Experts’ opinion about the primary headache diagnostic criteria of the ICHD-3rd edition beta in children and adolescents

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

Research output: Contribution to journalReview articlepeer-review

47 Scopus citations


Background: The 2013 International Classification of Headache Disorders-3 (ICHD-3) was published in a beta version to allow the clinicians to confirm the validity of the criteria or to suggest improvements based on field studies. The aim of this work was to review the Primary Headache Disorders Section 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 literature available on pediatric headache, they made observations and proposed suggestions for the primary headache disorders section of ICHD-3 beta data on children and adolescents. Results: Some headache disorders in children have specific features which are different from those seen in adults and which 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 psycho-social 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 with children.

Original languageEnglish (US)
Article number109
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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