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Published on: June 2, 2014
[Headache in children and adolescents]
Caroline Gren1, Kristoffer Vogler, Maria Miranda
1carrogreen@hotmail.com.
Insights
Headache is common in children, affecting over half of them. Specialist care and long-term follow-up improve outcomes for pediatric headaches, with specific treatments recommended.
Area of Science:
- Pediatric Neurology
- Clinical Pediatrics
- Headache Medicine
Background:
- Headache is a prevalent symptom in children and adolescents, impacting daily life.
- Delayed specialist referral is associated with poorer prognosis in pediatric headache cases.
- Long-term follow-up care is crucial for better outcomes in young patients with headaches.
Purpose of the Study:
- To highlight the significance of early diagnosis and management of headaches in pediatric populations.
- To emphasize the importance of specialist care for children experiencing headaches.
- To review current understanding of acute and prophylactic headache treatments in adolescents.
Main Methods:
- Review of current literature on pediatric headache prevalence and management.
- Analysis of factors influencing prognosis in children with headaches.
- Evaluation of first-line acute and prophylactic treatment strategies.
Main Results:
- Pediatric headache prevalence is high (58.4%), significantly affecting quality of life.
- Referral to specialist care and consistent follow-up correlate with improved prognosis.
- Acetaminophen and ibuprofen are recommended for acute headache treatment.
Conclusions:
- Accurate diagnosis through thorough history and neurological examination is essential.
- Specialist intervention is critical for effective prophylactic treatment of pediatric headaches.
- Further research is needed to optimize acute and prophylactic headache management strategies in children.
Abstract:
Headache is an increasingly common symptom among children and adolescents with a prevalence of 58.4%, and it may have profound impact on everyday life. A poorer prognosis is seen for children, who are not referred to specialist care, and long-term follow-up is shown to indicate a better outcome. A thorough headache history and a full neurological examination is vital to a correct diagnosis. The acute and prophylactic treatment is poorly studied, but acetaminophen and ibuprofen are first-line choices in acute treatment, and prophylactic treatment should be carried out by specialists.
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