Chronic pain in children
Peter R Wilson, Paul J Watson, Jennifer A Haythornthwaite, Troels S Jensen in Clinical Pain Management, 2008
Primary headache disorders in childhood predominantly include migraine headaches and tension-type headaches. The reported prevalence for migraine headache is estimated at 3 percent for children aged 3–7 years, 4–11 percent for ages 7–11 years, and 8–23 percent for ages 11–15 years. The mean age of onset for boys is 7.2 years and for girls 10.9 years.96[IV] Of note, some researchers97[V] suggest that children less than three years may have an early common migraine headache which presents as periodic irritability, head-banging or holding, change in sleep and behavioral patterns, abdominal pain, recurrent vomiting, and pallor. These migraine variants now referred to as childhood periodic syndromes and include cyclic vomiting, abdominal migraine, benign paroxysmal vertigo, benign paroxysmal torticollis, acute confusional migraine, and acephalgic migraine.
The neck
Ashley W. Blom, David Warwick, Michael R. Whitehouse in Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Childhood torticollis, as an acquired condition, has several aetiologies. It may be secondary to infection (lymphadenitis, retropharyngeal abscess, discitis, tuberculosis), tumours (posterior fossa, intraspinal tumours), inflammatory disorders (juvenile rheumatoid arthritis), neurogenic causes (benign paroxysmal torticollis) or trauma and can also be idiopathic.
Balance Disorders in Children
John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed in Paediatrics, The Ear, Skull Base, 2018
A related condition that presents in a slightly younger age group is benign paroxysmal torticollis. Torticollis is not related to vertigo, however. There is a suggestion that creatinine kinase levels are likely to be elevated in BPV of childhood, and measurement may be helpful in diagnosis.12
Predicting quality of life outcomes in children with migraine
Published in Expert Review of Neurotherapeutics, 2022
The International Classification of Headache Disorders is applicable, to a large extent, to headache and migraine in children as in adults, but with some modifications to account for the pediatric peculiarities in relation to the biopsychosocial factors in its clinical presentations, clinical assessment, response to treatment and comorbidities [3–6]. Migraine without aura and migraine with aura are the most commonly reported and studies forms of migraine in children, but chronic migraine has emerged as an important form of migraine because of its high impact on child’s quality of life and education. Other manifestations of migraine in children are also recognized and may start in the first year of life with infantile colic, in early childhood with benign paroxysmal torticollis and benign paroxysmal vertigo and in mid to late childhood with cyclical vomiting syndrome and abdominal migraine[7].
Related Knowledge Centers
- Ataxia
- Benign Paroxysmal Vertigo of Childhood
- Labyrinthitis
- Nystagmus
- Psychomotor Agitation
- Vomiting
- Pallor
- Malaise
- Migraine
- Benign Paroxysmal Vertigo of Childhood