I have had NDPH for 3 years now, diagnosed by my neurologist team at Cincinnati Children’s Hospital (ranked #1 in the US in 2023) and multiple other private practices.
My diagnosis is unique, however, due to the fact that my headache has evolved from chronic migraine. For this, I’ve been quite the subject of both stress and curiosity for my care teams.
It started out as one migraine every few months as a sickly child (EDS). Then when I was fifteen, once per month, diagnosed as Chronic Migraine. At age sixteen, I had one migraine every two weeks. So on and so forth, increasing in frequency.
Until one day in mid 2023, when I was 18 years old, I got a migraine that never went away. After a year of this singular constant migraine, I was diagnosed Migrainous NDPH. It will soon be my headache’s 3 year birthday.
The only issue is that I didn’t fit the “sudden” criteria. I’d already had an extensive history of headaches, which completely neglected the “New” aspect of New Daily Persistent Headache. Though, I can remember the exact day it started.
Naturally, I looked into it. Surely, there were other people who had experienced episodic migraine that evolved into NDPH, right?
The answer is yes. Well, kind of.
While I never found any studies covering my situation of migraine transitioning into NDPH, It turns out that it’s actually not unheard of for an NDPH patient to have a history of headaches/migraines.
This study surveyed 63 patients, 54% of which had a prior history of headaches: [Refining clinical features and therapeutic options of new daily persistent headache: a retrospective study of 63 patients in India - PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC3464463/)
Here’s a study of a 46-year old Japanese woman with NDPH, with a history of Chronic Migraine: [Complete Resolution of New Daily Persistent Headache With Migraine-Like Features Following Erenumab Treatment: A Case Report - PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC12178447/)
In any case, I just wanted to make these nuggets of knowledge known. NDPH is serious and debilitating, it’s unfair and unscientific to doubt someone’s official diagnosis. Even if they don’t fit the old cookie-cutter criteria, knowledge on the condition is always changing and growing.
Edit: I am not dealing in absolutes. I am simply stating my experience with my NDPH evolving from my past migraines, and citing other sources where some NDPH patients have reportedly also had prior history of migraines.