Recurrent and chronic headaches in children below 6 years of age
The objective was to determine the frequency of headache subtypes, according to International Headache Society (IHS) criteria, in a population of children below 6 years visiting a Center for Diagnosis and Treatment of Headache in Youth. Medical records of the children below 6 years at their first vi...
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description | The objective was to determine the frequency of headache subtypes, according to International Headache Society (IHS) criteria, in a population of children below 6 years visiting a Center for Diagnosis and Treatment of Headache in Youth. Medical records of the children below 6 years at their first visit, admitted for headache between 1997 and 2003, were studied. Headache was classified according to the IHS criteria 2004. Children with less than three headache attacks or less than 15 days of daily headache were excluded. We found 1598 medical records of children who visited our Headache Center in the study period. One hundred and five (6.5%) were children younger than 6 years. The mean age at the first medical control was 4.8+/-1.3 years (range 17-71 months). There were 59 males (56.1%) and 46 females (43.9%). The mean age at onset of headaches was 4.3 years (range 14-69 months). According to the IHS criteria we found 37 cases (35.2%) with migraine, 19 cases (18%) with episodic tension headache, 5 cases (4.8%) with chronic daily headache, 13 cases (12.4%) with primary stabbing headache, 18 cases (17.1%) with post-traumatic headache, 7 cases (6.6%) with other non-dangerous secondary headaches (otorhinolaryngological diseases, post-infectious headaches), 3 cases (2.85%) with dangerous headaches (Arnold-Chiari type 1 malformation, brain tumour) and 9 cases (8.6%) with unclassifiable headaches. Six children (5.7%) reported more than one headache subtype. The prevalence of dangerous headaches was higher than those in school age (chi(2)=4.70, p |
doi_str_mv | 10.1007/s10194-005-0168-z |
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Medical records of the children below 6 years at their first visit, admitted for headache between 1997 and 2003, were studied. Headache was classified according to the IHS criteria 2004. Children with less than three headache attacks or less than 15 days of daily headache were excluded. We found 1598 medical records of children who visited our Headache Center in the study period. One hundred and five (6.5%) were children younger than 6 years. The mean age at the first medical control was 4.8+/-1.3 years (range 17-71 months). There were 59 males (56.1%) and 46 females (43.9%). The mean age at onset of headaches was 4.3 years (range 14-69 months). According to the IHS criteria we found 37 cases (35.2%) with migraine, 19 cases (18%) with episodic tension headache, 5 cases (4.8%) with chronic daily headache, 13 cases (12.4%) with primary stabbing headache, 18 cases (17.1%) with post-traumatic headache, 7 cases (6.6%) with other non-dangerous secondary headaches (otorhinolaryngological diseases, post-infectious headaches), 3 cases (2.85%) with dangerous headaches (Arnold-Chiari type 1 malformation, brain tumour) and 9 cases (8.6%) with unclassifiable headaches. Six children (5.7%) reported more than one headache subtype. The prevalence of dangerous headaches was higher than those in school age (chi(2)=4.70, p<0.05). Our study shows some differences in headaches in this population vs. school children. In fact at this age migraine is the most common headache, but we also found an increase of secondary causes among the chronic/recurrent and daily headaches, especially posttraumatic disorders and potentially dangerous headaches. Finally our study shows the highest prevalence of the idiopathic stabbing headache in pre-school children in comparison with other ages.</description><identifier>ISSN: 1129-2369</identifier><identifier>EISSN: 1129-2377</identifier><identifier>DOI: 10.1007/s10194-005-0168-z</identifier><identifier>PMID: 16355294</identifier><identifier>CODEN: JHPOAT</identifier><language>eng</language><publisher>Milano: Springer</publisher><subject>Age Factors ; Age of Onset ; Arnold-Chiari Malformation - complications ; Bacterial diseases ; Biological and medical sciences ; Brain Neoplasms - complications ; Child, Preschool ; Children & youth ; Chronic Disease - epidemiology ; Chronic illnesses ; Craniocerebral Trauma - complications ; Cross-Sectional Studies ; Female ; Headache Disorders - diagnosis ; Headache Disorders - epidemiology ; Headache Disorders - etiology ; Headaches ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Male ; Medical diagnosis ; Medical records ; Medical sciences ; Migraine Disorders - diagnosis ; Migraine Disorders - epidemiology ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Original ; Prevalence ; Retrospective Studies ; Secondary Prevention ; Sex Factors ; Tension-Type Headache - diagnosis ; Tension-Type Headache - epidemiology ; Tuberculosis and atypical mycobacterial infections ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Journal of headache and pain, 2005-06, Vol.6 (3), p.135-142</ispartof><rights>2005 INIST-CNRS</rights><rights>Springer-Verlag Italia 2005</rights><rights>Springer-Verlag Italia 