Abstract
Andrew suffered from infrequent episodic headache from the age of 6. In his past medical history, Andrew showed a mild language delay and had difficulties in copying from the blackboard in primary school suggesting an underlying visual problem. An ophthalmological assessment at the age of 8 years showed him to have “Marcus Gunn syndrome” and myopia. Despite the use of corrective lenses, Andrew continued to experience school difficulties and episodic headache. On moving to secondary school, Andrew’s performance in reading and writing declined, he expressed emotional and relationship problems, and his headache worsened. Psychological assessment revealed recurrent depressive thoughts and anxiety symptoms associated with social phobia necessitating psychotherapy for 18 month with no improvement. Neurological evaluation at the age of 14 years showed a progressive increase of headache frequency (two to three times a week). A complete neuropsychological assessment showed a specific learning disorder (dysgraphia) associated with a severe expressive language disorder. On the implementation of specific school measures, he had an improvement in anxiety and a reduction in headache frequency.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kanski JJ, editor. Clinical ophthalmology. 4th ed. Oxford: Butterworth-Heinemann; 1999. p. 35.
Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808.
Further Reading
Akinci A, Güven A, Degerliyurt A, Kibar E, Mutlu M, Citirik M. The correlation between headache and refractive errors. J AAPOS. 2008;12:290–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Termine, C., Bartoli, B., Crugnola, S., Balottin, U. (2016). A Child with Infrequent Episodic Tension-Type Headache. In: Abu-Arafeh, I., Özge, A. (eds) Headache in Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-28628-0_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-28628-0_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28626-6
Online ISBN: 978-3-319-28628-0
eBook Packages: MedicineMedicine (R0)