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Paediatric Neurology > Headache > Flashcards

Flashcards in Headache Deck (5)
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1
Q

How can headache’s be classified and give examples?

A

Primary: Migraine, Tension, Cluster headaches. Primary malfunction of neurones.

Secondary: Due to an underlying condition: infection, raised ICP.

2
Q

What is the most common cause of headache in children?

A

Migraine

3
Q

What are the classical features of migraine?

A

Unilateral severe pulsating headache. (may be bilateral)

Aggravated by light and movement.

Nausea.

10% occur with an aura usually visual but may be olfactory.

Headaches last between 4 and 72 hours.

Note: There is the concept of abdominal migraines in which symptoms present as idiopathic nausea and abdominal pain.

4
Q

What are the classical features of a tension headache?

A

A symmetrical headache with gradual onset often described as a bilateral tight band-like pain.

5
Q

How can you manage migraines?

A

Avoid triggers: Cheese, chocolate, wine, stress, certain smells

Simple analgesia: 1st line

Triptans: 2nd line

Preventative: Beta blockers (if having 2 migraines per month, if using medication more than twice a week for migraine aka medication overuse)