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Child with Chronic Headache

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Symptom-Based Approach to Pediatric Neurology

Abstract

The child with a chronic headache is more likely than not to have a benign condition. However, a small percentage of children may have a serious underlying disorder that requires further investigation and referral. This chapter guides the clinician toward identifying such conditions using a practical approach.

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References

  1. Raieli V, Compagno A, Pandolfi E, La Vecchia M, Puma D, La Franca G, Ragusa D. Headache: what do children and mothers expect from pediatricians? Headache. 2010;50(2):290–300. https://doi.org/10.1111/j.1526-4610.2009.01583.x.

    Article  Google Scholar 

  2. Lipton RB, Manack A, Ricci JA, Chee E, Turkel CC, Winner P. Prevalence and burden of chronic migraine in adolescents: results of the chronic daily headache in adolescents study (C-dAS). Headache. 2011;51(5):693–706. https://doi.org/10.1111/j.1526-4610.2011.01885.x.

    Article  Google Scholar 

  3. Cleves-Bayon C. Idiopathic intracranial hypertension in children and adolescents: an update. Headache. 2018;58(3):485–93. https://doi.org/10.1111/head.13236.

    Article  Google Scholar 

  4. Anttila P. Tension-type headache in children and adolescents. Curr Pain Headache Rep. 2004;8(6):500–4.

    Article  Google Scholar 

  5. Patel S, Bhatnagar A, Wear C, Osiro S, Gabriel A, Kimball D, et al. Are pediatric brain tumors on the rise in the USA? Significant incidence and survival findings from the SEER database analysis. Childs Nerv Syst. 2014;30(1):147–54. https://doi.org/10.1007/s00381-013-2307-1.

    Article  Google Scholar 

  6. Bigal ME, Lipton RB, Tepper SJ, Rapoport AM, Sheftell FD. Primary chronic daily headache and its subtypes in adolescents and adults. Neurology. 2004;63(5):843–7. https://doi.org/10.1212/01.wnl.0000137039.08724.18.

    Article  CAS  Google Scholar 

  7. Manack AN, Buse DC, Lipton RB. Curr Pain Headache Rep. 2011;15(1):70–8. https://doi.org/10.1007/s11916-010-0157-z.

    Article  Google Scholar 

  8. ICHD-3.

    Google Scholar 

  9. Family history of migraine.

    Google Scholar 

  10. Bille B. A 40-year follow-up of school children with migraine. Cephalalgia. 1997;17:488–91. https://doi.org/10.1046/j.1468-2982.1997.1704488.x.

    Article  CAS  Google Scholar 

  11. Minen MT, Dhaem OBD, Diest AKV, Powers S, Schwedt TJ, Lipton R, Silbersweig D. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry. 2016; https://doi.org/10.1136/jnnp-2015-312233.

  12. Abu-Arafeh I. Chronic tension-type headache in children and adolescents. Cephalalgia. 2001;21(8):830836. https://doi.org/10.1046/j.0333-1024.2001.00275.x.

    Article  Google Scholar 

  13. Phillips PH, Sheldon CA. Pediatric Pseudotumor cerebri syndrome. J Neurooncol. 2017;37(Suppl 1):S33–40. https://doi.org/10.1097/WNO.0000000000000548.

    Article  Google Scholar 

  14. Balcer LJ, Liu GT, Forman S, Pun K, Volpe NJ, Galetta SL, Maguire MG. Idiopathic intracranial hypertension: relation of age and obesity in children. Neurology. 1999;52(4):870–2. https://doi.org/10.1212/wnl.52.4.870.

    Article  CAS  Google Scholar 

  15. Shelden CA, Paley GL, Beres SJ, MCormack SE, Liu GT. Semin Pediatr Neurol. 2017;24(2):110–5. https://doi.org/10.1016/j.spen.2017.04.002.

    Article  Google Scholar 

  16. Amorim JA, Gomes de Barros MV, Valença MM. Post-dural (postlumbar) puncture headache: risk factors and clinical features. Cephalalgia. 2012;32(12):916–23. https://doi.org/10.1177/0333102412453951.

    Article  Google Scholar 

  17. Mokri B. Spontaneous intracranial hypotension. Continuum. 2015;21(4 Headache):1086–8. https://doi.org/10.1212/CON.0000000000000193.

    Article  Google Scholar 

  18. Ozge A, Bolay H. Intracranial hypotension and hypertension in children and adolescents. Curr Pain Headache Rep. 2014;18(7):430. https://doi.org/10.1007/s11916-014-0430-7.