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369z-41f8561d2915547b3f35b7bd34f49de111812a8b0d9d0dee829e1de2c9addf933</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3451630/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3451630/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16915300$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16355294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RAIELI, Vincenzo</creatorcontrib><creatorcontrib>ELISEO, Mario</creatorcontrib><creatorcontrib>PANDOLFI, Eleonora</creatorcontrib><creatorcontrib>LA VECCHIA, Michela</creatorcontrib><creatorcontrib>LA FRANCA, Girolama</creatorcontrib><creatorcontrib>PUMA, Domenico</creatorcontrib><creatorcontrib>RAGUSA, Donatella</creatorcontrib><title>Recurrent and chronic headaches in children below 6 years of age</title><title>Journal of headache and pain</title><addtitle>J Headache Pain</addtitle><description>The objective was to determine the frequency of headache subtypes, according to International Headache Society (IHS) criteria, in a population of children below 6 years visiting a Center for Diagnosis and Treatment of Headache in Youth. Medical records of the children below 6 years at their first visit, admitted for headache between 1997 and 2003, were studied. Headache was classified according to the IHS criteria 2004. Children with less than three headache attacks or less than 15 days of daily headache were excluded. We found 1598 medical records of children who visited our Headache Center in the study period. One hundred and five (6.5%) were children younger than 6 years. The mean age at the first medical control was 4.8+/-1.3 years (range 17-71 months). There were 59 males (56.1%) and 46 females (43.9%). The mean age at onset of headaches was 4.3 years (range 14-69 months). According to the IHS criteria we found 37 cases (35.2%) with migraine, 19 cases (18%) with episodic tension headache, 5 cases (4.8%) with chronic daily headache, 13 cases (12.4%) with primary stabbing headache, 18 cases (17.1%) with post-traumatic headache, 7 cases (6.6%) with other non-dangerous secondary headaches (otorhinolaryngological diseases, post-infectious headaches), 3 cases (2.85%) with dangerous headaches (Arnold-Chiari type 1 malformation, brain tumour) and 9 cases (8.6%) with unclassifiable headaches. Six children (5.7%) reported more than one headache subtype. The prevalence of dangerous headaches was higher than those in school age (chi(2)=4.70, p<0.05). Our study shows some differences in headaches in this population vs. school children. In fact at this age migraine is the most common headache, but we also found an increase of secondary causes among the chronic/recurrent and daily headaches, especially posttraumatic disorders and potentially dangerous headaches. Finally our study shows the highest prevalence of the idiopathic stabbing headache in pre-school children in comparison with other ages.</description><subject>Age Factors</subject><subject>Age of Onset</subject><subject>Arnold-Chiari Malformation - complications</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - complications</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Chronic Disease - epidemiology</subject><subject>Chronic illnesses</subject><subject>Craniocerebral Trauma - complications</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Headache Disorders - diagnosis</subject><subject>Headache Disorders - epidemiology</subject><subject>Headache Disorders - etiology</subject><subject>Headaches</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Migraine Disorders - diagnosis</subject><subject>Migraine Disorders - epidemiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Original</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Secondary Prevention</subject><subject>Sex Factors</subject><subject>Tension-Type Headache - diagnosis</subject><subject>Tension-Type Headache - epidemiology</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>1129-2369</issn><issn>1129-2377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkUtr3TAQhUVoSdK0PyCbIgrtzu2MHra0CQmhLwgUSrsWsjTOdfC1UilOyf31VbiXPLrSIH1zNGcOY8cIHxGg-1QQ0KoGQDeArWk2e-wQUdhGyK578VC39oC9KuUKQIA0ep8dYCu1FlYdstOfFJacab7hfo48rHKax8BX5KMPKyp8nOvlOMWK8J6m9Je3_I58LjwN3F_Sa_Zy8FOhN7vziP3-8vnX-bfm4sfX7-dnF02o_28ahYPRLUZhUWvV9XKQuu_6KNWgbCRENCi86SHaCJHICEsYSQTrYxyslEfsZKt7vfRriqFOnP3krvO49vnOJT-65y_zuHKX6dZJpatdqAIfdgI5_Vmo3Lj1WAJNk58pLcW1xlihFFbw3X_gVVryXM05AQpMq21bIdxCIadSMg0PkyC4-3DcNhxXw3H34bhN7Xn71MJjxy6NCrzfAb4EPw3Zz2EsT7i6PAkg_wEqXJdA</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>RAIELI, Vincenzo</creator><creator>ELISEO, Mario</creator><creator>PANDOLFI, Eleonora</creator><creator>LA VECCHIA, Michela</creator><creator>LA FRANCA, Girolama</creator><creator>PUMA, Domenico</creator><creator>RAGUSA, Donatella</creator><general>Springer</general><general>Springer Nature B.V</general><general>Springer-Verlag</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200506</creationdate><title>Recurrent and chronic headaches in children below 6 years of age</title><author>RAIELI, Vincenzo ; ELISEO, Mario ; PANDOLFI, Eleonora ; LA VECCHIA, Michela ; LA FRANCA, Girolama ; PUMA, Domenico ; RAGUSA, Donatella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369z-41f8561d2915547b3f35b7bd34f49de111812a8b0d9d0dee829e1de2c9addf933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Age