Diagnosis of primary headache in children younger than 6 years: A clinical challenge

Roberto Torriero, Alessandro Capuano, Rosanna Mariani, Roberto Frusciante, Samuela Tarantino, Laura Papetti, Federico Vigevano, Massimiliano Valeriani

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age.

OBJECTIVE: Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis.

METHODS: This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache.

RESULTS: We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70% of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients (p < 0.001).

CONCLUSIONS: Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.

Original languageEnglish
JournalCephalalgia
DOIs
Publication statusE-pub ahead of print - Jul 18 2016

Fingerprint

Headache Disorders
Headache
Migraine Disorders
Tension-Type Headache
Hyperacusis
Photophobia
Nausea
Vomiting
Retrospective Studies

Keywords

  • Journal Article

Cite this

@article{8ea59beb13394865bcd34931a7827d01,
title = "Diagnosis of primary headache in children younger than 6 years: A clinical challenge",
abstract = "BACKGROUND: Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age.OBJECTIVE: Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis.METHODS: This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache.RESULTS: We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70{\%} of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients (p < 0.001).CONCLUSIONS: Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.",
keywords = "Journal Article",
author = "Roberto Torriero and Alessandro Capuano and Rosanna Mariani and Roberto Frusciante and Samuela Tarantino and Laura Papetti and Federico Vigevano and Massimiliano Valeriani",
note = "{\circledC} International Headache Society 2016.",
year = "2016",
month = "7",
day = "18",
doi = "10.1177/0333102416660533",
language = "English",
journal = "Cephalalgia",
issn = "0333-1024",
publisher = "SAGE Publications Ltd",

}

TY - JOUR

T1 - Diagnosis of primary headache in children younger than 6 years

T2 - A clinical challenge

AU - Torriero, Roberto

AU - Capuano, Alessandro

AU - Mariani, Rosanna

AU - Frusciante, Roberto

AU - Tarantino, Samuela

AU - Papetti, Laura

AU - Vigevano, Federico

AU - Valeriani, Massimiliano

N1 - © International Headache Society 2016.

PY - 2016/7/18

Y1 - 2016/7/18

N2 - BACKGROUND: Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age.OBJECTIVE: Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis.METHODS: This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache.RESULTS: We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70% of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients (p < 0.001).CONCLUSIONS: Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.

AB - BACKGROUND: Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age.OBJECTIVE: Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis.METHODS: This retrospective study analysed the clinical feature of 368 children younger than 6 years with primary headache.RESULTS: We found that in our patients the percentage of undefined diagnosis was high when either the ICHD-II or the ICHD-III criteria were used. More than 70% of our children showed a duration of their attacks shorter than 1 hour. The absence of photophobia/phonophobia and nausea/vomiting significantly correlate with tension-type headache (TTH) and probable TTH. The number of first-degree relatives with migraine was positively correlated to the diagnosis of migraine in the patients (p < 0.001).CONCLUSIONS: Our study showed that the ICHD-III criteria are difficult to use in children younger than 6 years. The problem is not solved by the reduction of the lowest duration limit for the diagnosis of migraine to 1 hour, as was done in the ICHD-II.

KW - Journal Article

U2 - 10.1177/0333102416660533

DO - 10.1177/0333102416660533

M3 - Article

C2 - 27432612

JO - Cephalalgia

JF - Cephalalgia

SN - 0333-1024

ER -