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Etiologies and Clinical Management of Headache

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Abstract

Headache is the most common and one of the most disabling types of chronic pain among children and adolescents. At age 5, 20% of children have headache, and by the age of 15, the prevalence of headache may be as high as 82%. We now know more about headache than ever before. Our understanding of headache pathogenesis expanded considerably when the International Headache Society published good diagnostic criteria in 1988 and elaborated in 2004, unfortunately most of these criteria were developed for adults, not children, and therefore our knowledge of pediatric headache has lagged behind what we know about adult headache.Herein we discuss diverse types of pediatric headache, from migraine to the trigeminal autonomic cephalalgias, medication overuse headache, secondary headaches, and more. The issues of pathophysiology, epidemiology, acute and preventive treatment, and non-pharmacological treatments are discussed.The purpose of this chapter is to bring together current information on pediatric headache, recognizing that a more detailed discussion is not possible in this format, but perhaps the reader will be stimulated to explore further any topics of interest presented in this chapter.

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Wheeler, S.D., Vasconcellos, E. (2011). Etiologies and Clinical Management of Headache. In: McClain, B., Suresh, S. (eds) Handbook of Pediatric Chronic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0350-1_10

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