New Daily Persistent Headache

Natbony, Lauren R.; Sheikh, Huma U.; Green, Mark W.

doi:10.1007/978-3-319-91491-6_7

Chronic Headache 2018

DOI: 10.1007/978-3-319-91491-6_7

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New Daily Persistent Headache

Lauren R. Natbony

Huma U. Sheikh

Mark W. Green

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2021

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“…4 NDPH is notoriously refractory to interventions, including both abortive and preventive medications and nutraceuticals. 5,6 Although it was previously reported that the majority of NDPH patients were adults in their fourth decade of life, recent data suggest an increased prevalence in the pediatric population. It is estimated that up to 35% of children with chronic headache present with NDPH, compared with 10.8% of adults with chronic headache.…”

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New Daily Persistent Headache in a Pediatric Population

Strong¹,

Pierce²,

Langdon³

et al. 2021

J Child Neurol

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Introduction: New daily persistent headache (NDPH) is a primary headache disorder characterized by an intractable, daily, and unremitting headache lasting for at least 3 months. Currently, there are limited studies in the pediatric population describing the characteristics of NDPH. Objective: The objective of the current study is to describe the characteristics of NDPH in pediatric patients presenting to a headache program at a tertiary referral center. Methods: The participants in the current study were pediatric patients who attended the Headache Clinic at Children’s National Hospital between 2016 and 2018. All patients seen in the Headache Clinic were enrolled in an institutional review board–approved patient registry. Results: Between 2016 and 2018, NDPH was diagnosed in 245 patients, representing 14% of the total headache population. NDPH patients were predominantly female (78%) and white (72%). The median age was 14.8 years. The median pain intensity was 6 of 10 (standard deviation = 1.52). Most patients reported experiencing migrainous features, namely, photophobia (85%), phonophobia (85%), and a reduced activity level (88%). Overall, 33% of patients had failed at least 1 preventive medication, and 56% had failed at least 1 abortive medication. Furthermore, 36% of patients were additionally diagnosed with medication overuse headache. Conclusion: NDPH is a relatively frequent disorder among pediatric chronic headache patients. The vast majority of these patients experience migrainous headache characteristics and associated symptoms and are highly refractory to treatment—as evidenced by a strong predisposition to medication overuse headache and high rates of failed preventive management.

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New Daily Persistent Headache in a Pediatric Population

Strong¹,

Pierce²,

Langdon³

et al. 2021

J Child Neurol

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New Daily Persistent Headache

Cited by 1 publication

References 62 publications

New Daily Persistent Headache in a Pediatric Population

New Daily Persistent Headache in a Pediatric Population

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