Headache is a multifactorial disorder involving not only genetic and medical causes but personal and psychological characteristics too. Primary headaches are most often recurrent, episodic headaches, and most children, are erratic in their presentation. Recurrent headaches occur commonly in children and are diagnosed on clinical grounds rather than any diagnostic testing. There is no indication of any diagnostic tests routinely when the clinical examination of a child is normal with no history of associated risk factors.
Aim of the study:
This study aims to find out the clinical profile of children with recurrent primary headache.
This study was conducted at the pediatric outpatient department in Vinayaka Missions KirupanandaVariyar Medical College and Hospital, Salem for one year period. A pre-designed structured proforma was developed to collect the details of the patients. 85 children who walked to pediatric OPD with complaints of recurrent primary headache were included in the study.
The proportion of patients with Tension-type headache (TTH) among those with recurrent headaches was 49%. The percentage of migraine (46%) was slightly less than tension-type headache, which is contrary to previous studies. This marks an interesting change in the past trends observed. We found Other Primary headaches (OPH) in 4 (5%) children.
Though the study showed that migraine has presented itself in concurrence with the past studies; it was observed that there is a trend of increase in incidences of Tension-type headache (TTH) with the increase of age. This is an indication that headaches can be a warning sign of a stressful life, general illness, and social maladjustment of a child. The other fascinating result was that a considerable number of Other Primary Headache (OPH) cases have been reported; contrary to other studies that indicate OPH is rare. These results provide a new dimension of thought towards the diagnosis of headaches to improve the quality of life of the patient by providing treatment without delay.