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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

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Child with Headache.

Keshavamurthy Mysore Lakshmikantha1, Karthi Nallasamy2

  • 1Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Indian Journal of Pediatrics
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Summary

Pediatric headaches are common, with secondary causes more frequent than primary ones like migraine in children. Early assessment and diagnosis are key for appropriate management and urgent referral when necessary.

Keywords:
HeadacheMigraine

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Area of Science:

  • Pediatric Neurology
  • Emergency Medicine

Background:

  • Headaches are a frequent reason for pediatric consultations, increasing with age.
  • Secondary headaches due to underlying conditions are more prevalent than primary headaches in children.

Purpose of the Study:

  • To outline the diagnostic approach to headaches in children presenting to pediatricians.
  • To differentiate between primary and secondary headaches in pediatric patients.
  • To emphasize the importance of urgent assessment for serious underlying etiologies.

Main Methods:

  • Review of headache presentation in pediatric populations.
  • Emphasis on temporal patterns and neurological examination for diagnosis.
  • Focus on urgent care assessment to identify critical conditions.

Main Results:

  • Headaches increase in frequency from age 3, peaking in older children and adolescents.
  • Secondary headaches are more common than primary headaches (e.g., migraine) in children.
  • Prompt identification of serious illness is crucial for stabilization and referral.

Conclusions:

  • A systematic approach involving headache history and neurological exam aids in diagnosis.
  • Urgent care must prioritize identifying and managing serious underlying causes of pediatric headaches.
  • Symptomatic treatment is appropriate for benign headaches, while underlying conditions require specific management.