title: Causes and Associated Factors of Headaches among 5 to 15-year-old Children Referred to a Neurology Clinic in Kashan, Iran.
abstract: OBJECTIVE
  Headaches are common neurologic problems for children and adolescents. They are divided into two types: primary and secondary. Primary headaches include migraines and tension-type as well as comprise the majority of headaches. We detect the causes of headaches and their associations with demographic variables among children and adolescents.
  
  
  METHODS
  This cross-sectional study was performed on 5-15 year-old children with headaches from March 2010 to April 2012 who presented at a pediatric neurology clinic in Kashan, Iran. Diagnosis of headaches was done in accordance with the International Classification of Headache Disorders. Data regarding the type of headache, age, gender, pain severity, aura, family history, and sleep disorder were collected.
  
  
  RESULTS
  One hundred fourteen children (44 male and 70 female) with headaches were enrolled in the study. The types of headaches were comprised as follows: 67 cases of migraines, 38 cases of tension-type headaches, 2 cases of cluster headaches, and 7 cases of secondary headaches. Pulsating headaches, family history of headaches, insomnia, and pain severity had higher prevalence in migrainous patients.
  
  
  CONCLUSIONS
  Physicians should extend their information gathering about primary and secondary headaches. Sleep disturbances and a family history of headaches were the most important factors associated with migraine headaches.
authors.affiliation: Department of Pediatrics, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Talebian
authors.affiliation: Department of Pediatrics, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Soltani
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Haji Rezaei
keywords: Children; Migraine; Prevalence; Tension-type headache