Experts\u2019 opinion about the pediatric secondary headaches diagnostic criteria of the ICHD-3 beta

Aynur Özge,Noemi Faedda,Alan Rapoport,Peter James Goadsby,Alexey Sergeev,Derya Uludüz,Amy A Gelfand,Karen Barlow,Richard B Lipton,Osman Özgür Yalın,Massimiliano Valeriani,Jean Christophe Cuvellier,Ishaq Abu-Arafeh,Vincenzo Guidetti

doi:10.1186/s10194-017-0819-x

Abstract

BackgroundThe 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies. The aim of this work was to review the Secondary Headache Disorders and Cranial Neuralgias and Other Headache Disorders sections of ICHD-3 beta data on children and adolescents (age 0–18 years) and to suggest changes, additions, and amendments.MethodsSeveral experts in childhood headache across the world applied different aspects of ICHD-3 beta in their normal clinical practice. Based on their personal experience and the available literature on pediatric headache, they made observations and proposed suggestions for the mentioned headache disorders on children and adolescents.ResultsSome headache disorders in children have specific features, which are different from adults that should be acknowledged and considered. Some features in children were found to be age-dependent: clinical characteristics, risks factors and etiologies have a strong bio psychosocial basis in children and adolescents making primary headache disorders in children distinct from those in adults.ConclusionsSeveral recommendations are presented in order to make ICHD-3 more appropriate for use in children.

Highlights

The 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies
Secondary headache disorders in childhood are different from the manifestations in adults, and the cause for this difference is unknown
Headache attributed to genetic vasculopathy We suggest the criteria to be changed as follows: symptoms consistent with elevated intracranial pressure not attributed to other causes [23]

Summary

Introduction

The 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies. The aim of this work was to review the Secondary Headache Disorders and Cranial Neuralgias and Other Headache Disorders sections of ICHD-3 beta data on children and adolescents (age 0–18 years) and to suggest changes, additions, and amendments. Headache is a frequent cause of pain and significant disability in children and adolescents. Secondary headache disorders in childhood are different from the manifestations in adults, and the cause for this difference is unknown. It could be the result of the differences in degree of brain maturation comprising myelination, new synapse formation and synaptic reorganization [1,2,3]. Owing to the high prevalence of childhood headache and the absence of specific objective diagnostic criteria for children, accurate clinical diagnostic criteria are needed

Objectives

Methods

Conclusion