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.
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.
Abstract:
Headache is one of the most common pain syndromes in the paediatric population. Headaches are classified as primary (migraine, tension-type headaches, trigeminal autonomic cephalalgia and other primary headaches) or secondary (e.g. post-traumatic). Non-febrile, non-traumatic headaches represent 1% of all paediatric emergency departments (PED) visits. Many patients present with an acute, moderate to severe pain, sometimes with a sudden onset. Sudden onset headache can be the main symptom of life-threatening neurological conditions as well as a sign of primary headaches such as thunderclap or stabbing headaches. This review aims to describe the presentation of sudden primary headaches in children, in order to help the physician to provide effective management in the emergency setting.
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