{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T10:01:43Z","timestamp":1777802503707,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2006,5,1]],"date-time":"2006-05-01T00:00:00Z","timestamp":1146441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:p>\n                    At present, both migraine and tension-type headaches in children are believed to be chronic primary headaches. Meningeal signs in both cases are ignored or not examined, and the neurologic status is considered normal. This is the first study that focuses on meningeal signs in children with chronic headaches. The study population comprised 1738 patients aged 5 to 17 years who were examined in an outpatient neurologic clinic over a 6-year period. Particular attention was paid to examination of meningeal signs, including nuchal rigidity, Kernig's sign, Brudzinski's three signs (upper, middle, and lower), the \u201ctripod\u201d sign, and Guillain's and facial signs; the presence of these signs was regarded as meningismus syndrome. Some meningeal signs were found in 12% of 1007 children suffering from migraine, whereas 97% of 731 children with tension-type headaches had the whole set of meningeal signs. This suggested that meningismus is the major clinical syndrome in chronic tension-type headaches in children and adolescents. Chronic mild sterile (possibly autoimmune) inflammation of meninges (dura mater) can be caused by a preceding infection, as well as minor trauma of the head and\/or back. Prolonged rest in a recumbent position usually resulted in relief or complete disappearance of both headache and meningeal signs. Monitoring of the meningeal signs is helpful for evaluation of the patient's condition in the course of treatment. (\n                    <jats:italic toggle=\"yes\">J Child Neurol<\/jats:italic>\n                    2006;21:423\u2014425; DOI 10.2310\/7010.2006.00095).\n                  <\/jats:p>","DOI":"10.1177\/08830738060210050601","type":"journal-article","created":{"date-parts":[[2017,7,10]],"date-time":"2017-07-10T15:04:41Z","timestamp":1499699081000},"page":"423-425","source":"Crossref","is-referenced-by-count":15,"title":["Meningismus is a Commonly Overlooked Finding in Tension-Type Headache in Children and Adolescents"],"prefix":"10.1177","volume":"21","author":[{"given":"Irina","family":"Almazov","sequence":"first","affiliation":[{"name":"Meuhedet Healthcare Services, Tel Aviv, Israel,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natan","family":"Brand","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurology, Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,5]]},"reference":[{"key":"e_1_2_1_1_1","volume-title":"Disease of the Nervous System in Childhood","author":"Aicardi J.","year":"1992","unstructured":"Aicardi J.: Disease of the Nervous System in Childhood. London, MacKeith Press, 1992."},{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.62.729.621"},{"key":"e_1_2_1_3_1","first-page":"137","article-title":"Neuropsychiatric manifestation of typhoid fever","volume":"38","author":"Venkatesh S.","year":"1989","unstructured":"Venkatesh S. , Grell CA: Neuropsychiatric manifestation of typhoid fever. West Indian Med J 1989;38:137\u2014141.","journal-title":"West Indian Med J"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1983.00350110048013"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2990.1988.tb01141.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-198910000-00011"},{"key":"e_1_2_1_7_1","first-page":"164","article-title":"Diffuse leptomeningeal gliomatosis","volume":"6","author":"Whelan HT","year":"1987","unstructured":"Whelan HT, Sung JH, Mastri AR: Diffuse leptomeningeal gliomatosis. Clin Neuropathol 1987;6:164\u2014168.","journal-title":"Clin Neuropathol"},{"key":"e_1_2_1_8_1","first-page":"1381","article-title":"Spontaneous intracranial hemorrhages in children","volume":"25","author":"Veira C.","year":"1997","unstructured":"Veira C., Castro-Vilanova D., Ferreiro A., et al: Spontaneous intracranial hemorrhages in children. Rev Neurol 1997;25: 1381\u20141382.","journal-title":"Rev Neurol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03012676"},{"key":"e_1_2_1_10_1","first-page":"839","article-title":"Delirium