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Related Experiment Videos

[Childhood headache. A diagnostic approach].

M Domínguez Salgado1, R Santiago Gómez, J Campos Castelló

  • 1Servicios de Neuropediatría Hospital Clínico San Carlos. Madrid. España. med027612@saludalia.com

Anales Espanoles De Pediatria
|December 7, 2002
PubMed
Summary

Headaches are common in children and adolescents. Evaluating childhood headaches requires a thorough history and physical exam, with neuroimaging reserved for specific cases.

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Area of Science:

  • Pediatric Neurology
  • Headache Medicine
  • Clinical Diagnosis

Context:

  • Headaches are prevalent in children and adolescents, necessitating effective diagnostic strategies.
  • Current diagnostic criteria for pediatric migraine may require revision to accurately reflect prevalence.
  • Idiopathic headaches in children and adolescents include migraines and tension-type headaches.

Purpose:

  • To outline a rational, cost-effective approach to evaluating headaches in children.
  • To discuss the differences between pediatric and adult migraines.
  • To suggest revisions to the International Headache Society (IHS) criteria for childhood migraine.

Summary:

  • A careful history and physical/neurologic examination are the initial steps in evaluating childhood headaches.

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  • Neuroimaging is not routinely indicated and should be reserved for specific neurological findings.
  • Revising diagnostic criteria for pediatric migraine, particularly duration and associated symptoms like nausea, could improve accuracy.

    • Impact:

    • Provides guidance for clinicians on diagnosing and managing pediatric headaches.
    • Highlights the need for updated diagnostic criteria for pediatric migraine.
    • Emphasizes key differentiating features between migraine and tension-type headache in young patients.