Related Experiment Video
Updated: Jun 24, 2026
09:57
Electromagnetic Source Imaging in Presurgical Evaluation of Children with Drug-Resistant Epilepsy
Published on: September 20, 2024
[Headache in a pediatric emergency department]
A Palmieri1, S Mangini, P Salvati
1U.O. di Pronto Soccorso Medico e Medicina d'Urgenza, Istituto Giannina Gaslini, Genova. antonellapalmieri@ospedale-gaslini.ge.it
Summary
Pediatric emergency department visits for headache are rising, impacting child and family quality of life. Improved family education and coordinated care are essential for managing pediatric headaches.
Area of Science:
- Pediatric Emergency Medicine
- Neurology
- Public Health
Context:
- Headache is a prevalent pediatric symptom significantly impacting quality of life.
- Pediatric Emergency Departments (PEDs) frequently manage headache admissions.
- Primary headaches, like migraine without aura, are common; secondary headaches, often infection-related, constitute a significant portion of acute onset cases.
Purpose:
- To analyze pediatric headache admissions at a Pediatric Emergency Department.
- To evaluate the clinical and diagnostic pathways for pediatric headache patients.
- To identify trends and inform management strategies for pediatric headaches.
Summary:
- A 7-year study (2000-2006) at the G. Gaslini Institute PED analyzed 2,214 headache admissions (55% male).
- Triage categories included white (14.3%), green (74.3%), yellow (10.8%), and red (0.6%) codes.
- Outcomes comprised hospitalization (38%), other basic interventions (OBI) (8%), and home/ambulatory care (54%).
Impact:
- Findings indicate an increasing trend in pediatric headache ED visits.
- Highlights the need for enhanced family education regarding pediatric headaches.
- Emphasizes the necessity for better coordination between community healthcare services and hospital-based clinic management.
Related Concept Videos
01:14Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
01:29Increased Intracranial Pressure ll: Pathophysiology
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
01:29Drug Dosing: Infants and Children
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...