Pediatric Aspects of Headache Classification in the International Classification of Headache Disorders—3 (ICHD-3 beta version)

McAbee, Gary N.; Morse, Anne Marie; Assadi, Mitra

doi:10.1007/s11916-015-0537-5

Cited by 32 publications

(40 citation statements)

References 67 publications

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“…Traditionally, headaches were classified using a bimodal construct: tension headaches (infrequent episodic, frequent episodic, or chronic) versus migraines (with or without aura) [44]. In 2013 the International Headache Society (IHS) [45] classified “primary headaches” as migraines, tension-type headaches, trigeminal autonomic cephalalgias and “secondary headaches,” e.g., a headache attributed to trauma or injury to the head, cranial or cervical vascular disorders, etc.…”

Section: Pain Manifestations and Locations Of A Primary Pain Disordermentioning

confidence: 99%

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

et al. 2016

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Primary pain disorders (formerly “functional pain syndromes”) are common, under-diagnosed and under-treated in children and teenagers. This manuscript reviews key aspects which support understanding the development of pediatric chronic pain, points to the current pediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain vulnerability present in the three most common chronic pain disorders in pediatrics: primary headaches, centrally mediated abdominal pain syndromes, and/or chronic/recurrent musculoskeletal and joint pain. A significant number of children with repeated acute nociceptive pain episodes develop chronic pain in addition to or as a result of their underlying medical condition “chronic-on-acute pain.” We provide description of the structure and process of our interdisciplinary, rehabilitative pain clinic in Minneapolis, Minnesota, USA with accompanying data in the treatment of chronic pain symptoms that persist beyond the expected time of healing. An interdisciplinary approach combining (1) rehabilitation; (2) integrative medicine/active mind-body techniques; (3) psychology; and (4) normalizing daily school attendance, sports, social life and sleep will be presented. As a result of restored function, pain improves and commonly resolves. Opioids are not indicated for primary pain disorders, and other medications, with few exceptions, are usually not first-line therapy.

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Section: Pain Manifestations and Locations Of A Primary Pain Disordermentioning

confidence: 99%

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

et al. 2016

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“…If yes, they were referred to a general practitioner, who was experienced in terms of neurovascular diseases, for further examination. Primary headaches were defined based on the criteria introduced by the International Classification of Headache Disorders-3 (ICHD-3) with the exceptions that the number of attacks and the duration of headaches were not included (30).…”

Section: Assessment Of Primary Headachesmentioning

confidence: 99%

Breakfast consumption is inversely associated with primary headaches in university students: The MEPHASOUS study

Mansouri

Sharifi

Shokri

et al. 2019

Preprint

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Background The prevalence of primary headaches has been increasing at an alarming rate, particularly in university students. Previous studies have shown that diet-related behaviors can affect neurological disorders. Therefore, this study was conducted to examine the association between breakfast consumption patterns and primary headaches in a large population of university students.Methods In total, 83,677 university students, aged ≥18 years, from 28 provinces of Iran were included in the current cross-sectional study. Dietary intakes and breakfast consumption patterns were assessed using a validated self-administered dietary habits questionnaire. Primary headaches were determined according to the International Classification of Headache Disorders-3 (ICHD-3) criteria.Results The mean age of participants was 21.50 ± 4.01. Primary headaches were prevalent among 9% of university students. A significant inverse association was seen between breakfast consumption and odds of primary headaches (OR: 0.57, 95% CI: 0.51-0.62). This association remained significant even after taking potential confounders into account; such that students who consumed breakfast frequently had 26% lower odds of primary headaches compared with those who consumed it rarely (OR: 0.74, 95% CI: 0.65-0.85). Moreover, such a significant inverse association was observed in female students (OR: 0.54, 95% CI: 0.49-0.61) as well as those with normal weight (OR: 0.68, 95% CI: 0.58-0.79). However, it became non-significant in male students and those with overweight or obesity.Conclusions We found that frequent breakfast consumption was inversely associated with the odds of primary headaches. Further prospective studies are needed to confirm our findings.

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“…Migraine in children differs from migraine in adults with regard to its duration, location, and sometimes method of diagnosis, such as inferring symptoms from behavior. A significant body of literature has revealed high prevalence of migraine in the pediatric age group [ 3 – 7 ]. Up to age 7, migraine prevalence of both genders is almost equal, and after age 12, there is a strong female predominance, which increases with age.…”

Section: Migrainementioning

confidence: 99%

“…Reports are commonly based on parent or care-taker’s observations, which are often at the core of diagnosis. The proposed diagnostic criteria for migraine in younger children, which emphasize behavioral cues rather than verbal reports, are summarized in Table 1 , as proposed by Mc Abeee et al before and modified by the current authors [ 3 ].…”

Section: Migrainementioning

confidence: 99%

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Experts’ opinion about the primary headache diagnostic criteria of the ICHD-3rd edition beta in children and adolescents

et al. 2017

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BackgroundThe 2013 International Classification of Headache Disorders-3 (ICHD-3) was published in a beta version to allow the clinicians to confirm the validity of the criteria or to suggest improvements based on field studies. The aim of this work was to review the Primary Headache Disorders Section of ICHD-3 beta data on children and adolescents (age 0-18 years), and to suggest changes, additions, and amendments.MethodsSeveral experts in childhood headache across the world applied different aspects of ICHD-3 beta in their normal clinical practice. Based on their personal experience and the literature available on pediatric headache, they made observations and proposed suggestions for the primary headache disorders section of ICHD-3 beta data on children and adolescents.ResultsSome headache disorders in children have specific features which are different from those seen in adults and which should be acknowledged and considered. Some features in children were found to be age-dependent: clinical characteristics, risks factors and etiologies have a strong bio psycho-social basis in children and adolescents making primary headache disorders in children distinct from those in adults.ConclusionsSeveral recommendations are presented in order to make ICHD-3 more appropriate for use with children.

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Pediatric Aspects of Headache Classification in the International Classification of Headache Disorders—3 (ICHD-3 beta version)

Cited by 32 publications

References 67 publications

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

Breakfast consumption is inversely associated with primary headaches in university students: The MEPHASOUS study

Experts’ opinion about the primary headache diagnostic criteria of the ICHD-3rd edition beta in children and adolescents

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