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Chronic daily headache in children and adolescents: a clinic based study from India.
Cephalalgia 2005; 25(10):795-800C

Abstract

Chronic Daily Headache (CDH) is uncommon in Indian children compared to their adult counterpart. This is a retrospective study looking at the headache phenomenology of CDH in Indian children and adolescents. The validity of the case definitions of subtypes of chronic primary headaches mentioned in the IHS 2004 classification have been evaluated. 22 children (age range 8-15 years; M : F-16 : 6) diagnosed as having primary CDH using a modified definition seen between 2002 and 2003 have been studied. CDH has been defined as daily or near daily headaches > 15d/month for > 6 weeks. The rationale for this modified definition has been discussed. Majority of children (15/22) had a more or loss specified time of onset of regular headache spells resembling New Daily Persistent Headache (NDPH) but did not fulfil totally the diagnostic criteria of NDPH as laid down by IHS 2004. In all cases headache phenomenology included a significant vascular component. Headache phenomenology closely resembled Chronic Tension Type Headache (CTTH) in 4 patients and Chronic Migraine in 3 patients. However, in no patient in these groups, a history of evolution from the episodic forms of the diseases could be elicited. Heightened level of anxiety mostly related to academic stress and achievement was noted in the majority (19/22). Only a minority of patients (3/22) had anxiety and depression related to interpersonal relationships in the family. Medication overuse was not implicated in any patient. CDH in children in India is very much different from CDH in adults with the vast majority of patients exhibiting overlapping features of migraine and tension-type headache. There is need for a modified diagnostic criteria and terminology for chronic primary headaches in children.

Authors+Show Affiliations

Department of Neurology, Vivekananda Institute of Medical Sciences, 59 Beadon Street, Calcutta-700006, India. saschakra@yahoo.com

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

16162256

Citation

Chakravarty, A. "Chronic Daily Headache in Children and Adolescents: a Clinic Based Study From India." Cephalalgia : an International Journal of Headache, vol. 25, no. 10, 2005, pp. 795-800.
Chakravarty A. Chronic daily headache in children and adolescents: a clinic based study from India. Cephalalgia. 2005;25(10):795-800.
Chakravarty, A. (2005). Chronic daily headache in children and adolescents: a clinic based study from India. Cephalalgia : an International Journal of Headache, 25(10), pp. 795-800.
Chakravarty A. Chronic Daily Headache in Children and Adolescents: a Clinic Based Study From India. Cephalalgia. 2005;25(10):795-800. PubMed PMID: 16162256.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic daily headache in children and adolescents: a clinic based study from India. A1 - Chakravarty,A, PY - 2005/9/16/pubmed PY - 2005/11/8/medline PY - 2005/9/16/entrez SP - 795 EP - 800 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 25 IS - 10 N2 - Chronic Daily Headache (CDH) is uncommon in Indian children compared to their adult counterpart. This is a retrospective study looking at the headache phenomenology of CDH in Indian children and adolescents. The validity of the case definitions of subtypes of chronic primary headaches mentioned in the IHS 2004 classification have been evaluated. 22 children (age range 8-15 years; M : F-16 : 6) diagnosed as having primary CDH using a modified definition seen between 2002 and 2003 have been studied. CDH has been defined as daily or near daily headaches > 15d/month for > 6 weeks. The rationale for this modified definition has been discussed. Majority of children (15/22) had a more or loss specified time of onset of regular headache spells resembling New Daily Persistent Headache (NDPH) but did not fulfil totally the diagnostic criteria of NDPH as laid down by IHS 2004. In all cases headache phenomenology included a significant vascular component. Headache phenomenology closely resembled Chronic Tension Type Headache (CTTH) in 4 patients and Chronic Migraine in 3 patients. However, in no patient in these groups, a history of evolution from the episodic forms of the diseases could be elicited. Heightened level of anxiety mostly related to academic stress and achievement was noted in the majority (19/22). Only a minority of patients (3/22) had anxiety and depression related to interpersonal relationships in the family. Medication overuse was not implicated in any patient. CDH in children in India is very much different from CDH in adults with the vast majority of patients exhibiting overlapping features of migraine and tension-type headache. There is need for a modified diagnostic criteria and terminology for chronic primary headaches in children. SN - 0333-1024 UR - https://www.unboundmedicine.com/medline/citation/16162256/Chronic_daily_headache_in_children_and_adolescents:_a_clinic_based_study_from_India_ L2 - http://journals.sagepub.com/doi/full/10.1111/j.1468-2982.2005.00958.x?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -