J Korean Med Assoc.  2009 Aug;52(8):768-778. 10.5124/jkma.2009.52.8.768.

Headache in Adolescents

• Woo YJ

• KMID: 2188051
• DOI: http://doi.org/10.5124/jkma.2009.52.8.768

Abstract

Headache is one of the most common medical complaints of adolescents. Estimates are as high as 40 to 70% of the population having some form of headache with up to 75% of 15 year - olds having experienced of significant headaches. While it is apparent that recurrent headache causes significant functional disability, a majority of adolescents with recurrent headache are not likely to seek a medical care. The diagnosis is often overlooked because of this tendency to regard headache as a minor nuisance rather than true disease or the physician's inability to appreciate its impact on the patient. In dealing with headaches in adolescents, physician must consider both physical and psychological factors in determining the correct diagnosis. The pathophysiology of specific headache type must be understood in order to provide the optimal treatment program. This article discuss the current classification and comprehensive management for chronic headache in adolescents.

Keyword

Headache; Adolescents; Classification

MeSH Terms

Adolescent
Headache
Headache Disorders
Humans

Reference

1. Rothner AD, Winner P. Silberstein SD, Lipton RB, Darless DJ, editors. Headache in children and adolescents. Wolff's headache. 2001. 7th ed. New York: Oxford;539–561.

2. Diamond ML, Solomon GD. The practicing physician's approach to headache. 1999. 6th ed. Philadelphia: WB Saunders Co.

3. Kim SH. Headache in children: Diagnosis and treatment. J Korean Pediatr Soc. 2003. 46:7 suppl 2. S241–S254.

4. The Korean Headache Society. The headache. 2009. Seoul: Koonja Publishing Inc;311–354.

5. Rho YI. The pathophysiology of primary headache. J Korean Child Neurol Soc. 2006. 14:175–183.

6. Bille BS. Migraine in school children. Acta Pediatr Scand. 1962. 51:1–151.

7. Sillanpaa M, Piekkala P, Kero P. Prevalence of headache at preschool age in an unselected child population. Cephalalgia. 1991. 11:239–242.

8. Mortimer J, Kay J, Jaron A. Epidemiology of headache and childhood migraine in an urban general practice using ad hoc. Vahlquist and IHS criteria. Dev Med Child Neurol. 1992. 34:1095–1101.

9. Sillanpaa M. Olesen J, editor. Headache Classification and Epidemiology. Headache in children. 1994. New York: Raven Press;273–281.

10. Headache Classifications Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 2004. 24:1–160.