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Headaches in Children Younger Than 7 Years: Are They Really Benign?

Rachel Straussberg, MD; Jacob Amir, MD
Arch Neurol. 1993;50(2):130-130. doi:10.1001/archneur.1993.00540020010003
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To the Editor.  —We read with interest the article by Chu and Shinnar, entitled "Headaches in Children Younger Than 7 Years of Age," which appeared in the January 1992 issue of the Archives.1The authors report on 104 children with an onset of headaches prior to 7 years of age. They conclude that even in this age group, migraine is the most common cause for headaches. Neuroimaging studies in their series did not contribute to the final diagnosis. No child with a brain tumor was found in their group of patients.We find these data not reassuring enough. It seems to us that the cut-off point for serious causes of headaches in the pediatric population should be 4 years.We would like to point out our experience with five patients, ranging in age from 10 months to 4 years, all presenting initially with a complaint of headache, with or

REFERENCES

Chu ML, Shinnar S.  Headaches in children younger than 7 years of age . Arch Neurol . 1992;; 49:79-82.
Swaiman KF. Pediatric Neurology Principles and Practice . St Louis, Mo: Mosby—Year Book; 1989;.
Menkes JH. Textbook of Child Neurology . 4th ed. Philadelphia, Pa: Lea & Febiger; 1990;.
Honig PJ, Charney EB.  Children with brain tumor headaches: distinguishing features . AJDC . 1982;;136:121-124.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Chu ML, Shinnar S.  Headaches in children younger than 7 years of age . Arch Neurol . 1992;; 49:79-82.
Swaiman KF. Pediatric Neurology Principles and Practice . St Louis, Mo: Mosby—Year Book; 1989;.
Menkes JH. Textbook of Child Neurology . 4th ed. Philadelphia, Pa: Lea & Febiger; 1990;.
Honig PJ, Charney EB.  Children with brain tumor headaches: distinguishing features . AJDC . 1982;;136:121-124.

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