Abstract
Migraine and tension-type headache are common in children and adolescents, but several other headache disorders may pose a great challenge in diagnosis and management to families and attending clinicians. In this review, we highlight several of these disorders, which need appropriate assessment to make the right diagnosis and appropriate investigations where necessary. Timely recognition and implementation of appropriate management strategies can improve the health of children with some disorders, and is vital in achieving improvement in the quality of life.
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Abu-Arafeh I, Russell G. Prevalence of headache and migraine in schoolchildren. Brit Med J. 1994;309:765–9.
Abu-Arafeh I, Razak S, Sivaraman B, Graham C. The prevalence of headache and migraine in children and adolescents: A systematic review of population-based studies. Dev Med Child Neurol. 2010;52:1088–97.
Laurell K, Larsson B, Eeg-Olofsson O. Prevalence of headache in Swedish schoolchildren, with a focus on tension-type headache. Cephalalgia, 2004;24:380–8.
Headache Classification Committee of the International Headache Society. Classification and Diagnostic Criteria for Headache Disorders, Cranial Neuralgias and Facial Pain. Cephalalgia. 1988;8:1–96.
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 2nd edition. Cephalalgia. 2004;38:1–211.
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;24:1–152.
Ozge A, Faedda N, Abu-Arafeh I, et al. Experts’ opinion about the primary headache diagnostic criteria of the ICHD-3rd edition beta in children and adolescents. J Headache Pain, 2017;18:11.
Lipton RB, Manack A, Ricci JA, et al. Prevalence and burden of chronic migraine in adolescents: Results of the chronic daily headache in adolescents study (C-dAS), headache, 2011;51:693–706.
Powers SW, Coffey CS, Chamberlin LA, et al. Trial of amitriptyline, topiramate, and placebo for pediatric migraine. NEJM. 2017;376:115–24.
Power SW, Kashikar-Zuck SM, Allen JR, et al. Cognitive behavioral therapy plus amitriptyline for chronic migraine in children and adolescents: A Randomized Clinical Trial. JAMA. 2013;310:2622–30.
Le K, Yu D, Wang J, et al. Is topiramate effective for migraine prevention in patients less than 18 years of age? A meta-analysis of randomised controlled trials. J Headache Pain. 2017;18:4–10.
Adams AM, Serrano D, Buse DC, et al. The impact of chronic migraine: The chronic migraine epidemiology and outcomes (CaMEO) study methods and baseline results. Cephalalgia. 2015;35:563–78.
Abu-Arafeh I, MacLeod S. Serious neurological disorders in children with chronic headache. Arch Dis Child. 2005;90:937–40.
Toldo I, Brunello F, Morao V, et al. First attack and clinical presentation of hemiplegic migraine in pediatric age: A multicenter retrospective study and literature review. Front Neurol. 2019;10:1079.
Boulouis G, Shotar E, Dangouloff-Ros V, et al. Magnetic resonance imaging arterial-spin-labeling perfusion alterations in childhood migraine with atypical aura: a case-control study. Dev Med Child Neurol. 2016;58:965–9.
Cadiot D, Longuet R, Bruneau B, et al. Magnetic resonance imaging in children presenting migraine with aura: Association of hypoperfusion detected by arterial spin labelling and vasospasm on MR angiography findings. Cephalalgia. 2018;38:949–58.
Indelicato E, Nachbauer W, Eigentler A, et al. Ten years of follow-up in a large family with familial hemiplegic migraine type 1: Clinical course and implications for treatment. Cephalalgia. 2018;38:1167–76.
Gosh PS, Rothner AD, Zakha KG, Friedman NR. Reversible cerebral vasoconstriction syndrome: A rare entity in children presenting with thunderclap headache. J Child Neurol. 2011;26:1580–4.
Raucci U, Vecchia ND, Ossella C, et al. Management of childhood headache in the emergency department: review of the literature. Front Neurol. 2019;10:886.
Aitkin LA, Lindan CE, Sidney S, et al. Chiari type I malformation in a pediatric population. Pediatr Neurol, 2009;40:449–54.
