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February 1993

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

Author Affiliations

Petah Tiqva, Israel

Arch Neurol. 1993;50(2):130. doi:10.1001/archneur.1993.00540020010003

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

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