tremens with meningismus","volume":"23","author":"Steingrub JS","year":"1987","unstructured":"Steingrub JS , Nikolich DY, Schlaeffer F.: Delirium tremens with meningismus. Isr J Med Sci 1987;23:839\u2014840.","journal-title":"Isr J Med Sci"},{"key":"e_1_2_1_11_1","first-page":"1","article-title":"The International Classification of Headache Disorders","volume":"24","year":"2004","unstructured":"The International Classification of Headache Disorders. Cephalalgia 2004;24(Suppl):1\u2014150.","journal-title":"Cephalalgia"},{"key":"e_1_2_1_12_1","volume-title":"Clinical Neuropathology of Childhood (Guidance)","author":"Tzuker MB","year":"1986","unstructured":"Tzuker MB: Clinical Neuropathology of Childhood (Guidance). Moscow , Meditzina, 1986."},{"issue":"1","key":"e_1_2_1_13_1","first-page":"197","article-title":"Meningeal symptoms of chronic headaches in children and adolescents\u2014a new approach to diagnosis and treatment","volume":"10","author":"Almazov I.","year":"2003","unstructured":"Almazov I., Brand N.: Meningeal symptoms of chronic headaches in children and adolescents\u2014a new approach to diagnosis and treatment. Eur J Neurol 2003;10(Suppl 1):197.","journal-title":"Eur J Neurol"},{"issue":"1","key":"e_1_2_1_14_1","first-page":"71","article-title":"Pachymeningitis: Possible pathogenic basis of chronic headaches in children. J Headache","volume":"5","author":"Almazov I.","year":"2004","unstructured":"Almazov I.: Pachymeningitis: Possible pathogenic basis of chronic headaches in children. J Headache Pain 2004;5(1):71.","journal-title":"Pain"},{"key":"e_1_2_1_15_1","first-page":"1034","article-title":"Spontaneous intracranial hypotension: Spinal MR findings","volume":"19","author":"Rabin BM","year":"1998","unstructured":"Rabin BM, Roychowdhury S., Meyer YR, et al: Spontaneous intracranial hypotension: Spinal MR findings. AJNR Am J Neuroradiol 1998;19:1034\u20141039.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.45.10.1801"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.1990.hed3004197.x"},{"key":"e_1_2_1_18_1","first-page":"609","article-title":"Mack.K: What causes new daily persistent headache in children","volume":"23","year":"2003","unstructured":"Mack.K: What causes new daily persistent headache in children ? Cephalalgia 2003;23:609.","journal-title":"Cephalalgia"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)90119-X"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2000.00151.x"},{"key":"e_1_2_1_21_1","first-page":"388","article-title":"Evidence based medicine and extradigestive manifestations of Helicobacter pylori","volume":"63","author":"De Koster E.","year":"2000","unstructured":"De Koster E. , De Bruyne J., Langlet P., Deltenre M.: Evidence based medicine and extradigestive manifestations of Helicobacter pylori. Acta Gastroenterol Belg 2000;63:388\u2014392.","journal-title":"Acta Gastroenterol Belg"},{"key":"e_1_2_1_22_1","first-page":"1261","article-title":"Helicobacter pylori und Kopfschmerz","volume":"88","author":"Marko P.","year":"1999","unstructured":"Marko P.: Helicobacter pylori und Kopfschmerz. Praxis 1999;88: 1261\u20141262.","journal-title":"Praxis"},{"key":"e_1_2_1_23_1","first-page":"539","volume-title":"Headaches in children and adolescentsWolff's Headache and Other Head Pain","author":"Rothner AD","year":"2001","unstructured":"Rothner AD, Winner P.: Headaches in children and adolescents, in: Wolff's Headache and Other Head Pain, 7th ed. Oxford University Press, New York, 2001,539\u2014561.","edition":"7"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08830738060210050601","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08830738060210050601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:33:03Z","timestamp":1777494783000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08830738060210050601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,5]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,5]]}},"alternative-id":["10.1177\/08830738060210050601"],"URL":"https:\/\/doi.org\/10.1177\/08830738060210050601","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,5]]}}}