Approach to the Diagnosis of Pediatric Headache

Merison, Kelsey; Victorio, M. Cristina

doi:10.1016/j.spen.2021.100920

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…Pediatric headaches are common and most often caused by a primary headache disorder or a benign self-limiting cause [ 4 ]. Repetitive headaches in children affect school life and friendships; interfere with daily life, such as family relationships; and negatively affect the quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…The evaluation and diagnosis of headaches in children should be based on thorough medical history, family observation, and examination [ 15 ]. A detailed history is essential to achieve the most important goal of distinguishing between primary and secondary headache disorders [ 4 ]. The value of careful examination cannot be overemphasized, as an abnormal neurological examination result is highly indicative of secondary headache pathology.…”

Section: Diagnosismentioning

confidence: 99%

“…The value of careful examination cannot be overemphasized, as an abnormal neurological examination result is highly indicative of secondary headache pathology. A combination of detailed history and examination also reveals headache red flags [ 4 ].…”

Section: Diagnosismentioning

confidence: 99%

“…When neuroimaging is indicated, noncontrast magnetic resonance imaging (MRI) of the brain is often the most valuable examination. It is important to balance the risks of neuroimaging, such as radiation exposure from computed tomography or sedation in very young children, with the potential benefits of aiding diagnosis and treatment [ 4 ]. Brain MRI can be performed more easily in Korea than in many other countries.…”

Section: Neuroimaging Studymentioning

confidence: 99%

“…The spectrum of pediatric headaches is broad, and the underlying etiology can be as simple as a viral illness or as serious as a brain tumor [ 4 ]. The clinician’s first task is to distinguish the few children who have a dangerous underlying secondary cause of headache from the majority who have a primary headache disorder such as migraine [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Pediatric headache: a narrative review

Kim

2022

J Yeungnam Med Sci

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Headache is one of the most common neurological disorders in children and adults and can cause significant distress and disability in children and their families. The spectrum of pediatric headaches is broad, and the underlying etiology is variable. The symptoms and phenotypes of headaches in children may differ slightly from those in adults. It is important to have a good understanding of headaches in children and to distinguish between primary and secondary headaches through appropriate history assessment and neurological examination. Accurate diagnosis and appropriate drug selection are helpful for effective treatment. This article reviews headaches in children and adolescents, focusing on approaches for diagnosis and management.

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Section: Discussionmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Neuroimaging Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pediatric headache: a narrative review

Kim

2022

J Yeungnam Med Sci

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Neuroimaging for Pediatric Headache

Kadom

Forte

Horný

et al. 2022

Evidence-Based Imaging

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Pediatric headache patient with cerebral abscesses: a brief review of the literature and case report

Bengio,

Goodwin,

Roka

et al. 2023

J Int Med Res

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Background Pediatric headache is a common cause of pediatric emergency department (ED) visits, and 8.8% of cases require imaging. Alarmingly, 12.5% of imaged cases have a pathologic cause. A pediatric patient with a complicated medical history presented to the pediatric ED with multiple cerebral abscesses. The possible causes and contributors to this rare cause of pediatric headache and a review of pediatric headache emergency management are presented. Case Presentation: A 12-year-old male patient with a complex medical and surgical history, including post-repair pulmonary valve stenosis, visited the pediatric ED for intractable and worsening left frontoparietal headache, refractory to ibuprofen, for 6 days. A physical examination revealed severe photophobia and restlessness secondary to severe head pain. Non-contrast brain computed tomography demonstrated two round, bilateral, parietal hypodense lesions with surrounding vasogenic edema. The lesions were consistent with abscesses on magnetic resonance imaging. Eventually, the patient underwent successful surgical abscess drainage and made a full recovery. The patient was lost to follow-up; therefore, no causative bacterial species was determined. Conclusion Managing pediatric headache in emergency settings requires a robust history and physical examination. Cerebral abscesses are an infrequent but fatal cause of pediatric headache and therefore should be considered among the differential diagnoses.

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Approach to the Diagnosis of Pediatric Headache

Cited by 6 publications

References 32 publications

Pediatric headache: a narrative review

Pediatric headache: a narrative review

Neuroimaging for Pediatric Headache

Pediatric headache patient with cerebral abscesses: a brief review of the literature and case report

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