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Related Experiment Videos

Childhood headache at school entry: a controlled clinical study

M Aromaa1, M L Sillanpää, P Rautava

  • 1Department of Child Neurology, University of Turku, Finland.

Neurology
|June 20, 1998
PubMed
Summary

Headache in schoolchildren is linked to bruxism and specific tender points. Identifying triggers like food, fear, and anxiety can help classify headache types in children.

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Area of Science:

  • Pediatric Neurology
  • Clinical Epidemiology

Background:

  • Headache is a common complaint in childhood, impacting daily life and school attendance.
  • Accurate classification of headache types in children is crucial for effective management.

Purpose of the Study:

  • To investigate the prevalence, characteristics, and triggers of various headache types in Finnish children commencing school.
  • To identify clinical indicators and associated factors for headache in this age group.

Main Methods:

  • A questionnaire survey was distributed to 1,132 families of 6-year-old children.
  • Children experiencing headaches (n=96) and a control group (n=96) underwent clinical interviews and examinations.

Main Results:

  • Children with headaches showed higher rates of bruxism, tenderness in occipital muscle insertion and temporomandibular joint areas, and travel sickness.

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  • Migraineurs reported specific triggers (ice cream, fear, anxiety) and concurrent symptoms (abdominal pain) more frequently than those with tension-type headaches.
  • Children with migraine also had higher medication use for pain relief.

    • Conclusions:

    • Palpation of occipital muscle insertions and temporomandibular joint areas can aid in headache classification.
    • Discerning a history of triggering events and concurrent symptoms is valuable for improving headache diagnosis in children.