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Headaches in childhood.

R R Hanson1

  • 1Department of Pediatrics, University of Mississippi Medical Center, Jackson 39216.

Seminars in Neurology
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Childhood headaches are common, often indicating migraine, not serious illness. Evaluation and treatment mirror adult approaches, with careful diagnosis to distinguish migraine from seizures.

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Area of Science:

  • Pediatric Neurology
  • Headache Medicine

Background:

  • Childhood headache is a prevalent clinical issue.
  • Evaluation and treatment strategies are largely comparable to adult cases, with age-specific diagnostic considerations.

Purpose of the Study:

  • To outline the diagnostic and therapeutic approach for childhood headaches.
  • To differentiate common childhood headaches, primarily migraine, from serious intracranial conditions and seizure disorders.
  • To discuss uncommon migraine variants specific to children.

Main Methods:

  • Evaluation methods based on illness timeline and pathophysiological factors.
  • Differential diagnosis, focusing on distinguishing migraine from seizures.
  • Review of current literature and clinical experience for treatment strategies.

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Main Results:

  • Most chronic recurrent headaches in children are migraines.
  • Close follow-up (4-6 months) aids diagnosis when uncertainty exists.
  • Specific migraine variants and their diagnostic challenges in children are presented.

Conclusions:

  • Migraine is the most frequent diagnosis for chronic recurrent headaches in childhood.
  • Accurate differentiation from seizures is crucial, guided by history and associated symptoms.
  • Treatment should consider the natural course of migraine, with many cases improving spontaneously.