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Chronic Daily Headache in Children and Adolescents

Published online by Cambridge University Press:  02 December 2014

Shashi S. Seshia
Shashi S. Seshia*
Affiliation:
Manitoba Clinic, Winnipeg, MB, Canada
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Abstract

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Objective:

Characterize chronic daily headache in those less than 20 years of age. Material and

Methods:

Study design: Prospective, observational, and sequential.

Setting:

Private practice Pediatric Neurology Clinic in a Canadian city (Winnipeg).

Patients and data collection:

Data on those referred with headache between September 1998 and December 2001 were entered on data sheets. Patients were followed up for one month to four years.

Results:

One hundred and forty-three (31%) of 463 referred with headache had chronic daily headache with duration of one month to five years (median: eight months). The age range was 5.5 years to 20 years (median: 13 years). There were significantly more females (N=93) than males (N=50). The main groups were: (1) transformed migraine: 6 (4%), (2) transformed tension-type headache: 80 (56%) and (3) transformed comorbid migraine and tension-type headache: 39 (27%). Tension-type features dominated in 94%. Analgesia overuse occurred in two. Stressors were recognized in 60 (42%); anxiety disorder was diagnosed in 8 (6%), and depression in 13 (9%). Computed tomography scans were done in 31 (22%), and MRI/MR angiography in 8 (6%) and were normal or showed nonspecific incidental findings. Twenty-two (15%) were lost to follow-up; 115 of the remaining 121 (95%) were headache free or greatly improved, 63 (55%) without specific treatment.

Conclusion:

Chronic daily headache is a common headache disorder in children and adolescents, especially in teenage girls. A prospective neuropsychiatric approach is necessary for evidenced-based management, since the condition has mental health, social and economic ramifications.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 31 , Issue 3 , August 2004 , pp. 319 - 323
Copyright
Copyright © The Canadian Journal of Neurological 2004

References

1.Mathew, NT, Stubits, E, Nigam, MP.Transformation of episodic migraine into daily headache: analysis of factors. Headache 1982; 22: 66–68.CrossRefGoogle ScholarPubMed
2.Headache Classification Committee of the International Headache Society. Classification and Diagnostic Criteria for Headache Disorders, Cranial Neuralgias and Facial Pain. Cephalalgia 1988; 8(Suppl 7): 1–96.Google Scholar
3.Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders. 2nd ed. Cephalagia 2004; 24 (Suppl 1): 1–152.Google Scholar
4.Silberstein, SD, Lipton, RB, Sliwinski, M.Classification of daily and near-daily headaches: field trial of revised I.H.S. Criteria. Neurology 1996; 47: 871–875.CrossRefGoogle Scholar
5.Gladstein, J, Holden, W, Winner, P, et al.Chronic daily headache in children and adolescents: current status and recommendations for the future. Headache 1997; 37: 626–629.CrossRefGoogle ScholarPubMed
6.Seshia, SS, Wolstein, JR.International Headache Society Classification and Diagnostic Criteria in Children: a proposal for revision. Dev Med Child Neurol 1995; 37:879–882.CrossRefGoogle ScholarPubMed
7.Winner, P, Martinez, W, Mate, L, Bello, L.Classification of pediatric migraine: proposed revisions to the I.H.S. Criteria. Headache 1995; 35: 407–410.CrossRefGoogle Scholar
8.Linder, SL.Treatment of childhood headache with dihydroergotamine mesylate. Headache 1994; 34: 578–580.CrossRefGoogle ScholarPubMed
9.Abu-Arafeh, I.Chronic tension-type headaches in children and adolescents. Cephalalgia 2001; 21:830–836.CrossRefGoogle ScholarPubMed
10.Canestri, P, Galli, F, Uidetti, VG, Tomaciello, A.Chronic daily headache (CDH) in children and adolescents: a 2 year follow-up study. Cephalalgia 2001; 21: 288.Google Scholar
11.Hershey, AD, Powers, SW, Bentti, A-L, LeCates, S, deGrauw, TJ.Characterization of chronic daily headaches in children in a multidisciplinary headache center. Neurology 2001; 56:1032–1037.Google Scholar
12.Viswanathan, V, Bridges, SJ, Whitehouse, W, Newton, RW.Childhood headaches: discrete entities or continuum? Dev Med Child Neurol 1998; 40: 544–550.CrossRefGoogle ScholarPubMed
13.Koenig, MA, Gladstein, J, McCarter, RJ, et al.Chronic daily headache in children and adolescents presenting to tertiary headache clinics. Headache 2002; 42; 491–500.CrossRefGoogle ScholarPubMed
14.Saper, JR.Chronic daily headache. Cephalagia 2001; 21: 252.CrossRefGoogle Scholar
15.Gladstein, J, Holden, W.Chronic daily headache in children and adolescents: a 2-year prospective study. Headache 1996; 36:349–351.CrossRefGoogle ScholarPubMed
16.Seshia, SS, Sigurdson, E.Chronic daily headache in children. Can J Neurol Sci 1996; 23: (Suppl 1) S80.Google Scholar
17.Vasconcellos, E, Pina-Garza, JE, Millan, EJ, Warner, JS.Analgesic rebound headache in children and adolescents. J Child Neurol 1998; 13:443–447.CrossRefGoogle ScholarPubMed
18.Silberstein, SD, Welch, KMA.Painkiller headache. Neurology 2002; 59:972–974.CrossRefGoogle ScholarPubMed
19.Cantu, RC.Minor head injuries in sports. Adolesc Med 1991; 2:141–154.Google ScholarPubMed
20.Winner, P, Gladstein, J.Chronic daily headache in pediatric practice. Curr Opin Neurol 2002; 15: 297–301.CrossRefGoogle ScholarPubMed
21.Bigal, ME, Sheftell, FD, Rapoport, AM, et al.Chronic daily headache: identification of factors associated with induction and transformation. Headache 2002; 42: 575–581.CrossRefGoogle ScholarPubMed
22.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: 629–632.CrossRefGoogle ScholarPubMed
23.Seshia, SS, Wolstein, JR, Adams, C, Booth, FA, Reggin, JD.International headache society criteria and childhood headache. Dev Med Child Neurol 1994; 36: 419–428.CrossRefGoogle ScholarPubMed
24.Redillas, C, Solomon, S.Prophylactic pharmacologic treatment of chronic daily headache. Headache 2000; 40: 83–102.CrossRefGoogle ScholarPubMed
25.Diener, HC.Placebo. Cephalagia 2001; 21: 248.Google Scholar
26.Heshey, AD, Powers, SW, Vockell, ALB, et al.PedMidas. Neurology 2001; 57:2034–2039.CrossRefGoogle Scholar
27.Stewart, WF, Scher, AI, Lipton, RB.Stressful life events and risk of chronic daily headache: results from the frequent headache epidemiology study (FRHE). Cephalagia 2001; 21: 279.Google Scholar
28.Bigal, ME, Lipton, RB, Silberstein, SD.Re: Chronic daily headache in children and adolescents presenting to tertiary care clinics. Headache 2003; 43: 419–421.CrossRefGoogle Scholar