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[Childhood headaches: new concepts and recent advances]
1Instituto Hispalense de Pediatria, Sevilla, Espana.
Revista De Neurologia
|June 8, 2018
Summary
Recent advances in childhood headaches include new classifications and a strong link to attention deficit hyperactivity disorder. Brain imaging is not very useful for diagnosing these common pediatric conditions.
Area of Science:
- Neurology
- Pediatrics
- Headache Medicine
Background:
- Childhood headaches are common and evolving.
- Previous classifications required updates.
- Understanding new diagnostic criteria is crucial.
Purpose of the Study:
- To summarize recent advancements in childhood headache research.
- To highlight changes in the International Classification of Headache Disorders (ICHD-3 beta).
- To discuss the relationship between headaches, ADHD, and diagnostic tools.
Main Methods:
- Literature review of recent studies on pediatric headaches.
- Analysis of the ICHD-3 beta classification updates.
- Synthesis of evidence regarding associated conditions and diagnostic utility.
Main Results:
- Significant updates to headache classifications in children.
- Identification of new headache entities and qualifications.
- Strong association noted between childhood headaches and attention deficit hyperactivity disorder (ADHD).
- Weak link observed between glutamate intake and headaches.
- Limited diagnostic value of brain MRI for most childhood headaches.
- Modifications to childhood episodic syndromes criteria.
Conclusions:
- The ICHD-3 beta provides updated frameworks for childhood headaches.
- ADHD is a key comorbidity to consider in pediatric headache management.
- Diagnostic approaches should be refined, focusing less on routine neuroimaging.
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