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Published on: June 2, 2014
A review of episodic and chronic pediatric headaches of brief duration
1Department of Pediatrics, CarePoint Health Medical Group, Jersey City, New Jersey; Department of Neuroscience, Seton Hall University, School of Health & Medical Sciences, South Orange, New Jersey.
Insights
Short headaches in children, often atypical migraines, can be misdiagnosed. Understanding these rare headache syndromes is key for accurate pediatric headache diagnosis and treatment.
Area of Science:
- Neurology
- Pediatrics
Background:
- Short-duration headaches (<1 hour) are rare in children, often misdiagnosed without expert knowledge.
- While typically primary headache syndromes, secondary causes like structural lesions must be considered.
Purpose of the Study:
- To provide an updated review of uncommon headache syndromes in pediatric patients.
- To aid practitioners in diagnosing and managing these specific headache types in children.
Main Methods:
- A pediatric-focused review of various headache syndromes.
- Includes atypical migraine, trigeminal autonomic cephalgias, idiopathic stabbing headache, cranial neuralgias, occipital neuralgia, thunderclap headache, nummular headache, red ear syndrome, and numb-tongue syndrome.
Main Results:
- Detailed clinical characteristics of several uncommon pediatric headache syndromes are presented.
- Highlights the importance of recognizing specific patterns for correct diagnosis.
Conclusions:
- Accurate identification of these headache patterns in children enables prompt diagnosis.
- Facilitates the development of effective and optimal treatment strategies for pediatric headache patients.
Background:
Headaches that last less than an hour in duration are uncommon, except for atypical migraine, and without a practitioner's appropriate knowledge, may result in misdiagnosis. Although most of these headaches are classified as primary headache syndromes, some have secondary etiologies such as structural lesions.
Methods:
This pediatric-specific review updates these headache syndromes. Included are atypical migraine, the trigeminal autonomic cephalgias, idiopathic stabbing headache, cranial neuralgias, occipital neuralgia, thunderclap headache, nummular headache, the red ear syndrome, and the numb-tongue syndrome.
Conclusion:
Knowledge of the clinical characteristics of these headache patterns in children allows physicians to quickly establish the headache diagnosis and develop the optimal treatment plan.
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