Abu-Arafeh I, Campbell E. Headache, Chiari malformation type 1 and treatment options, Arch Dis Child 2017;102:210–1.
Raza-Knight S, Mankad K, Prabhakar P, et al. Headache outcomes in children undergoing foramen magnum decompression for Chiari I malformation. Arch Dis Child. 2017;102:238–43.
Fusco C, Pisani F, Faienza C. Idiopathic stabbing headache: Clinical characteristics of children and adolescents. Brain Dev. 2003;25:237–40.
Kramer U, Nevo Y, Neufeld MY, et al. The value of EEG in children with chronic headaches. Brain Dev, 1994;16:304–8.
Vieira JP, Salgueiro AB, Alfaro M. Short-lasting headaches in children. Cephalalgia. 2006;26:1220–4.
Raieli V, Eliseo M, Pandolfi E, et al. Recurrent and chronic headaches in children below 6 years of age. J Headache Pain. 2005;6:135–42.
Hagler S, Ballaban-Gil K, Robbins MS. Primary stabbing headache in adults and pediatrics: A review. Curr Pain Headache Rep. 2014;18:450.
Soriani S, Battistella PA, Arnaldi C, et al. Juvenile idiopathic stabbing headache. Headache. 1996;36:565–7.
Abu-Arafeh I. Primary stabbing headache: The need for a definition for children and adolescents. Dev Med Child Neurol. 2020;62:10.
Ahmed M, Canlas J, Mahenthiran M, Al-Ani S. Primary stabbing headache in children and adolescents. Dev Med Child Neurol. 2020;62:69–74.
Ekbom K, Ahlborg B, Schéle R. Prevalence of migraine and cluster headache in Swedish men of 18. Headache 1978;18:9–19.
McAbee GN. A review of episodic and chronic pediatric headaches of brief duration. Pediatr Neurol. 2015;52:137–42.
Majumdar A, Ahmed MA, Benton S. Cluster headache in children — experience from a specialist headache clinic. Eur J Paediatr Neurol. 2009;13:524–9.
Mariani R, Capuano A, Torriero R, et al. Cluster headache in childhood: case series from a pediatric headache center. J Child Neurol. 2014;29:62–5.
Schurks M. Genetics of cluster headache. Curr Pain Headache Rep. 2010;14:132–9.
Sjostrand C, Russell MB, Ekbom K, et al. Familial cluster headache: Demographic patterns in affected and nonaffected. Headache. 2010;50:374–82.
Rozen TD. Childhood exposure to second-hand tobacco smoke and the development of cluster headache. Headache. 2005;45:393–4.
Mack KJ, Goadsby P. Trigeminal autonomic cephalalgias in children and adolescents: Cluster headache and related conditions. Semin Pediatr Neurol. 2016;23:23–6.
Puledda F, Goadsby PJ, Prabhakar P. Treatment of disabling headache with greater occipital nerve injections in a large population of childhood and adolescent patients: A service evaluation. J Headache Pain. 2018;19:5.
Tarantino S, Vollono C, Capuano A, et al. Chronic paroxysmal hemicrania in paediatric age: Report of two cases. J Headache Pain. 2011;12:263–7.
Raieli V, Cicala V, Vanadia F. Pediatric paroxysmal hemicrania: A case report and some clinical considerations. Neurol Sci. 2015;36:2295–6.
Fragoso YD, Machado PC. Hemicrania continua with onset at an early age. Headache. 1998;38:792–3.
Prasad M, Ramdas S, Abu-Arafeh I. A child with hemicrania continua phenotype responsive to Botulinum toxin-A. J Pediatr Neurol. 2012;10:155–9.
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Abu-Arafeh, I., Valeriani, M. & Prabhakar, P. Headache in Children and Adolescents: A Focus on Uncommon Headache Disorders. Indian Pediatr 58, 757–764 (2021). https://doi.org/10.1007/s13312-021-2287-2
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DOI: https://doi.org/10.1007/s13312-021-2287-2