    Article  Google Scholar 

  19. Yamani N, Olesen J. New daily persistent headache: a systematic review on an enigmatic disorder. J Headache Pain. 2019;20(1):80. https://doi.org/10.1186/s10194-019-1022-z.

    Article  Google Scholar 

  20. Rozen TD. Triggering events and new daily persistent headache: age and gender differences and insights on pathogenesis—a clinic-based study. Headache. 2016;56(1):164–73. https://doi.org/10.1111/head.12707.

    Article  Google Scholar 

  21. Kung E, Tepper SJ, Rappaport AM, Sheftell FD, Bigal ME. Cephalalgia. 2009;29(1):17–22. https://doi.org/10.1111/j.1468-2982.2008.01647.x.

    Article  CAS  Google Scholar 

  22. Reidy BL, Riddle EJ, Powers SW, Slater SK, Kacperski J, Kabbouche MA, Hershey AD. Clinic-based characterization of continuous headache in children and adolescents: comparing youth with chronic migraine to those with new daily persistent headache. Cephalalgia. 2020;40(10):1063–9. https://doi.org/10.1177/0333102420920644.

    Article  Google Scholar 

  23. Uniyal R, Paliwal VK, Tripathi A. Psychiatric comorbidity in new daily persistent headache: a cross-sectional study. Eur J Pain. 2017;21(6):1031–8. https://doi.org/10.1002/ejp.1000.

    Article  CAS  Google Scholar 

  24. Abu-Arafeh I, Campbell E. Headache, Chiari malformation type 1 and treatment options. Arch Dis Child. 2017;102(3):210–1. https://doi.org/10.1136/archdischild-2016-312137.

    Article  Google Scholar 

  25. Burina A, Smajlovic D, Sinanovic O, Vidovic M, Ibrahimagic OC. Arnold-Chiari malformation and syringomyelia. Acta Med Sal. 2009;38:44–6.

    Article  Google Scholar 

  26. Wu YW, Chin CT, Chan KM, Barkovich AJ, Ferriero DM. Pediatric Chiari I malformations: do clinical and radiologic features correlate? Neurology. 1999;53(6):1271–6.

    Article  CAS  Google Scholar 

  27. Udaka YT, Packer RJ. Pediatric brain tumors. Neurol Clin. 2018;36(3):533–56. https://doi.org/10.1016/j.ncl.2018.04.009.

    Article  Google Scholar 

  28. Rigi M, Almarzouqi SJ, Morgan ML, Lee AG. Papilledema: epidemiology, etiology, and clinical management. Eye Brain. 2015;7:47–57. https://doi.org/10.2147/EB.S69174. eCollection 2015.

    Article  Google Scholar 

  29. Dsouza S, Aylward BS, Rogers DL, Aylward SC. Presenting symptomatology and risk factors in pediatric secondary intracranial hypertension due to venous sinus thrombosis. Pediatr Neurol. 2019;101:53–6. https://doi.org/10.1016/j.pediatrneurol.2019.04.016.

    Article  Google Scholar 

  30. Dlamini N, Billinghurst L, Kirkham F. Cerebral venous sinus (sinovenous) thrombosis in children. Neurosurg Clin N Am. 2010;21(3):511–27. https://doi.org/10.1016/j.nec.2010.03.006.

    Article  Google Scholar 

  31. Amoozegar F, Ronksley PE, Suave R, Menon BK. Hormonal contraceptives and cerebral venous thrombosis risk: a systematic review and meta-analysis. Front Neurol. 2015;6:7. https://doi.org/10.3389/fneur.2015.00007.

    Article  Google Scholar 

  32. Ramsawh H, Chavira D, Stein M. The burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology and a research agenda. Arch Pediatr Adolesc Med. 2010;164:965–72. https://doi.org/10.1001/archpediatrics.2010.170.

    Article  Google Scholar 

  33. Schlake HP, Grotmeyer KH, Husstedt IW, Schuierer G, Brune GG. “Symptomatic migraine”: intracranial lesions mimicking migrainous headache—a report of three cases. Headache. 1991;31(10):661–5. https://doi.org/10.1111/j.1526-4610.1991.hed3110661.x.

    Article  CAS  Google Scholar 

  34. Symonds C. Cough headache. Brain. 1956;79(4):557–68. https://doi.org/10.1093/brain/79.4.557.

    Article  CAS  Google Scholar 

  35. Rossi LN, Vassella F. Headache in children with brain tumors. Childs Nerv Syst. 1989;5(5):307–9. https://doi.org/10.1007/BF00274519.

