. Among 123 headache patients, 44 patients with one key criterion, namely, recurrent headaches episodes of a few seconds to less than 30 minutes, were selected. Re s u l t s: Of the 123 headache patients, 44 (35.8%, males 18, females 26) had SLH. The mean age was 9.24 years (range 2.3-14.2). The mean headache frequency was 11.50±10.30 per month, mean severity was 4.86±1.36 out of 10, and the mean PedMIDAS score was 7.97±17.51. SLH was significantly more common in children <6 years old (10/22, 45.5%) than in ≥6 years old (34/101, 33.7%) (P=0.015). The nature of pain was pressure in 30.2%, stabbing in 27.9%, throbbing in 18.6%, and dull in 11.7%. In 52.4% patients, the pain occurred in the front, one side of the temple in 28.5%, both sides of the temple in 7.1%, and back in 4.8% patients. The duration of attacks was <6 minutes in 38% and ≥6 minutes in 61.4%. The intensity of the pain was 4-6 out of 10 in 75.0%, in 13.6% 1-3, and in 11.4% 7-10. Treatment was significantly effective in reducing the frequency, duration, and severity of headaches and the PedMIDAS score after 3 months (P<0.05). Co n c l u s i o n: Short attacks of headache are common (35.8%) in children and adolescents. These are difficult to classify according to International Headache Society criteria. The outcome, after a period of 3 months to 2 years, was favorable in most patients. Further studies are needed to gather more data and to obtain a better description of these forms of headache in the pediatric group. ( n g -g u ,Gw a n g j u5 1 0 -7 1 7 ,K o r e a . T e l : + 8 2 . 6 2 -2 2 0 -3 0 4 0 ,F a x : + 8 2 . 6 2 -2 2 7 -2 9 0 4 E -ma i l : r y o u n g @c h o s u n . a c . k r * T h i s c o n t e n to ft h i s s t u d yw a s p r e s e n t e d i n t h e 5 7 t h A n n u a lA u t u mn Me e t i n g so ft h eK o r e a nP e d i a t r i cS o c i e t y ,Oc t o b e r1 9 -2 0 ,2 0 0 7 . 이에 저자는 소아와 청소년에서 반복되고 짧게 지 속되는 두통 환자들의 임상적 특징,치료와 예후에 대해서 알아 보고자 하였다.

This study was conducted to investigate the relationship between school nurses's perception level and performance level about headache management for children and adolescents with headache in elementary school, middle school, and high school. The subjects of this study were 250 school nurses working in elementary, middle, and high schools in G metropolitan city, who had a nurse's license and participated in the training course of the G metropolitan office of education. After excluding survey responses with incomplete information, there were 176 participants in total. For the data collection, a structured questionnaire was used, and the collected data were performed using the SPSS 22.0 for Windows program, average analysis, frequency analysis, ANOVA, Pearson's correlation, and multiple regression analysis. Participants were 176 school nurses; The average scores for perception level and performance level of headache management were 3.88 ± 0.33 (range 1-5) and 3.79 ± 0.40 (range 1-5), respectively. School nurses's perception level and performance level of headache management showed a statistically significant correlation (r = 0.50, p <0.001). As a result of multiple regression analysis, it can be seen that the level of perception of headache management by school nurses affects the level of performance of headache management by school nurses, and this explanatory power was 24.5%. These results showed that the performance levels of school nurses on headache management for students with headache were lower than the perception levels of them, and indicated that the performance levels of school nurses on headache management for students with headache increased as the perception levels of them increased. Therefore, it suggests to develop various training programs for effective headache management of school nurses and to develop programs and standardized guidelines to manage health problems, including headaches among children and adolescents.

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Purpose: Headache is a frequent neurological symptom in school aged individuals and recurrent headache has significant disabling effects among children and adolescents that manifest as school absenteeism, decreased extracurricular activities, and poor academic performance, as shown in previous studies. In Korea, there has not yet been a population-based study of headache-related disability in children and adolescents. We sought to estimate headache-related disability and investigate relevant predictors of disability due to headaches among schoolchildren in South Korea. Methods: This was a cross-sectional school-based study. We surveyed 5,039 (boys 2,405, girls 2,634) students aged 6-18 years. Among 1,465 students with headache, six hundred sixty-six schoolchildren (225 boys, 441 girls) completed all questionnaires. The questionnaires collected demographic data, in addition to headache specific questions consistent with International Classification of Headache Disorder criteria, 2nd edition. Disability was evaluated using the 6-question Pediatric Migraine Disability Assessment (PedMIDAS). Results: : Six hundred sixty six school children and adolescents (225 boys, 441 girls) among 1,465 students with headaches completed all questionnaires. The percentage of headache sufferers with grade I disability was 88.6%. The mean (±standard deviation) PedMIDAS score was 5.11±11.17. There was a trend towards more severe disability in the older age groups, particularly among the 16 to18 year-olds. Students with migraine had the highest PedMIDAS scores (6.69±10.66) whereas students reporting other types of headache had the lowest scores (3.81±7.52). The predictors of headache-related disability were intensity (P=0.028), frequent headache (P=0.003), and longer duration of symptoms prior to presentation (P=0.008). Conclusion: : A trend towards a more severe disability was observed in the older age group. Schoolchildren with migraine had the most headache-related disability. The predictors for headache-related disability were intensity, frequent headache, and longer duration of symptoms prior to presentation.

Headache-related Disability and Predictor of Disability in Children and AdolescentPurpose: To estimate headache-related disability and to identify predictor of disability in children and adolescent with headache. In addition, to assess the improvement of disability after treatment. Method: We conducted a retrospective analysis of clinical records of children and adolescents who were presented with headache at the Chosun University Hospital between January 2010 and December 2014. Headache-related disabilities were valuated using the 6-question Pediatric Migraine Disability Assessment (PedMIDAS). The headaches were classified according to the International Classification of Headaches Disorders-II (ICHD-II). Results: A total of 307 patients were identified : 117 boys and 190 girls with a mean age of 11.3 years (range 6-18 years). About 17% of patients had a grade III-IV disability. There is a trend towards more severe disabilities in older age groups, especially in the 16-18 year-olds. The migraine patients have the highest PedMIDAS scores (19.9±26.6), whereas, the other headache patients have the lowest scores (7.9±16.0). This is higher score and severe disability at home activity (3.5±7.4) than school (2.4±4.2) and play, social or leisure activity (2.9±7.7). The predictors of disability due to headache are migraine, frequent headache and longer duration of symptom before presentation. Mean PedMIDAS score is significantly improved by treatment (P=0.002). Conclusion: A considerable number of children and adolescents with headache had a moderate to severe disability. The migraine patients have the worst disability. This study demonstrated that migraine, frequent headache and longer duration of symptom before presentation are the predictors of headache-related disability and a proper preventive treatment can improve the quality of life of pediatric headache patients.