Features and Management of New Daily Persistent Headache in Developmental-Age Patients
Introduction. Our aim was to investigate the clinical features of primary new daily persistent headache (NDPH) in a cohort of paediatric patients. Methods. We reviewed the data of patients with persistent daily headache, attending the Headache Centre of Bambino Gesù Children from the January 2009. T...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-02-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/11/3/385 |
| _version_ | 1827588353327890432 |
|---|---|
| author | Laura Papetti Giorgia Sforza Samuela Tarantino Romina Moavero Claudia Ruscitto Fabiana Ursitti Michela Ada Noris Ferilli Federico Vigevano Massimiliano Valeriani |
| author_facet | Laura Papetti Giorgia Sforza Samuela Tarantino Romina Moavero Claudia Ruscitto Fabiana Ursitti Michela Ada Noris Ferilli Federico Vigevano Massimiliano Valeriani |
| author_sort | Laura Papetti |
| collection | DOAJ |
| description | Introduction. Our aim was to investigate the clinical features of primary new daily persistent headache (NDPH) in a cohort of paediatric patients. Methods. We reviewed the data of patients with persistent daily headache, attending the Headache Centre of Bambino Gesù Children from the January 2009. The ICHD-III criteria were used for diagnosis. Statistical analysis was conducted to study possible correlations between NDPH and population features (age and sex), NDPH and headache qualitative features, and NDPH and response to pharmacological therapies. Results. We included 46 subjects with NDPH. The features of pain more closely resembled those of migraine than to those of tension-type headache (62 vs. 38%). The NDPH patients showed nausea and vomiting less frequently than migraine ones (28.6 vs. 48.2%, <i>p</i> < 0.01). A total of 75% of NDPH patients experienced an onset of the symptoms in the winter months (November to February) (<i>p</i> < 0.01). NDPH was less common in very young children under 10 years of age. Almost 58% of NDPH patients received pharmacological therapy and the most used drug was amitriptyline. A reduction of attacks by at least 50% in a month was detected in 30.6% of patients. Conclusions. NDPH can be very disabling and correlates with seasonal factors. Although long term pharmacological therapy is recommended, considering the long duration that this headache can have, there are no data supporting the treatment choice. |
| first_indexed | 2024-03-09T00:34:19Z |
| format | Article |
| id | doaj.art-2b5f7e71b5534ff080ae1e8ae3e3c1ac |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T00:34:19Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-2b5f7e71b5534ff080ae1e8ae3e3c1ac2023-12-11T18:16:23ZengMDPI AGDiagnostics2075-44182021-02-0111338510.3390/diagnostics11030385Features and Management of New Daily Persistent Headache in Developmental-Age PatientsLaura Papetti0Giorgia Sforza1Samuela Tarantino2Romina Moavero3Claudia Ruscitto4Fabiana Ursitti5Michela Ada Noris Ferilli6Federico Vigevano7Massimiliano Valeriani8Department of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyChild Neurology Unit, Systems Medicine Department, Tor Vergata University Hospital of Rome, 00133 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Neurology Unit, Bambino Gesù Children Hospital, 00165 Rome, ItalyDepartment of Neuroscience, Paediatric Headache Center, Bambino Gesù Children Hospital, 00165 Rome, ItalyIntroduction. Our aim was to investigate the clinical features of primary new daily persistent headache (NDPH) in a cohort of paediatric patients. Methods. We reviewed the data of patients with persistent daily headache, attending the Headache Centre of Bambino Gesù Children from the January 2009. The ICHD-III criteria were used for diagnosis. Statistical analysis was conducted to study possible correlations between NDPH and population features (age and sex), NDPH and headache qualitative features, and NDPH and response to pharmacological therapies. Results. We included 46 subjects with NDPH. The features of pain more closely resembled those of migraine than to those of tension-type headache (62 vs. 38%). The NDPH patients showed nausea and vomiting less frequently than migraine ones (28.6 vs. 48.2%, <i>p</i> < 0.01). A total of 75% of NDPH patients experienced an onset of the symptoms in the winter months (November to February) (<i>p</i> < 0.01). NDPH was less common in very young children under 10 years of age. Almost 58% of NDPH patients received pharmacological therapy and the most used drug was amitriptyline. A reduction of attacks by at least 50% in a month was detected in 30.6% of patients. Conclusions. NDPH can be very disabling and correlates with seasonal factors. Although long term pharmacological therapy is recommended, considering the long duration that this headache can have, there are no data supporting the treatment choice.https://www.mdpi.com/2075-4418/11/3/385new daily persistent headachechildrenchronic headacheNDPH |
| spellingShingle | Laura Papetti Giorgia Sforza Samuela Tarantino Romina Moavero Claudia Ruscitto Fabiana Ursitti Michela Ada Noris Ferilli Federico Vigevano Massimiliano Valeriani Features and Management of New Daily Persistent Headache in Developmental-Age Patients Diagnostics new daily persistent headache children chronic headache NDPH |
| title | Features and Management of New Daily Persistent Headache in Developmental-Age Patients |
| title_full | Features and Management of New Daily Persistent Headache in Developmental-Age Patients |
| title_fullStr | Features and Management of New Daily Persistent Headache in Developmental-Age Patients |
| title_full_unstemmed | Features and Management of New Daily Persistent Headache in Developmental-Age Patients |
| title_short | Features and Management of New Daily Persistent Headache in Developmental-Age Patients |
| title_sort | features and management of new daily persistent headache in developmental age patients |
| topic | new daily persistent headache children chronic headache NDPH |
| url | https://www.mdpi.com/2075-4418/11/3/385 |
| work_keys_str_mv | AT laurapapetti featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT giorgiasforza featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT samuelatarantino featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT rominamoavero featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT claudiaruscitto featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT fabianaursitti featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT michelaadanorisferilli featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT federicovigevano featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients AT massimilianovaleriani featuresandmanagementofnewdailypersistentheadacheindevelopmentalagepatients |