AOCCN2017

Presentation information

Poster Presentation

[P3-147~204] Poster Presentation 3

Sat. May 13, 2017 10:00 AM - 3:40 PM Poster Room B (1F Argos F)

[P3-181] Clinical manifestations of headache in preschool children

Joon Won Kang (Department of Pediatrics, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea)

The aim of this study is to describe the characteristics of headache in children younger than 7 years of age. We reviewed clinical files, collected over 3 years, related to children with a diagnosis of headache whose ages were younger than 7 years. One hundred and forty-six children were included in this study (66 males, 80 females; mean age 5.5±1.0 years). Disease duration was 5.8±7.9 months (longer than 3 months in 70 patients, shorter than 6 months in 76 patients). 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 (over 4 times in 96 patients, under 4 times in 18 patients, uncheckable in 32 patients). Locations of the pain were variable, and characteristics of pain were also variable. Mean severity of pain was 5.1±2.2 by faces pain rating scale. Medications were used in 29 patients; acetaminophen in 17 patients, ibuprofen in 8 patients, topiramate in 2 patients, amitriptyline in a patients, and naproxen in a patient. Thirty-eight patients were recorded electroencephalogram, and 9 of them showed abnormal findings. Forty-one patients had been brain magnetic resonance imaging, twenty of them showed positive findings. Final diagnosis were 34 migraine, 5 tension type headache, and 3 congenital malformations. Over 90% of patients showed improved headache after hospital visit. In children younger than 7 years of age, the clinical manifestations of headache are variable but usually benign.