Mixed migraine and tension-type: a common cause of recurrent headache in children

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
S S Seshia

Abstract

Determine relative frequency of recurrent headache (HA) types in children and adolescents referred to a pediatric neurologist. Prospective, sequential, and observational. Private practice Pediatric Neurology Clinic in a Canadian city (Winnipeg). Patients and data collection: Information on those referred with HA between September 1998 and December 2001 was entered on data sheets. Patients were followed up for one month to four years. Three hundred and twenty (69%) of 463 referred with HA had recurrent HA. There were 172 males (54%) and 148 (46%) females. Their ages ranged from two years to 19 years (median: 11 years). They had had their HA disorder for one month to 14 years (median: two years) prior to assessment. Migraine was the main HA type in 124 (38%), tension-type headache (TTH) in 57 (18%) and mixed migraine and TTH in 101 (32%). Thus, 101 (45%) of 225 with migraine as one HA type also had TTH. Tension-type headache and migraine frequently co-exist and may represent a distinct headache type, at least in children; the association will likely influence response of affected children and adolescents to specific migraine treatments in clinical trials or practice.

References

Jun 1, 1992·Developmental Medicine and Child Neurology·L N RossiA Bossi
Jan 1, 1973·International Journal of Epidemiology·W E Waters
Oct 1, 1995·Developmental Medicine and Child Neurology·S S Seshia, J R Wolstein
May 1, 1994·Developmental Medicine and Child Neurology·S S SeshiaJ D Reggin
Sep 1, 1993·Neurology·P A Forsyth, J B Posner
May 1, 1996·Headache·S S Seshia
Sep 24, 1998·Developmental Medicine and Child Neurology·V ViswanathanR W Newton
Feb 24, 2001·Developmental Medicine and Child Neurology·L N RossiM Macchi
Aug 9, 2002·Headache·Matthew A KoenigUNKNOWN Pediatric Committee of the American Headache Society

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Citations

Dec 8, 2009·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Shashi S SeshiaAndrew D Hershey

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