MULTICENTER STUDY OF CHILDHOOD HEADACHE

This multicenter study reports the results obtained between 1990 and 1 991 by the Study Group for Childhood Headache of the Italian Neuropedi atric Society. Standardized computerized case sheets were used in orde r to increase the number of young patients studied and obtain more hom ogeneous results. A clinical diagnosis of headache was made in 600 pat ients (314 female and 286 male) between 4 and 12 years of age, in acco rdance with the classification set down by the International Headache Society. Clinical symptoms and follow-up were more severe in children with migraine as opposed to headache. No sequence of associated neurol ogical and neurovegetative symptoms was observed at onset of headache, and some (phono-photophobia, pallor, drowsiness, abdominal pains) wer e much more prevalent than others. Because of the patient's age we stu died only the treatment of acute attack and did not take account of ch ronic treatment. In childhood the clinical course of primary headache tends to improve spontaneously, and we believe that prevention of head ache attacks should be carried out only in very rare individual cases.