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Childrens Headaches PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Children’s Headaches 0-18?" by Sue Lipscombe.
This medical PowerPoint presentation talks about headaches which can occur in children of all ages, from infants to teenagers.

Tags : Headache in pediatrics, pediatric patients, tension headaches, migraines, sinus infections, Child Neurology PowerPoint presentation, Neurology PowerPoint presentation

Published on : Mar 21, 2023 | Views : 1282 | Downloads : 1

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Sue Lipscombe Brighton GP Children’s Headaches0-18?
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SINISTER and SECONDARYHEADACHES Less than 5% of children’s headaches are serious disease or due to physical problems Fever – common cause of headaches Occasionally meningitis but never recurrent Head Trauma causes pain at time and site of trauma, lingering headache is worry Sinus infection, TMJ, Dental Problems Tests are only necessary if sinister headache is being considered. They will not diagnose migraine or tension type headaches
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CHILDREN MAY BE TOO YOUNG TO DESCRIBE THEIR HEADACHES BUT they may draw them Every picture tells a story Parents may try to get child to draw headache as soon as the child feels better so it remains fresh in their mind Your doctor may want your child to tell their own story so please try and encourage them to talk. Parents/ carers will be able to add their own helpful thoughts later.
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Parents can act as observers Watch how the child looks Do they look pale and ill? Do they stop eating? Do they carry on with activities? Do they choose to lie down? Do they recover rapidly? What do they do with their hands?
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Watch Hand Gestures
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Headache can start young Even babies and toddlers may have headaches 6 years old (in preceding 6mth period) 16 % of children 12 years old (in preceding 6months) 19 % of children
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Migraine can start young Migraine grows from infrequent to frequent: 6 years old 2% 10 years old 6% 18 years old 10% Many (65 - 90%) not problematical: infrequent, short, familiar
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Development migraine over time Before puberty: boys = girls After puberty: more girls Luckily 35%: Migraine disappears 8 > 13 yrs But: 12 % of migraine children develop severe migraine eventually > prophylactics Duration attack increases with age 8 yrs: duration 1-2 hrs 15 yrs: duration > 2 hrs
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Associated (risk)factors-1 Parents and siblings with headache Unhappiness in the family Low SES-status (tension-type, but no relation with migraine) Depression (tension-type) More motion sickness (migraine) More abdominal (migraine) Other pains (tension-type)
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Diagnosis migraine; differences with adults Children Migraine in ‘family’ useful Duration 2-72 (2-12 usually) Often 1-2 hrs in young children Often bilateral headache Occipital headache rare & alarming Sleep frequently helps Adults Family history not so helpful Duration 4-72 (4-36 usually) If < 2 hrs no migraine Unilateral headache common Occipital headache common and not alarming Disturbs sleep
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What to do: tension-type headache Explanation, reassurance “It is one of those common pains, a nuisance rather than a problem” Recognising benign pattern with diary
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What to do: tension-type headache the parents Distraction activities: they help Lying down not helpful (for headache…) Keeping diaries is useful for child and parent and doctor
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STRESS A MAJOR FACTOR ONE OR TWO HEADACHES MAY CAUSE STRESS- DEVELOP CDH EXAMINATION STRESS PERFORMANCE STRESS PARENTAL STRESS RELATIONSHIP STRESSES
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What to do: tension-type headachereferrals Training in optimal posture and excercises is more an adult thing optional for youngsters and adolescents ‘Therapy’ is boring and they are right Children should play, not do fitness training Sport is a child thing but can be dancing or other diverting exercise
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What to do: tension-type headachereferrals The person of the physiotherapist is more important than the therapy itself Encourage to start a sport Change towards more activity Rarely medication Though: careful manipulation is optional
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What to do: migrainethe parents Rest, quiteness, let the child alone Lying down is very helpful Children ‘sleep migraine out of their head’ Being a tough child is not helpful Inform teachers, friends: same approach Try and avoid triggers Travel sickness is a pointer
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What to do: migrainethe parents Sleep hygiene is very effective After 6 months fewer attacks Shorter attacks Regulate or stop caffeine intake Food triggers usually obvious but try groups rather than individual foods It may make the child introspective if it isn’t obvious
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Prevention is better than cure Try and avoid any obvious triggers Each child is an individual and needs individual care Parents may recognise triggers that the child misses The child should always be part of discussion for many reasons
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What to do: migrainemedication In time, high dosage of minor pain medication, NSAID’s, and/or anti-emetics Similar to adults Parents tend to under-dose a child Often the attack is too short to treat Triptans are allowed now from 12 yrs old: nasal spray
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What to do: migrainemedication Prophylactics : > 3 attacks a month Betablockers (valproate) Pizotifen - sanomigran Stop after 6 – 12 months Start again if the attack frequency recurs, but often this is unnecessary
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Behavioural problems Are they sometimes caused by headache?
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PARENTS Keep diary of headache frequency Keep diary of headache severity Keep diary of foods Keep diary of events Keep diary of medication Keep diary of stresses Keep diary of sleep
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REMEMBER Diagnosis is made by the history Blood tests are rarely necessary Brain scans are scary, dangerous and usually not necessary Usually the longer the history the less likely the headache is to be sinister.
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The change we need to effect
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QUESTIONS? AND THANK YOU FOR LISTENING AND WORKING WITH DOCTORS TO HELP YOUR CHILD