Management of childhood headache in the emergency department. Review of the literature
| Autor: | Antonino Reale, Pasquale Parisi, Maria Pia Villa, Maria Chiara Paolino, Umberto Raucci, Nicoletta Della Vecchia, Chiara Ossella |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty diagnosis Neurological examination Review secondary headache lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Neuroimaging 030225 pediatrics medicine migraine Family history lcsh:Neurology. Diseases of the nervous system child neuroimaging medicine.diagnostic_test business.industry emergency Emergency department medicine.disease Hydrocephalus Sumatriptan Migraine Neurology headache life threatening condition Neurology (clinical) Headaches medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Frontiers in Neurology Frontiers in Neurology, Vol 10 (2019) |
| Popis: | Headache is the third cause of visits to pediatric emergency departments (ED). According to a systematic review, headaches in children evaluated in the ED are primarily due to benign conditions that tend to be self-limiting or resolve with appropriate pharmacological treatment. The more frequent causes of non-traumatic headache in the ED include primitive headaches (21.8–66.3%) and benign secondary headaches (35.4–63.2%), whereas potentially life-threatening (LT) secondary headaches are less frequent (2–15.3%). Worrying conditions include brain tumors, central nervous system infections, dysfunction of ventriculo-peritoneal shunts, hydrocephalus, idiopathic intracranial hypertension, and intracranial hemorrhage. In the emergency setting, the main goal is to intercept potentially LT conditions that require immediate medical attention. The initial assessment begins with an in-depth, appropriate history followed by a complete, oriented physical and neurological examination. The literature describes the following red flags requiring further investigation (for example neuroimaging) for recognition of LT conditions: abnormal neurological examination; atypical presentation of headaches: subjective vertigo, intractable vomiting or headaches that wake the child from sleep; recent and progressive severe headache ( |
| Databáze: | OpenAIRE |
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