Paroxysmal Hemicrania in Children—Symptoms, Diagnostic Criteria, Therapy and Outcome
- 1 August 2009
- journal article
- Published by SAGE Publications in Cephalalgia
- Vol. 29 (8), 873-882
- https://doi.org/10.1111/j.1468-2982.2008.01813.x
Abstract
Whereas paroxysmal hemicrania (PH) is studied extensively in adults, even case reports of PH in children are rare. We present the first prospective follow-up study on PH in children. Our aim was to investigate whether differences exist between paediatric and adult patients. We assessed all children with chronic headache who were referred to our paediatric out-patient pain clinic within 3 years based on interviews and validated questionnaires. Among 628 patients we found five children with PH (0.8%) and three with probable PH (0.5%), in total 1.3%. Pain characteristics, autonomic symptoms and treatment response to indomethacin were similar to adult PH patients. Our results demonstrate that the International Headache Society classification of PH is also applicable to children. We suspect that PH has been underdiagnosed in children and therefore suboptimally treated thus far.Keywords
This publication has 50 references indexed in Scilit:
- Schmerzbezogene Copingstrategien von Kindern und Jugendlichen mit chronischen SchmerzenDer Schmerz, 2008
- Neues zur Pathophysiologie und Therapie der trigeminoautonomen KopfschmerzsyndromeDer Schmerz, 2008
- Paroxysmal hemicrania responding to topiramateJournal of Neurology, Neurosurgery & Psychiatry, 2007
- Short-Lasting Headaches in ChildrenCephalalgia, 2006
- Chronic Paroxysmal Hemicrania in a 3-Year, 10-Month-Old FemalePediatric Neurology, 2006
- Pediatric SUNCT SyndromePediatric Neurology, 2005
- Trigeminal Cephalgias and Facial Pain Syndromes Associated with Autonomic DysfunctionCephalalgia, 2005
- Trigeminal autonomic cephalalgias: fancy term or constructive change to the IHS classification?Journal of Neurology, Neurosurgery & Psychiatry, 2005
- Idiopathic stabbing headache in the juvenile population: a clinical study and review of the literatureThe Journal of Headache and Pain, 2002
- A Case of Pre-Chronic Paroxysmal HemicraniaCephalalgia, 1982