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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure

Published on: July 30, 2009

Neuroimaging in Pediatric Headache.

Aline Camargo¹, Sangam Kanekar¹

¹Radiology Research, Division of Neuroradiology, Penn State Health, Penn State College of Medicine, Mail Code H066 500 University Drive, Hershey, PA 17033, USA.

Neurologic Clinics

|July 25, 2022

Summary

This summary is machine-generated.

Pediatric headaches are common, affecting over half of children and leading to frequent medical visits. While most headaches aren't serious, doctors use clinical history and exams, reserving neuroimaging for specific warning signs.

Keywords:

ACR Appropriateness Criteria Intracranial hypertension and hypotension MRI Migraine Pediatric headache

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Published on: January 12, 2011

Area of Science:

Pediatric Neurology
Clinical Medicine

Background:

Headaches are a prevalent childhood disorder, accounting for nearly 500,000 physician and emergency department visits annually.
Estimated pediatric headache prevalence is 58.4%, though actual incidence may be higher due to underreporting of cases not seeking medical attention.

Purpose of the Study:

To outline the diagnostic approach for headaches in children.
To clarify when neuroimaging is indicated in pediatric headache evaluations.

Main Methods:

Clinical history taking and physical examination are the primary diagnostic tools.
Review of guidelines from the American Academy of Neurology (AAN) and American College of Radiology (ACR) regarding neuroimaging in pediatric headache.

Main Results:

Primary headaches in children generally do not require neuroimaging, according to AAN and ACR recommendations.
Neuroimaging is indicated when "red flags" suggesting a secondary cause are present.

Conclusions:

A thorough clinical evaluation is the cornerstone for diagnosing pediatric headaches.
Neuroimaging should be reserved for cases with specific "red flags" to efficiently rule out serious underlying conditions.