Headache and Migraine in Childhood and Adolescence

Headache and Migraine in Childhood and Adolescence

Headache and Migraine in Childhood and Adolescence

Headache and Migraine in Childhood and Adolescence

Synopsis

This text offers an analysis of headache and migraine in childhood and adolescence. It considers all the facts associated with these conditions and offers suggestions for effective treatment for the different subgroups in this age range.

Excerpt

From Neolithic times to the era of Hippocrates and Plato, history has recorded headache and included it in the mythology of different ages. The foundations of current research into headache in children and adolescents were laid in the 1960s by Bo Bille (Sweden) with his fundamental work 'Migraine in schoolchildren' (1962); during the same period, in Italy Roberto Mayer studied the interplay between organic and psychological development of headache ('La cafalea nell'età evolutiva', 1964). In the 1970s and 1980s, Charles Barlow and Giovanni Lanzi established further keystones in migraine with their books 'Headaches and Migraine' (1984) and the great 'La cefalea essenziale in età evolutiva' (1980) respectively, as did Judith Hockaday and Michael Noronha in the UK in 1988. Without the efforts of all these people, this book would not have been possible.

This book covers the latest treatment and research that has followed the work of those mentioned above. As with many medical specialties, the tendency to treat the child patient as simply a 'miniature adult' does not always work in treating pediatric disease and this distinction is at the forefront of this text. The problems of diagnosis and communication with the very young patient are discussed, and emphasis is placed on the need for understanding and assistance from parents, teachers and other carers. The pathophysiology and the genetics of headache and migraine are substantially covered, as well as the psychological aspects of headache. A variety of treatments is discussed, including psychotherapy, and relaxation and biofeedback treatments. A substantial section is devoted to pediatric and adolescent migraine that has yet to receive its own standardized criteria. A wide range of types of headache are included, thus making this the definitive and most comprehensive book on this subject.

We would like to thank the authors who contributed to this text; their devotion and efforts are much appreciated. Our gratitude also goes to our former and present scholars whose guidance and instruction have been invaluable, in particular to: Dr Randy Peterson, Dr Isabelle Rapin, Dr Alfred Spiro, Dr Niko Moshe, Dr S Schinnar and Dr Seymour Solomon.

Vincenzo Guidetti, Rome
George Russell, Aberdeen
Matti Sillanpää, Turku
Paul Winner, West Palm Beach

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