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Headaches in children

Choon How How1, Wei Shih Derrick Chan

  • 1SingHealth Polyclinics - Sengkang, 2 Sengkang Square, Sengkang Community Hub, #01-06, Singapore 545025. how.choon.how@singhealth.com.sg.

Singapore Medical Journal
|March 26, 2014
PubMed

Insights

Pediatric headaches are common, often caused by simple factors like tiredness or viral fever. A headache diary can help primary care doctors diagnose chronic headaches in children and rule out serious conditions.

Area of Science:

  • Pediatric Medicine
  • Neurology

Background:

  • Headaches are a frequent complaint in childhood.
  • Primary headaches are common in children.
  • Identifying common causes like fatigue, vision problems, infections, and stress is crucial.

Purpose of the Study:

  • To outline diagnostic approaches for pediatric headaches in primary care.
  • To emphasize the exclusion of serious underlying causes.
  • To highlight the utility of headache symptom diaries for chronic cases.

Main Methods:

  • Review of common pediatric headache etiologies.
  • Discussion of primary care consultation strategies.
  • Emphasis on the role of symptom documentation.

Main Results:

  • Common causes include tiredness, myopia, viral fever, sinusitis, and psychosocial stress.
  • Diagnosis involves identifying the cause and excluding red flags.
  • Headache diaries offer valuable data for chronic headache evaluation.

Conclusions:

  • Most childhood headaches are benign and manageable.
  • A systematic approach is needed to diagnose and treat pediatric headaches.
  • Symptom diaries are a practical tool for primary care physicians managing chronic pediatric headaches.

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