Specificity of IHS Criteria in Childhood Headache


  • Shashi S. Seshia FRCPC, FRCPE

    Corresponding author
    1. Section of Pediatric Neurosciences, Children's Hospital, Winnipeg, Canada
    2. University of Manitoba, Winnipeg, Canada.
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  • Presented in part at the XXIX Canadian Congress of Neurological Sciences, St. John's, New Foundland, June 28, 1994, and at the First Meeting of the European Pediatric Neurology Society, Eilat, Israel, March 22, 1995.

Dr. S. Seshia, Children's Hospital, 840 Sherbrook Street, Room AE 208, Winnipeg, Manitoba, R3A 151, Canada.


We prospectively assessed the relative specificity of the International Headache Society (IHS) criteria in 30 children referred to a pediatric neurologist. An important cause of headache, including raised intrecranial pressure with slit ventricle syndrome, would have been missed in 4 children if one had relied on IHS criteria alone. Specific revisions have been proposed to minimize misclassification and further enhance the relevance of the IHS document for children.