Fonte
Primary headache disorders in children under 7 years of age; Ramdas S, Prasad M, Abu-Arafeh I; Scottish Medical Journal 58 (1), 26-9 (Feb 2013)
Background
and aim Research on headache disorders in young children is limited.
This study aims to determine causes and clinical presentations of
headache in young children attending a specialist clinic. Methods and
results All children attending the headache clinic over 9-year period
were included. Data were collected prospectively on demography and
clinical presentations of headache at every attendance. The diagnosis of
headache disorders was based on the International Classification of
Headache Disorders-II (2004). Of the 921 children (491 male) who
attended the clinic, 73 children (8%) were under 7 years of age at
presentation; 34 children had migraine, 11 had tension-type headache (4
chronic), 4 had mixed types of headache and 16 children had unclassified
headaches. Anorexia, nausea, vomiting, light intolerance and noise
intolerance were common during migraine attacks and forehead was the
most common site of maximal pain. Conclusions Migraine is the most
common headache disorder in young children attending a specialist
clinic. Headache presentation is often atypical and in 20% of young
children headache disorders are unclassified. Chronic tension-type
headache, often considered a disease of adolescents and adults, is shown
to present in early age.
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