Factors</topic><topic>Age of Onset</topic><topic>Arnold-Chiari Malformation - complications</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Brain Neoplasms - complications</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Chronic Disease - epidemiology</topic><topic>Chronic illnesses</topic><topic>Craniocerebral Trauma - complications</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Headache Disorders - diagnosis</topic><topic>Headache Disorders - epidemiology</topic><topic>Headache Disorders - etiology</topic><topic>Headaches</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical records</topic><topic>Medical sciences</topic><topic>Migraine Disorders - diagnosis</topic><topic>Migraine Disorders - epidemiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Original</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Secondary Prevention</topic><topic>Sex Factors</topic><topic>Tension-Type Headache - diagnosis</topic><topic>Tension-Type Headache - epidemiology</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RAIELI, Vincenzo</creatorcontrib><creatorcontrib>ELISEO, Mario</creatorcontrib><creatorcontrib>PANDOLFI, Eleonora</creatorcontrib><creatorcontrib>LA VECCHIA, Michela</creatorcontrib><creatorcontrib>LA FRANCA, Girolama</creatorcontrib><creatorcontrib>PUMA, Domenico</creatorcontrib><creatorcontrib>RAGUSA, Donatella</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of headache and pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RAIELI, Vincenzo</au><au>ELISEO, Mario</au><au>PANDOLFI, Eleonora</au><au>LA VECCHIA, Michela</au><au>LA FRANCA, Girolama</au><au>PUMA, Domenico</au><au>RAGUSA, Donatella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent and chronic headaches in children below 6 years of age</atitle><jtitle>Journal of headache and pain</jtitle><addtitle>J Headache Pain</addtitle><date>2005-06</date><risdate>2005</risdate><volume>6</volume><issue>3</issue><spage>135</spage><epage>142</epage><pages>135-142</pages><issn>1129-2369</issn><eissn>1129-2377</eissn><coden>JHPOAT</coden><abstract>The objective was to determine the frequency of headache subtypes, according to International Headache Society (IHS) criteria, in a population of children below 6 years visiting a Center for Diagnosis and Treatment of Headache in Youth. Medical records of the children below 6 years at their first visit, admitted for headache between 1997 and 2003, were studied. Headache was classified according to the IHS criteria 2004. Children with less than three headache attacks or less than 15 days of daily headache were excluded. We found 1598 medical records of children who visited our Headache Center in the study period. One hundred and five (6.5%) were children younger than 6 years. The mean age at the first medical control was 4.8+/-1.3 years (range 17-71 months). There were 59 males (56.1%) and 46 females (43.9%). The mean age at onset of headaches was 4.3 years (range 14-69 months). According to the IHS criteria we found 37 cases (35.2%) with migraine, 19 cases (18%) with episodic tension headache, 5 cases (4.8%) with chronic daily headache, 13 cases (12.4%) with primary stabbing headache, 18 cases (17.1%) with post-traumatic headache, 7 cases (6.6%) with other non-dangerous secondary headaches (otorhinolaryngological diseases, post-infectious headaches), 3 cases (2.85%) with dangerous headaches (Arnold-Chiari type 1 malformation, brain tumour) and 9 cases (8.6%) with unclassifiable headaches. Six children (5.7%) reported more than one headache subtype. The prevalence of dangerous headaches was higher than those in school age (chi(2)=4.70, p<0.05). Our study shows some differences in headaches in this population vs. school children. In fact at this age migraine is the most common headache, but we also found an increase of secondary causes among the chronic/recurrent and daily headaches, especially posttraumatic disorders and potentially dangerous headaches. Finally our study shows the highest prevalence of the idiopathic stabbing headache in pre-school children in comparison with other ages.</abstract><cop>Milano</cop><pub>Springer</pub><pmid>16355294</pmid><doi>10.1007/s10194-005-0168-z</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Age Factors Age of Onset Arnold-Chiari Malformation - complications Bacterial diseases Biological and medical sciences Brain Neoplasms - complications Child, Preschool Children & youth Chronic Disease - epidemiology Chronic illnesses Craniocerebral Trauma - complications Cross-Sectional Studies Female Headache Disorders - diagnosis Headache Disorders - epidemiology Headache Disorders - etiology Headaches Human bacterial diseases Humans Infant Infectious diseases Male Medical diagnosis Medical records Medical sciences Migraine Disorders - diagnosis Migraine Disorders - epidemiology Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Original Prevalence Retrospective Studies Secondary Prevention Sex Factors Tension-Type Headache - diagnosis Tension-Type Headache - epidemiology Tuberculosis and atypical mycobacterial infections Vascular diseases and vascular malformations of the nervous system |
title | Recurrent and chronic headaches in children below 6 years of age |
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