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KMID : 0911820110120010061
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Korean Journal of Headache
2011 Volume.12 No. 1 p.61 ~ p.67
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Short-Lasting Headache in Children
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Baek Joon-Woo
Shim Young-Suk
Kim Sung-Koo
Lee Kon-Hee
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Abstract
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Objective: In children primary recurrent headaches mainly consist of migraine and tension-type headache. Durations of them are 1 to 72 hours, 30 minutes to 7 days respectively. Short-lasting headache (SLH), which durations of headache are less than 30 minutes, could also be rarely found in children. This study aims to assess clinical characteristics, treatment and prognosis of pediatric SLH.
Methods: Between October 2006 and July 2009, there were 480 recurrent headache patients in pediatric headache clinic at Kangnam Sacred Heart Hospital of Hallym University. Among them, the number of patients with SLH was 27 (5.6%) and they were evaluated with headache questionnaires, imaging studies and viral tests etc. After treatment, follow-up survey was conducted via telephone interview about headaches and the effect on timing of treatment was compared in pediatric SLH.
Results: The majority of SLH patients (81.5%) were school age children. Their mean age was 9.3±3.3 years old.Headache duration was less than 3 minutes in 85.2%. In 81.5% of patients the frequency of headaches was less than 10 times per week, and most patients (85.2%) had moderate or severe pain. Most patients (85.2%) were treated for 48±55 days (2-36 months). After treatment, headaches almost disappeared or reduced mildly. In addition the early treatment was more effective than late treatment for controlling headaches of pediatric SLH.
Conclusion: SLH could also occur in children, although they were not diagnosed correctly as adults by ICHD-2 criteria. Most of their age was more than 6 years old, the pain lasted less than 3 minutes. Although the intensity of the pain was more than moderate degree it had good responses for the treatment. We need a better understanding and further study of pediatric SLH.
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KEYWORD
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Short-Lasting Headache, Child
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