alexa Abstract | Spectrum of Diagnosis of Children with Headache in a Tertiary Pediatric Emergency Department

Pediatric Emergency Care and Medicine: Open Access
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Review Article Open Access

Abstract

Background: Headache is a common complaint in children. The study aim was to describe the clinical characteristics on the presentation of patients with headache in the Emergency Department.

Methods: A retrospective longitudinal study of children who presented with headache to a tertiary pediatric hospital in Costa Rica. It was conducted in a twoyear period. We included children from 2 years to 18 years. Data was abstracted from electronic ED records, admission and progress note.

Results: Eighty-eight patients were included in the study. 60% were known to be healthy and 40% had a positive past medical history; 33% had a previous history of migraine or chronic non-specific headache. Forty-one (46, 5%) were diagnosed with primary headache and 47 (53, 5%) with secondary headache. The median time from onset of symptoms to the ED presentation was 120 hours (IQR 24-1440) for patients with primary headache and 72 hours (IQR 24-192) for secondary headache. The median time of duration of headache was 60 minutes in both groups. Patients with primary headache had less neurologic symptoms 4 (9.7%) compared with 8 (17%) in secondary headache. Universal headache was the most frequent location in secondary headache patients (60%). In patients with primary headache, frontal location was more common (46%) followed by universal location (26%). A normal physical examination was noted in 38 (92.6%) of the patients with primary headache in comparison with 27 (57.4%) of secondary headache. The principal diagnosis of patients with primary headache was migraine and in secondary headache a viral infection. CT scans were performed in 76% of the patients; and only 12 (13.6%) were reported as abnormal. 37 (42%) of the patients received medical management.

Conclusions: Routine neuroimaging is not indicated in children with recurrent headache and a normal neurologic examination. Management in the ED must be addressed to establish an accurate diagnosis, excluding secondary causes, using an effective treatment and providing the patients and parents a discharge plan that includes treatment and follow up discharge.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Maria Joseacute Montealegre Sauma Sabrina SequeiraSequeira Alfonso GutierrezMata and Adriana YockCorrales

Keywords

Headache, Emergency department, Pediatric, Children, Migraine, Pediatric Cardiology, Pediatric Critical Care, Pediatric Hematology, Pediatric Pulmonology, Pediatric Endocrinology, Pediatric Nephrology Research, Infection Research, Cold Research, Hepatitis Research, Pneumoniae Research, Malignancy Treatment

 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords