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Published on: June 2, 2014
Headaches in children
David H Rubin1, Stacey A Suecoff, Kelly G Knupp
1Department of Pediatrics, St Barnabas Hospital, Bronx, NY 10457, USA. david_rubin@stbarnabas-ny.org
Insights
A thorough headache evaluation in children is crucial for diagnosing serious conditions. This includes detailed history, exams, and imaging, with mandatory follow-up for effective pediatric headache management.
Area of Science:
- Pediatric Neurology
- Clinical Medicine
Background:
- Headaches are a common pediatric complaint.
- Some life-threatening conditions can initially present as headaches.
- Accurate diagnosis is essential for appropriate management.
Purpose of the Study:
- To outline the essential components for evaluating and managing pediatric headaches.
- To emphasize the importance of early and accurate diagnosis.
- To highlight the need for ongoing patient follow-up.
Main Methods:
- Detailed headache history taking.
- Comprehensive physical and neurological examinations.
- Ophthalmologic examinations.
- Neuroimaging studies when indicated.
Main Results:
- A systematic approach to pediatric headache evaluation is outlined.
- The necessity of detailed patient history and examinations is stressed.
- The role of neuroimaging and close follow-up is emphasized.
Conclusions:
- Comprehensive evaluation, including history, physical, neurological, and ophthalmologic exams, is vital for pediatric headaches.
- Neuroimaging and close follow-up are mandatory for effective management.
- Co-existing chronic conditions should be considered in pediatric headache patients.
Abstract:
Headache is an incredibly common complaint, but a detailed evaluation is necessary to diagnose some life-threatening diseases that may have their initial presentation in this manner. The evaluation and management of pediatric headaches requires close attention to a detailed "headache history," physical, neurological, and ophthalmologic examinations, and, when indicated, specific neuroimaging studies. Close follow-up of those patients with headaches is mandatory, whether they are placed on long-term or short-term medications. It also is important to appreciate the potential co-existence of headaches with other chronic disorders, such as asthma or diabetes.
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