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Year : 2022  |  Volume : 17  |  Issue : 1  |  Page : 23-29

Pattern of recurrent pediatric headache: A cohort of 100 children

1 Department of Pediatrics, Dr. Rajendra Prasad Govt. Medical College Kangra at Tanda, Himachal Pradesh, India
2 Department of Neurology, Dr. Rajendra Prasad Govt. Medical College Kangra at Tanda, Himachal Pradesh, India
3 Department of Neonatology, AIIMS Jodhpur, Rajasthan, India
4 Department of Pediatric Neurology, Indira Gandhi Institute of Child Health Bangalore, Karnataka, India

Correspondence Address:
Dr. Naveen Kumar Bhardwaj
Department of Pediatric, MM Medical College and Hospital, Kumarhatti Solan, H.P. 173229
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpn.JPN_142_20

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Introduction: This study was conducted to provide detailed information about clinical characteristics and short-term treatment outcome of childhood headache. Materials and Methods: This prospective observational study was done over a period of 15 months (January 2013 to March 2014) at a rural tertiary care center in North India. Detailed history, clinical examination, specialty review, and follow-up details were maintained on pretested structured proforma. Final diagnosis of headache type was made as per International Classification of Headache Disorders, 2nd edition. Results: Out of 100 (45 boys) children aged 8–18 years, 52% were diagnosed with migraine, 23% with tension-type headache, and 25% with secondary headache. Diffuse headache was the commonest (41%), and photophobia, phonophobia, and dizziness were the commonest symptoms in all headache subtypes. Sixty-five percentage of migraine headache were triggered by exertion. Lack of sleep and anxiety were triggers in most (65%) of tension type headache. Of 52 migraine children, 21 were started on prophylaxis for migraine and 14 of them reported significant improvement. Secondary causes for headache were found in 25% of children and half of them were having refractive errors. Conclusions: Results of the study show migraine being the commonest type of headache in children followed by secondary headache. This study also highlights the need for long-term follow-up of childhood headache.


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