Which clinical history findings are characteristic of nonprogressive chronic pediatric headache?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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Answer

Chronic nonprogressive headaches differ from acute recurrent headaches by their greater frequency and persistence for years with no associated neurologic symptoms or change in headache severity. Chronic nonprogressive headaches may have emotional or behavioral components. A common headache in this category is tension-type headache, but migraine with and without aura can also present this way.

Chronic daily headache (CDH) was first described in adults who reported daily or nearly daily headaches. It was soon recognized that although patients were similar in the number of headaches experienced, the characteristics of their headaches fell on a continuum between migraine and tension-type headache. A similar spectrum has been demonstrated in children. The most common CDH pattern is a progression from episodic migraines to this daily pattern.


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