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The diagnosis and management of headaches in childhood

S Shinnar, B J D'Souza

    Pediatric Clinics of North America
    |February 1, 1982
    PubMed

    Insights

    Chronic headaches in children are usually benign and manageable with simple treatments. While most cases resolve, some children may experience persistent headaches into adulthood.

    Area of Science:

    • Pediatrics
    • Neurology

    Background:

    • Chronic headaches are a common pediatric concern.
    • Most pediatric headaches are not indicative of serious underlying conditions.

    Purpose of the Study:

    • To review the diagnosis and management of chronic headaches in children and adolescents.
    • To discuss the prognosis and long-term outcomes of pediatric chronic headaches.

    Main Methods:

    • Review of existing literature on pediatric chronic headaches.
    • Clinical guidelines for diagnosis and treatment.

    Main Results:

    • Diagnosis relies primarily on detailed patient history and physical examination.
    • Extensive laboratory investigations are seldom necessary.
    • Management often involves reassurance, simple analgesics, and mild sedation.
    • Effective pharmacologic options exist for severe cases, including migraines.

    Conclusions:

    • The prognosis for pediatric chronic headaches is generally favorable, with spontaneous remission common.
    • While most children improve, a notable percentage may experience chronic headaches into adulthood.
    • Early diagnosis and appropriate management are key to favorable outcomes.

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