Chronic daily headache in a paediatric headache centre

Scalas, Cinzia; Calistri, Lucia

doi:10.1007/s10194-005-0209-7

Cited by 8 publications

(11 citation statements)

References 11 publications

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“…There was a significant excess of females over males (48 vs 22). A similar preponderance of females over males has been reported by others 9,10,14–22 . In a selective population‐based study from Taiwan, Wang et al found the 1 year estimated prevalence of CDH to be 0.8% in males and 2.4% in females 15 …”

Section: Discussionsupporting

confidence: 70%

Childhood chronic daily headache: a biopsychosocial perspective

Seshia

Phillips

Baeyer

2008

Develop Med Child Neuro

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The aim of our observational study was to highlight some clinical observations on chronic daily headache (CDH) in children and adolescents. Data on patients ≤18 years aged presenting with CDH to the Pediatric Headache Clinic at the Royal University Hospital, Saskatoon, Canada, were collected prospectively and sequentially from February 2004 to July 2006. Standardized data sheets and definitions were used. Follow‐up information on the 70 participants (22 males, 48 females) was current to February 2007. Fifty‐four participants (77%) had had recurrent headaches before transformation to CDH. Comorbid chronic migraine and chronic tension‐type headache was the most frequent subtype of CDH (37 participants; 53%). Anxiety and mood disorders were diagnosed in 17 and 15 children respectively. Stressors that precipitated or contributed to the maintenance of CDH were judged important in 44 (63%). The possibility of a somatoform disorder was considered in five children, a factitious disorder in one, and malingering in another. We suggest that CDH be viewed from a biopsychosocial rather than a narrow biomedical perspective and the classification improved to enhance clinical utility.

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Section: Discussionsupporting

confidence: 70%

Childhood chronic daily headache: a biopsychosocial perspective

Seshia

Phillips

Baeyer

2008

Develop Med Child Neuro

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“…Around 87% of the patients had some form of migraine both in the first and second assessments. Other studies conducted at the tertiary care found that the prevalence of migraine at this setting ranges from 33 to 80% [3][4][5][6]8 . A past study conducted in our clinic diagnosed migraine in 79.2% of the patients 3 .…”

Section: Discussionmentioning

confidence: 99%

“…In this setting, tension-type headache (TTH) is the most common headache type, followed by migraine 1,2 . In the tertiary care, however, migraine and chronic daily headaches (CDH), are far more common than TTH [3][4][5][6][7][8] . CDHs do not represent a distinct nosologic entity, as per the second edition of the International Classification of Headache Disorders (ICDH-II) 9 .…”

Section: Introductionmentioning

confidence: 99%

Relative frequency of headache types: a longitudinal study in the tertiary care

Silva-Júnior

Faleiros²,

Santos³

et al. 2010

Arq. Neuro-Psiquiatr.

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In order to properly assess patients with primary headache, one needs to follow the cases up longitudinally. In Brazil, there were no studies using this methodology published after the publication of the latest issue of the International Classification of Headaches in 2004 -ICHD-2. This is especially important when we consider that it was only after such publication that we had the criteria used to classify some types of headaches which evolve with daily, or almost daily, spells, and which are very common in tertiary health care centers. Objective: To assess the frequency of headache types in a tertiary health care center, in a longitudinal fashion. Method: We assessed 95 consecutive patients. These patients were diagnosed and classified according to the ICDH-2. The subjects were followed up for 18 months, they were treated and reassessed. Houve estabilidade diagnóstica da migrânea. Por outro lado, a intervenção terapêutica permitiu a redução da frequência dos casos de cefaléia por uso excessivo de analgésicos, embora a frequência de cefaléia crônica diária mostrou-se praticamente inalterada. Palavras-chave: cefaléia, migrânea, diagnóstico.

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“…9 Most pediatric studies suggest that the incidence of MOH is relatively low, although there are a few exceptions. 5,[8][9][10][11][12][14][15][16]23,39 The absence of well defined criteria for children may explain some of the differences between studies, although selection bias and geography may also play a role. Hence, pharmacologically based criteria are needed for children.…”

Section: Chronic Migraine (Appendix Code 151)mentioning

confidence: 99%

“…11,14,15,17,19,20,27,32 The provisos for the diagnosis of any of the primary headache disorders include the caveat: "History and physical and neurological examinations do not suggest any of the disorders listed in groups 5-12…or (such disorders are) ruled out by appropriate investigations…" 32 Four issues that are the subject of continuing debate will be discussed.…”

Section: Classification Of Cdhmentioning

confidence: 99%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

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In 1982, Mathew et al first used the term "chronic daily headache" (CDH) to describe headaches that occurred almost daily in adults. 1 Twelve years later, Holden et al published the first report on children with CDH. 2 Since then, there have been at least 21 reports globally. Cumulative knowledge suggests that CDH is not only a common chronic pain syndrome in children (the term will be used to include adolescents), but also a multi-faceted, and often complex one. The appreciation of the many aspects of CDH is pivotal to clinical research and management, and is the thrust of our review. DEFINITIONS AND CLASSIFICATION: THE CONTINUING CONTROVERSY BackgroundIn the almost 30 years since the original description, CDH continues to evoke passionate debate. Globally accepted criteria ABSTRACT: Chronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.RÉSUMÉ: La céphalée quotidienne chronique chez les enfants et les adolescents, un syndrome à multiples facettes. La céphalée quotidienne chronique (CQC) est un syndrome douloureux à multiples facettes qui est souvent complexe chez les enfants et les adolescents. La céphalée quotidienne chronique peut être primaire ou secondaire. La migraine chronique et la céphalée de tension chronique sont les sous-types les plus fréquents. La CQC est une comorbidité des incidents fâcheux de la vie, de l'anxiété et des troubles dépressifs, possiblement liée à d'autres troubles psychiatriques, syndromes douloureux et troubles du sommeil. Ces états contribuent à amorcer et à maintenir la CQC. Le traitement précoce de la céphalée épisodique et le traitement des comorbidités est donc crucial pour la prévention. Certaines données démontrent un bénéfice des psychothérapies, principalement de la relaxation et de la thérapie cognitivo-comportementale, et l'acuponcture pour le traitement de la CQC semble prometteuse. Les données sur le traitement médicamenteux sont basées principalement sur des études ouvertes. Nous discutons des controverses entourant la CQC et des mo...

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Chronic daily headache in a paediatric headache centre

Cited by 8 publications

References 11 publications

Childhood chronic daily headache: a biopsychosocial perspective

Childhood chronic daily headache: a biopsychosocial perspective

Relative frequency of headache types: a longitudinal study in the tertiary care

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

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