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A practical approach to headaches in adolescents
1Section of Child Neurology, Cleveland Clinic Foundation, Ohio 44195-5045.
Pediatric Annals
|April 1, 1991
Summary
Accurate adolescent headache diagnosis relies on detailed history, physical, and neurologic exams. Addressing psychological factors and tailoring lab tests are key for effective treatment and patient improvement.
Area of Science:
- Neurology
- Adolescent Medicine
- Psychology
Background:
- Headaches are a common complaint in adolescents.
- Accurate diagnosis is crucial for effective management.
- Various factors contribute to adolescent headaches.
Purpose of the Study:
- To outline a diagnostic approach for adolescent headaches.
- To emphasize the importance of a comprehensive evaluation.
- To highlight the role of psychological factors.
Main Methods:
- Detailed patient history taking.
- Comprehensive physical and neurologic examinations.
- Analysis of headache temporal patterns.
- Tailored laboratory testing based on suspected syndromes.
- Evaluation of psychological factors.
Main Results:
- A systematic approach enables correct diagnosis in most cases.
- Laboratory testing should be individualized.
- Psychological assessment is integral to all cases.
- Comprehensive management leads to patient improvement.
Conclusions:
- Thorough clinical evaluation is the cornerstone of adolescent headache diagnosis.
- Integrating psychological assessment and tailored investigations improves outcomes.
- A holistic treatment strategy is essential for managing adolescent headaches.