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KMID : 1130320180610110355
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Korean Journal of Pediatrics
2018 Volume.61 No. 11 p.355 ~ p.361
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Clinical manifestations of headache in children younger than 7 years
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Kang Bu-Seon
Lee Jin-Sun
Choi Jin-Hyuk
Kwon Hyeok-Hee
Kang Joon-Won
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Abstract
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Purpose: Headache is a common symptom during childhood. It is usually persistent and requires special care. This study aimed to identify the characteristics of headache in children <7 years of age.
Methods: We reviewed 3 years of clinical files on children <7 years of age with a chief complaint of headache.
Results: This study included 146 children (66 males, 80 females; mean age, 5.5±1.0 years). Mean symptom duration was 5.8±7.9 months. Attack durations were longer than 2 hours in 31 patients, shorter than 2 hours in 70 patients, and unchecked in 45 patients. Attack frequency was 15.1±10.6 times per month. Pain locations and characteristics were also variable. Mean pain severity score was 5.1±2.2 on the visual analog scale. Of 38 patients who underwent electroencephalography, 9 showed positive findings. Of 41 who underwent brain magnetic resonance imaging, 20 showed positive findings. The diagnoses were migraine (including probable migraine) in 34, tension-type headache in 5, and congenital malformations in 3. Medications were used in 29 patients: acetaminophen in 17, ibuprofen in 8, naproxen sodium in 1, and topiramate or amitriptyline in 3.
Conclusion: In children aged <7 years, headache has a relatively benign course, but detailed history taking is needed for more accurate diagnosis.
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KEYWORD
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Headache, Child, Migraine
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