• Curr Pain Headache Rep · Jul 2017

    Review

    Primary Headaches and School Performance-Is There a Connection?

    • J Genizi, V Guidetti, and M A Arruda.
    • Pediatric Neurology Unit, Bnai Zion Medical Center, Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel. genizij@gmail.com.
    • Curr Pain Headache Rep. 2017 Jul 1; 21 (7): 31.

    Purpose Of ReviewHeadache is a common complaint among children and adolescents. School functioning is one of the most important life domains impacted by chronic pain in children. This review discusses the epidemiological and pathophysiological connections between headaches and school functioning including a suggested clinical approach.Recent FindingsThe connection between recurrent and chronic headache and learning disabilities might be psychosocial (fear of failure) or anatomical (malfunctioning of the frontal and prefrontal areas). Only few population-based and clinical studies were done and good studies are still needed in order to understand the complex relationship better. However, relating to our patients' learning and school performance, history is crucial when a child with primary headaches is evaluated. Learning disabilities seem to have a high prevalence among children with primary headache syndromes especially migraine. The connection between the two is complex and might be either part of a common brain pathophysiology and/or a consequence of poor quality of life.

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