Sudden onset headaches in paediatric emergency departments: diagnosis and management

Léa Lenglart1, Cécile Monteil2, Eugenia Spreafico3

  • 1Paediatric Emergency Department, APHP - Hopital Robert Debré, 48 Boulevard Serurier, Paris, 75019, France. lea.lenglart@aphp.fr.

PubMed

Insights

Sudden onset headaches in children can signal serious conditions or primary headaches like thunderclap headaches. This review aids physicians in effectively managing these pediatric emergency cases.

Area of Science:

  • Pediatric Neurology
  • Emergency Medicine
  • Pain Syndromes

Background:

  • Headache is a prevalent pain syndrome in children.
  • Headaches are categorized as primary or secondary.
  • Sudden onset headaches in children warrant careful evaluation.

Purpose of the Study:

  • To describe the presentation of sudden primary headaches in children.
  • To assist physicians in managing pediatric emergency department visits for headache.
  • To differentiate serious causes from primary headache disorders.

Main Methods:

  • Literature review on sudden primary headaches in the pediatric population.
  • Analysis of clinical presentations and diagnostic approaches.
  • Focus on emergency department settings.

Main Results:

  • Sudden onset headaches can indicate life-threatening neurological conditions.
  • Primary headaches like thunderclap or stabbing headaches present acutely.
  • Effective management strategies are crucial for pediatric patients.

Conclusions:

  • Understanding the nuances of sudden primary headaches is vital for pediatric emergency care.
  • Prompt and accurate diagnosis improves patient outcomes.
  • This review provides a framework for effective physician management.

Related Concept Videos

Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
29
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
15
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10