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Published on: June 2, 2014
Management of headaches in children
Insights
Headaches are common in children, but severe or recurring cases need evaluation. This review covers migraine, organic, and psychogenic headaches, detailing their symptoms, diagnosis, and treatment.
Area of Science:
- Pediatric Neurology
- Clinical Medicine
- Neuroscience
Background:
- Headaches are a frequent pediatric complaint.
- Most childhood headaches are benign, but severe or unusual presentations warrant medical attention.
- Headaches can signal underlying systemic or intracranial pathology.
Purpose of the Study:
- To review the three most common types of headaches in children.
- To highlight characteristic symptoms, diagnostic approaches, and management strategies.
- To differentiate between migraine, organic, and psychogenic headaches in pediatric patients.
Main Methods:
- Literature review of pediatric headache types.
- Analysis of symptoms, investigations, and treatments for common pediatric headaches.
- Focus on differentiating features for migraine, organic, and psychogenic headaches.
Main Results:
- Migraine, organic headaches, and psychogenic headaches are the most common types in children.
- Recurrent headaches with normal development may suggest migraine or psychogenic causes.
- Headaches can be linked to systemic illness or increased intracranial pressure.
Conclusions:
- A thorough evaluation is crucial for children with severe, recurring, or atypical headaches.
- Understanding the distinct features of migraine, organic, and psychogenic headaches aids diagnosis.
- Effective management relies on accurate identification of the headache type in children.
Abstract:
Headache is a common complaint in children. Although in most cases it does not require medical attention, a thorough evaluation is mandatory for the child with severe, recurring, or unconventional headaches. Recurrent episodes of headache over a prolonged period with normal behaviour, intellectual function, and a negative physical examination suggest migraine or psychogenic headaches. Headache in a child may be indicative of a systemic illness or an intracranial process causing increased intracranial pressure. This review discusses the three most common types of headache in children, highlighting the characteristic symptoms, investigation, and management of migraine, organic, and psychogenic headaches.
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