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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Clinical manifestations of headache in children younger than 7 years

Bu Seon Kang1, Jinsun Lee2, Jin Hyuk Choi2

  • 1Department of Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

Korean Journal of Pediatrics
|October 12, 2018
PubMed

Insights

Headache in young children (<7 years) often presents variably but typically has a benign course. Accurate diagnosis of pediatric headache relies on thorough medical history and symptom evaluation.

Area of Science:

  • Pediatric Neurology
  • Clinical Pediatrics
  • Child Neurology

Background:

  • Headaches are a frequent complaint in childhood, often requiring specialized medical attention.
  • Understanding the nuances of headaches in very young children is crucial for effective management.

Purpose of the Study:

  • To characterize the clinical presentation and diagnostic findings of headaches in children under 7 years of age.
  • To identify common headache types and associated features in this pediatric population.

Main Methods:

  • A retrospective review of clinical records for 146 children under 7 years presenting with headache.
  • Analysis of symptom duration, attack characteristics, pain severity, and diagnostic test results (EEG, MRI).

Main Results:

  • Migraine was the most common diagnosis (34 cases), followed by tension-type headache (5 cases) and congenital malformations (3 cases).
  • Mean symptom duration was 5.8 months, with variable attack durations and frequencies. Mean pain severity was 5.1/10.
  • Diagnostic imaging revealed positive findings in a significant portion of patients (9/38 EEG, 20/41 MRI).

Conclusions:

  • Headaches in children under 7 years generally follow a benign clinical course.
  • Comprehensive and detailed patient history is essential for accurate diagnosis and appropriate treatment of pediatric headaches.
Abstract

Keywords:
ChildHeadacheMigraine

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