Cluster Headache in 2-Year-Old Polish Girl

Childhood‐Onset Cluster Headache: Observations From a Personal Case‐Series and Review of the Literature

“…CH misdiagnosis is particularly frequent among children . As discussed above, migraine is the most common misdiagnosis; other reported erroneous diagnosis include psychogenic headaches, parasomnias, pseudo seizure, and ethmoiditis …”

“…We thoroughly reviewed the English language literature on pediatric CH (Tables and ). The number of described cases is significantly higher than the 80 cases Arruda et al stated to have been published in the literature; however, many of the reported cases lack of thoroughness, do not meet IHS criteria for CH, and probably some misdiagnoses with migraine have been included.…”

Cluster headache in children and adolescents: Ten years of follow-up in three pediatric cases

“…A recent systematic review found that only 80 cases of CH in children have been reported (6,8,(9)(10)(11)(12)(13), and many of them did not meet the full ICHD-II diagnostic criteria for CH. In many instances, pain was described as bilateral, while others responded to propranolol or other migraine preventive medications, raising the question of whether CH has a different phenotype in children or whether there are diagnostic issues.…”

Chronic Cluster Headache with a Pediatric Onset: The First Japanese Case Report

“…A diagnosis of CH with a pediatric onset is rare because of the difficulties of children in describing their symptoms. Migraine is the most common misdiagnosis; other reported erroneous diagnoses include psychogenic headaches, parasomnias, pseudo seizure, and ethmoiditis (5,18,19). CH can have migrainous features, such as nausea, vomiting, photophobia, and phonophobia, in both adult and pediatric patients; among the latter, the occurrence of migrainous features is a major source of misdiagnosis as migraine, which is far more common than CH among pediatric patients (20).…”