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Related Experiment Video

Updated: Jun 21, 2026

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Pediatric hypnic headache: a systematic review.

Alessandro Ferretti1, Margherita Velardi2, Claudia Fanfoni1

  • 1Pediatrics Unit, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University, S. Andrea Hospital, Rome, Italy.

Frontiers in Neurology
|August 28, 2023
PubMed
Summary
This summary is machine-generated.

Hypnic headache (HH) is rare in children, presenting differently than in adults. This review highlights distinct pediatric features and suggests melatonin therapy may help manage this sleep-related headache.

Keywords:
childhypnic headacheinternational classification of headache disorders 3rd editionmelatoninprimary headachesleepsystematic review

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Area of Science:

  • Neurology
  • Pediatrics
  • Sleep Medicine

Background:

  • Hypnic headache (HH) is a rare primary headache disorder, predominantly affecting adults, with poorly understood pediatric mechanisms.
  • This systematic review focuses on characterizing the clinical presentation of pediatric HH and comparing it to adult cases.

Approach:

  • A comprehensive systematic search identified and analyzed published case reports of HH in individuals under 18.
  • Data extraction and analysis followed a standardized protocol across major medical databases from 1988 to April 2023.

Key Points:

  • Seven pediatric HH cases revealed a mean age of onset at 10 years, with diagnostic delays averaging over 15 months.
  • Pediatric HH features throbbing pain, lower attack frequency, and shorter duration compared to adults' dull/pressure pain.
  • The International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria demonstrated increased diagnostic sensitivity in children.

Conclusions:

  • Pediatric HH exhibits unique clinical characteristics distinct from adult presentations.
  • Further research and specific diagnostic criteria for pediatric HH are essential for improved diagnosis and management.
  • Melatonin prophylactic therapy is a potential treatment option for children diagnosed with hypnic headache.