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Chronic or recurrent headache is common in children, occurring in approximately 40% of children by 7 years of age and 75% of children by 15 years. Most parents who seek help for a child who has headaches are looking for reassurance that the headache is not due to a serious cause.

Pain referred to the head can arise from the following structures:1) intracranial or extracranial arteries, large intracranial veins, or venous sinuses; 2) cranial or spinal nerves; 3) basal meninges; 4) cranial and cervical muscles; and 5) extra-cranial structures such as the nasal cavity and sinuses, teeth, mucous membranes, skin, and subcutaneous tissues. The brain, most of the meninges overlying the convexity, and the bony skull are not sensitive to pain. Pain arising from the cranial circulation and supratentorial structures travels primarily via the trigeminal nerve and is referred to the...

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