Conflict of Interest: The authors report no conflict of interest.
Medication Overuse Headache in School-Aged Children: More Common Than Expected?
Article first published online: 23 JUL 2012
© 2012 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 52, Issue 10, pages 1506–1510, November/December 2012
How to Cite
Piazza, F., Chiappedi, M., Maffioletti, E., Galli, F. and Balottin, U. (2012), Medication Overuse Headache in School-Aged Children: More Common Than Expected?. Headache: The Journal of Head and Face Pain, 52: 1506–1510. doi: 10.1111/j.1526-4610.2012.02221.x
- Issue published online: 15 NOV 2012
- Article first published online: 23 JUL 2012
- Accepted for publication June 11, 2012.
- medication overuse headache;
- chronic daily headache;
Objective.— To investigate the prevalence of medication overuse headache (MOH) in a group of children and adolescents seen for headache in a third-level center in Italy.
Background.— Epidemiological studies indicate a prevalence of MOH in children and adolescents between 0.3 and 0.5%; no data are available for the Italian population.
Methods.— We studied a group of first-seen children and adolescents (118 patients, 43.2% male and 56.8% female, mean age: 11.9 years). A detailed history was taken, using criteria defined by Olesen et al to assess the presence of MOH. Statistical correlations between demographic and diagnostic variables were assessed.
Results.— Eleven (9.3%) of our patients presented MOH; in the group with chronic daily headache, the prevalence raised to 20.8%. At follow up, after introduction of a more rationale treatment, most patients improved, but 2 of them reported a worsening of their headache.
Conclusions.— We believe that a strong warning regarding medication overuse in headache therapy is essential for pediatricians and neuropsychiatrists.