Headache Clinic
Headaches are common in children. Nearly two out of three children will have a headache by age 15. According to the National Institute of Neurological Disorders and Stroke, headache is the most common form of pain. It is also a major reason cited for children’s days missed at school. Without proper treatment, headaches can be severe and interfere with daily activities. Investigators at Nationwide Children’s Hospital are investigating ways to improve diagnosis and management of headache and work to identify disorders linked to migraine.
Chronic Daily Headache, Medication Overuse, and Obesity in Children and Adolescents.
Obesity and headaches are common in children and adults. Adult studies suggest obesity is a risk factor for chronic daily headache and increased migraine frequency and severity. Data did not show increased incidence of overweight in children with medication overuse or chronic migraine. This contrasts with adult data, which have suggested a closer link between chronic migraine and obesity and have not supported a link with chronic tension-type headache.
Access an abstract of this study: Chronic Daily Headache, Medication Overuse, and Obesity in Children and Adolescents. J Child Neurol. 2011 Sep 27. [Epub ahead of print]
Headaches and Hormones
This article discusses the role of hormones in headache, with specific emphasis on the role of sex hormones, obesity and pseudotumor.
Access an abstract of this study: Headaches and hormones. Semin Pediatr Neurol. 2010 Jun;17(2):100-4.
Sociodemographic Differences in Diagnosis and Treatment of Pediatric Headache
The authors investigated the sociodemographic differences in receiving a headache diagnosis for pediatric health care visits using two nationally representative databases. For those visits involving a headache diagnosis, the authors explored two possible disparities in care – being diagnosed by a neurologist and being prescribed an evidence-based medication. They conclude that some sociodemographic disparities exist in pediatric headache care across the United States.
Access an abstract of this study: Sociodemographic differences in diagnosis and treatment of pediatric headache. J Child Neurol. 2010 Apr;25(4):435-40.
Motivational Interviewing in Adolescents with Medication Overuse Headaches, The Research Institute at Nationwide Children’s Hospital (Ann Pakalnis)