    Article  CAS  Google Scholar 

  36. Gilles FH, Sobel E, Leviton A, Hedley-Whyte ET, Tavare CJ, Adelman LS, Sobel RA. Epidemiology of seizures in children with brain tumors. The Childhood Brain Tumor Consortium. J Neurooncol. 1992;12(1):53–68. https://doi.org/10.1007/BF00172457.

    Article  CAS  Google Scholar 

  37. Gandhi B, Cheek S, Campo JV. Anxiety in the pediatric medical setting. Child Adolesc Psychiatr Clin N Am. 2012;21(3):643–53. https://doi.org/10.1016/j.chc.2012.05.013.

    Article  Google Scholar 

  38. Lewis DW, Dorbad D. The utility of neuroimaging in the evaluation of children with migraine or chronic daily headache who have normal neurological examinations. Headache. 2000;40(8):629–32. https://doi.org/10.1046/j.1526-4610.2000.040008629.x.

    Article  CAS  Google Scholar 

  39. Dangalouff-Ros V, Roux C-J, Boulouis G, Levy R, Nicolas N, Lozach C, Grevent D, Brunelle F, Boddaert N, Naggara O. Incidental brain MRI findings in children: a systematic review and meta-analysis. AJNR Am J Neuradiol. 2019;40(11):1818–23. https://doi.org/10.3174/ajnr.A6281.

    Article  Google Scholar 

  40. Lay CL, Sun-Edelstein C. Brain tumor headache. In: Eichler A, editor. UpToDate. https://www.uptodate.com/contents/BrainTumorHeadache. Accessed 25 July 2020.

  41. Jalli R, Zarei F, Farahangiz S, Khaleghi F, Petramfar P, Borhani-Haghighi A, Yadollahikhales G. The sensitivity, specificity, and accuracy of contrast-enhanced T1-weighted image, T2*-weighted image, and magnetic resonance venography in diagnosis of cerebral venous sinus thrombosis. J Stroke Cerebrovasc Dis. 2016;25(8):2083–6.

    Article  Google Scholar 

  42. Hershey AD, Powers SW, Coffee CS, Eklund DD, Chamberlin LA, Korbee LL, CHAMP Study Group. Childhood and Adolescent Migraine Prevention (CHAMP) study: a double-blinded, placebo-controlled, comparative effectiveness study of amitriptyline, topiramate, and placebo in the prevention of childhood and adolescent migraine. Headache. 2013;5(53):799–816. https://doi.org/10.1111/head.12105.

    Article  Google Scholar 

  43. Shah S, Calderon MD, Wu WD, Grant J, Reinhart J. Onabotulinumtoxin A (BOTOX®) for ProphylaCTIC treatment of pediatric migraine: a retrospective longitudinal analysis. J Child Neurol. 2018;33(9):580–6. https://doi.org/10.1177/0883073818776142.

    Article  Google Scholar 

  44. Papetti L, Ursitti F, Moavero R, Ferilli MAN, Sforza G, Tarantino F, Vigevano S, Valeriani M. Prophylactic treatment of pediatric migraine: is there anything new in the last decade? Front Neurol. 2019;10:771. https://doi.org/10.3389/fneur.2019.00771.

    Article  Google Scholar 

  45. Melby JM, Miner LC, Reed DJ. Effect of acetazolamide and furosemide on the production and composition of cerebrospinal fluid from the cat choroid plexus. Can J Physiol Pharmacol. 1982;60(3):405–9. https://doi.org/10.1139/y82-059.

    Article  CAS  Google Scholar 

  46. Chen H, Zhang Q, Tan S, Fu H, Farris B, Yang Z. Update on the application of optic nerve sheath fenestration. Restor Neurol Neurosci. 2017;35(3):275–86. https://doi.org/10.3233/rnn-160693.

    Article  Google Scholar 

  47. Aitken LA, Lindan CE, Sidney S, Gupta N, Barkovich AJ, Sorel M, Wu YW. Chiari type I malformation in a pediatric population. Pediatr Neurol. 2009;40(6):449–54. https://doi.org/10.1016/j.pediatrneurol.2009.01.003.

    Article  Google Scholar 

  48. Rynn M, Regan J. Anxiety disorders. In: Findling R, editor. Clinical manual of child and adolescent psychopharmacology. Washington, DC: American Psychiatric Publishing; 2008. p. 143–88.

    Google Scholar 

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Correspondence to Lalitha Sivaswamy .

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Mahmood, N., Sivaswamy, L. (2022). Child with Chronic Headache. In: Kamat, D.M., Sivaswamy, L. (eds) Symptom-Based Approach to Pediatric Neurology . Springer, Cham. https://doi.org/10.1007/978-3-031-10494-7_19

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  • DOI: https://doi.org/10.1007/978-3-031-10494-7_19

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