Current Pain and Headache Reports

, Volume 15, Issue 4, pp 280-288

First online:

Uncommon Headache Syndromes in the Pediatric Population

  • Marco A. ArrudaAffiliated withGlia Institute, Child and Adolescent Neurology Email author 
  • , Regina C. A. P. AlbuquerqueAffiliated withSão José do Rio Preto School of Medicine
  • , Marcelo E. BigalAffiliated withMerck Research LaboratoriesDepartment of Neurology, Albert Einstein College of Medicine

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Headache is one of the most common symptoms in children and adolescents, and headache syndromes are an important reason for medical consulting. According to the second edition of the International Classification of Headache Disorders, there are 196 possible headache diagnoses, of which 113 have been described in pediatric population. Herein, we focus on unusual pediatric headache syndromes. We group them as headaches with migraine features, short-duration headaches with autonomic features, short-duration headaches without autonomic features, and potentially ominous forms of headaches. Although rare as single entities, providers focusing on pediatric headaches certainly will face some of these headaches and need to be comfortable on the diagnostic approach.


Headache Facial pain Cranial neuralgias Cluster headache Paroxysmal hemicranias Stabbing headache Retinal migraine Ophthalmoplegic migraine Trigeminal neuralgias Trigeminal autonomic cephalalgias Etiology Diagnosis Classification International Classification of Headache Disorders, second edition ICHD-II Childhood Adolescence