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[Secondary headache in children]

Mitsue Fujita1

  • 1Department of Pediatrics, Tsukubagakuen Hospital.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|October 13, 2005
PubMed

Insights

Pediatric headaches, with or without fever, often stem from common causes like viral illnesses or migraines. Urgent neuroimaging is crucial for severe symptoms to rule out serious conditions like meningitis or brain tumors.

Area of Science:

  • Pediatric Neurology
  • Clinical Pediatrics

Background:

  • Headache is a frequent symptom in pediatric patients, occurring with or without fever.
  • Common causes include viral infections, migraines, and trauma.

Observation:

  • Headache accompanied by fever, vomiting, and meningeal signs warrants investigation for meningitis.
  • Blood pressure monitoring is essential, as hypertension can rarely cause headaches in children.
  • Neuroimaging is indicated for neurological abnormalities, atypical headache patterns, or significant changes in existing headaches.

Findings:

  • While uncommon, serious underlying conditions like brain tumors or intracranial hemorrhage require immediate diagnosis.
  • Prompt neuroimaging facilitates the timely identification of urgent pediatric neurological conditions.

Implications:

  • This highlights the importance of a systematic approach to diagnosing pediatric headaches.
  • Early and accurate diagnosis through appropriate investigations can prevent severe outcomes.

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