Experts’ opinion about the pediatric secondary headaches diagnostic criteria of the ICHD-3 beta

Aynur Özge, Ishaq Abu-Arafeh, Amy A. Gelfand, Peter James Goadsby, Jean Christophe Cuvellier, Massimiliano Valeriani, Alexey Sergeev, Karen Barlow, Derya Uludüz, Osman Özgür Yalın, Noemi Faedda, Richard B. Lipton, Alan Rapoport, Vincenzo Guidetti

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Background: The 2013 International Classification of Headache Disorders-3 was published in a beta version to allow clinicians to confirm the validity of the criteria or suggest improvements based on field studies. The aim of this work was to review the Secondary Headache Disorders and Cranial Neuralgias and Other Headache Disorders sections of ICHD-3 beta data on children and adolescents (age 0–18 years) and to suggest changes, additions, and amendments. Methods: Several experts in childhood headache across the world applied different aspects of ICHD-3 beta in their normal clinical practice. Based on their personal experience and the available literature on pediatric headache, they made observations and proposed suggestions for the mentioned headache disorders on children and adolescents. Results: Some headache disorders in children have specific features, which are different from adults that should be acknowledged and considered. Some features in children were found to be age-dependent: clinical characteristics, risks factors and etiologies have a strong bio psychosocial basis in children and adolescents making primary headache disorders in children distinct from those in adults. Conclusions: Several recommendations are presented in order to make ICHD-3 more appropriate for use in children.

Original languageEnglish (US)
Article number113
JournalJournal of Headache and Pain
Issue number1
StatePublished - Dec 1 2017


  • Adolescent headache
  • Childhood headache
  • Classification
  • Cluster headache
  • Headache
  • Migraine
  • Primary headache disorders
  • Tension-type headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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