Chronic recurrent headaches in children.

Chronic recurrent headaches in children can be classified into distinct categories based on a careful history and physical examination. Migraine and muscle contraction headaches are common in the pediatric population. Laboratory studies should be limited to those individuals who have other signs or symptoms accompanying headaches that raise concern. Reassurance about the underlying pathophysiology of vascular or muscle contraction headaches, their benign nature, and favorable prognosis may not only relieve associated anxiety that may produce or prolong headache, but also may relieve the headache itself. Symptomatic mild analgesics and behavioral medicine therapy are often sufficient, although occasionally prophylactic pharmacotherapy is required. The long-term prognosis for children with chronic recurrent headaches is generally favorable.