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Headache in Pediatrics PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Headache in pediatrics" by Dr omid yaghini.
This medical PowerPoint presentation talks about headaches are a common complaint among pediatric patients.
There are many possible causes of headaches in children, including tension headaches, migraines, sinus infections, and other medical conditions. Its important to take headaches in children seriously and to thoroughly evaluate them to ensure appropriate diagnosis and treatment.

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

Published on : Mar 21, 2023 | Views : 2011 | Downloads : 1

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Headache in pediatrics Dr omid yaghini ( pediatric neurologist) Faculty member of Isfahan medical university
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INTRODUCTION
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prevalence increases with age. Children who complain of headache usually are brought to medical attention by their parents due to missing school or social activity or concerns of an ominous etiology such as a brain tumor or an untreatable cause
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EPIDEMIOLOGY nearly 60 percent of children reported having had headaches over periods of time. By age 18 years, more than 90 percent of adolescents report having had a headache
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The prevalence of recurrent headaches increases with age from 4.5 percent among children 4 to <6 years to 27.4 percent among children 16 to 18 years Before 12 years of age, the prevalence of headaches is similar among boys and girls (approximately 10 percent). After age 12 years, the prevalence is higher in girls
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ETIOLOGY Childhood headaches are rarely caused by a serious underlying disorder. infections are the most common cause of secondary headache in children
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CLASSIFICATION Headaches can be classified as primary (those intrinsic to the nervous system and secondary. Secondary headaches develop in close temporal relationship to the underlying condition
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1-Age at onset 2-Mode of onset 3-What is the headache pattern: acute, acute recurrent, chronic progressive, nonprogressive daily, or mixed? 4-How often does the headache occur? 5-How long does the headache last? 6-Is there an aura or prodrome? 7-When do the headaches occur? 8-What is the headache quality (throbbing/pulsating, dull aching, squeezing, etc)?
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9-Where is the pain? 10-What brings the headache on or makes it worse? 11-What makes the headache go away? 12- Are there associated symptoms? 13- Do symptoms continue between headaches? 14- Do the headaches impair normal functioning and quality of life?
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Additional information 1-Past medical history 2-Medications and vitamins 3-Recent change in weight or vision 4-Recent changes in sleep, exercise, or diet 5-Change in school or home environment 6-Family history of headache or neurologic disorder 7-Mental health history/symptoms, psychosocial stressors
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Physical Examination
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Alarm sign
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Abdominal migraine Abdominal migraine is characterized by recurrent episodes of abdominal pain in an otherwise healthy child who is normal between attack. The pain is typically midline or poorly localized, dull and moderate to severe in intensity
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Benign paroxysmal vertigo Benign paroxysmal vertigo of childhood is characterized by brief recurrent attacks of vertigo in otherwise healthy children. The disorder often presents when the child is a toddler, although may be manifest later in childhood.
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Cyclic vomiting syndrome is an idiopathic disorder characterized by repeated and usually stereotypical episodes of nausea and vomiting that last for hours to days, separated by symptom-free periods of variable length
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Benign paroxysmal torticollis Benign paroxysmal torticollis of infancy is characterized by periods of an abnormal, sustained posture of the head and neck in which the head tilts to either side, with or without slight rotation.
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APPROACH TO TREATMENT Educating the child and family about migraine headache is an important aspect of care. A headache calendar may identify triggering factors, clarify features of the attacks, and help evaluate the effectiveness of treatment
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The US Food and Drug Administration (FDA) has approved the use of rizatriptan for children 6 to 17 years of age. For children 12 years of age and older, FDA-approved triptans are almotriptan, zolmitriptan nasal spray, and the combination of sumatriptan and naproxen
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When migraine symptoms develop, the child should rest or sleep in a dark, quiet room with a cool cloth applied to the forehead. Medications useful for the acute treatment of migraine range from analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen to triptans, antiemetics, and the less commonly used dihydroergotamine
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کسی که برای دنیا به دین عمل کند مزدش نزد خداوند اتش است 0(امام علی ع)