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Classification of pediatric headache

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Abstract

The high incidence and prevalence of headaches in the pediatric population has a significant impact on patients and their families. Migraine, the most common headache disorder for which pediatric patients see a physician, remains underdiagnosed. Recent studies have revealed the increasing incidence of migraine and chronic migraine in the pediatric population. This article presents limitations of the present diagnostic criteria for migraine, and the proposed modifications to these criteria may assist the clinician with early recognition. Further research in pediatric headaches is needed to help reveal additional pathophysiologic mechanisms and improve diagnostic criteria.

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References and Recommended Reading

  1. Bigal ME, Lipton RB, Winner P, et al.: Migraine in adolescents: association with socioeconomic status and family history. Adolescent analysis of AMPP study. Neurology 2007, 69:16–25.

    Article  PubMed  CAS  Google Scholar 

  2. Lewis DW, Ashwal S, Dahl G, et al.: Practice parameter: evaluation of children and adolescents with recurrent headaches: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 2002, 59:490–498.

    Article  PubMed  CAS  Google Scholar 

  3. Karli N, Akis N, Zarifoglu M, et al.: Headache prevalence in adolescents aged 12 to 17: a student-based epidemiological study in Bursa. Headache 2006, 46:649–655.

    Article  PubMed  Google Scholar 

  4. Akyol A, Kiylioglu N, Aydin I, et al.: Epidemiology and clinical characteristics of migraine among school children in the Menderes region. Cephalalgia 2007, 27:781–787.

    Article  PubMed  CAS  Google Scholar 

  5. Hershey AD, Powers SW, Vockell AL, et al.: PedMIDAS: development of a questionnaire to assess disability of migraines in children. Neurology 2001, 57:2034–2039.

    PubMed  CAS  Google Scholar 

  6. Fendrich K, Vennemann M, Pfaffenrath V, et al.: Headache prevalence among adolescents—the German DMKG headache study. Cephalalgia 2007, 27:347–354.

    Article  PubMed  CAS  Google Scholar 

  7. Dooley JM, Gordon KE, Wood EP: Self-reported headache frequency in Canadian adolescents: validation and follow-up. Headache 2005, 45:127–131.

    Article  PubMed  Google Scholar 

  8. Larsson B, Sund AM: One-year incidence, course, and outcome predictors of frequent headaches among early adolescents. Headache 2005, 45:684–691.

    Article  PubMed  Google Scholar 

  9. Diamond S, Bigal ME, Silberstein S, et al.: Patterns of diagnosis and acute and preventive treatment for migraine in the United States: results from the American Migraine Prevalence and Prevention study. Headache 2007, 47:355–363.

    PubMed  Google Scholar 

  10. Winner P, Diamond S, Reed ML, et al.: Migraine prevalence, disability and prevention need in a community sample of adolescents: results from the American Migraine Prevalence and Prevention (AMPP) study. Presented at the 48th Annual Scientific Meeting of the American Headache Society. Los Angeles, CA; June 22–25, 2006.

  11. Silberstein S, Loder E, Diamond S, et al.: Probable migraine in the United States: results of the American Migraine Prevalence and Prevention (AMPP) study. Cephalalgia 2007, 27:220–234.

    Article  PubMed  CAS  Google Scholar 

  12. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders. Cephalalgia 2004, 24(Suppl 1):1–160.

    Google Scholar 

  13. Hershey AD, Winner P, Kabbouche MA, et al.: Use of the ICHD-II criteria in the diagnosis of pediatric migraine. Headache 2005, 45:1288–1297.

    PubMed  Google Scholar 

  14. Virtanen R, Aromaa M, Rautava P, et al.: Changing headache from preschool age to puberty. A controlled study. Cephalalgia 2007, 27:294–303.

    Article  PubMed  CAS  Google Scholar 

  15. Bigal ME, Lipton RB, Winner P: Epidemiology and classification of headache. In Headache in Children and Adolescents, edn 2. Edited by Winner P, Lewis DW, Rothner AD. Hamilton, ON: BC Decker; 2008: 1–18.

    Google Scholar 

  16. Silberstein SD, Lipton RB, Winner P, et al.: Examining the case definition for migraine: potential areas for modification of ICHD-II criteria. Headache 2008, In press.

  17. Stafstrom CE, Goldenholz SR, Dulli DA: Serial headache drawings by children with migraine: correlation with clinical headache status. J Child Neurol 2005, 20:809–813.

    Article  PubMed  Google Scholar 

  18. Stafstrom CE, Rostasy K, Minster A: The usefulness of children’s drawings in the diagnosis of headache. Pediatrics 2002, 109:460–472.

    Article  PubMed  Google Scholar 

  19. Newman LC, Maytal J: Cluster and the trigeminal autonomic cephalalgias. In Headache in Children and Adolescents, edn 2. Edited by Winner P, Lewis DW, Rothner AD. Hamilton, ON: BC Decker; 2008: 147–161.

    Google Scholar 

  20. Stewart WF, Lipton RB, Whyte J, et al.: An international study to assess reliability of the migraine disability assessment (MIDAS) score. Neurology 1999, 53:988–994.

    PubMed  CAS  Google Scholar 

  21. Stewart WF, Lipton RB, Kolodner KB, et al.: Validity of the migraine disability assessment (MIDAS) score in comparison to a diary-based measure in a population sample of migraine sufferers. Pain 2000, 88:41–52.

    Article  PubMed  CAS  Google Scholar 

  22. Lipton RB, Stewart WF, Sawyer J, Edmeads JG: Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. Headache 2001, 41:854–861.

    PubMed  CAS  Google Scholar 

  23. Stewart WF, Lipton RB, Dowson AJ, Sawyer J: Development and testing of the migraine disability assessment (MIDAS) questionnaire to assess headache-related disability. Neurology 2001, 56(Suppl 1):S20–S28.

    PubMed  CAS  Google Scholar 

  24. Hershey AD, Powers SW, Vockell AL, et al.: Development of a patient-based grading scale for PedMIDAS. Cephalalgia 2004, 24:844–849.

    Article  PubMed  CAS  Google Scholar 

  25. Osterhaus JT, Townsend RJ, Gandek B, Ware JE Jr: Measuring the functional status and well-being of patients with migraine headache. Headache 1994, 34:337–343.

    Article  PubMed  CAS  Google Scholar 

  26. Varni JW, Seid M, Kurtin PS: PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001, 39:800–812.

    Article  PubMed  CAS  Google Scholar 

  27. Powers SW, Patton SR, Hommel KA, Hershey AD: Quality of life in paediatric migraine: characterization of age-related effects using PedsQL 4.0. Cephalalgia 2004, 24:120–127.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Paul Winner.

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Winner, P. Classification of pediatric headache. Current Science Inc 12, 357–360 (2008). https://doi.org/10.1007/s11916-008-0060-z

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