2024 Volume 51 Issue 1 Pages 174-177
New daily persistent headache (NDPH) is a newly classified condition described by the International Classification of Headache Disorders, Second Edition. NDPH has rarely been reported in children, and it pathogenesis and treatments are poorly understood. In this study, we retrospectively reviewed 7 pediatric patients diagnosed with NDPH at our clinic. The number of days to symptom improvement, defined as the number of days from the first visit to our clinic to the day when headache frequency was halved, was assessed. The age of onset was 3-14 years (median, 10 years) ，and the cohort comprised 5 boys and 2 girls. Comorbidities included neurodevelopmental disorders in 3 patients and orthostatic dysregulation in 2 patients. Prophylactic medication for headache was ineffective in all patients. Psychosocial factors were identified in all cases; as such, psychosocial therapies, including psychological counseling and cooperation with schools, were provided to all patients to adjust to their environment. Headache ultimately improved in all cases. This experience suggests that after secondary headaches are ruled out and, NDPH is diagnosed, it is important to consider psychosocial therapy in parallel with drug medications as early as possible．
