines some of the uncommon primary headache disorders in children and adolescents that may be encountered in a pediatric clinic. Knowledge of these interesting conditions may avert the need for immediate neurological consultation and prevent delays in initiating specific therapy. [Pediatr Ann. 2018;47(2):e69-e73.].
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