Sudden onset headaches in paediatric emergency departments: diagnosis and management

Italian Journal of Pediatrics

Review

Eugenia Spreafico¹  Thomas Moulding²  Léa Lenglart³  Cécile Monteil³  Luigi Titomanlio⁴ 

[1] Paediatric Department, IRCCS Fondazione Policlinico S. Matteo, University of Pavia, Pavia, Italy;Paediatric Department, Leeds Teaching Hospitals Trust, Leeds, UK;Paediatric Emergency Department, APHP - Hopital Robert Debré, 48 Boulevard Serurier, 75019, Paris, France;Paediatric Emergency Department, APHP - Hopital Robert Debré, 48 Boulevard Serurier, 75019, Paris, France;Paediatric Migraine and Neurovascular Diseases Unit, APHP - Hopital Robert Debré, Paris, France;Paris University, INSERM U1141, DHU Protect, Paris, France;

关键词: Paediatric emergency department;    Sudden onset headache;    Primary headaches;    Children;    Primary stabbing headaches;    Migraine;   

DOI  :  10.1186/s13052-023-01526-4

 received in 2023-07-13, accepted in 2023-09-06,  发布年份 2023

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY   
© Società Italiana di Pediatria 2023