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Pediatric Emergency Departments see a few children a day with headache. So how do we pick out the serious ones?

In this “noggin-cast” we explore the causes of headache, including Primary headache like migraine and tension headache, secondary headaches from viral illness, and a few other strange ones…
Outline: Headache PEMcast
Intro, disclaimer and Welcome: CP
Headache intro: KB – why we care/worry
Headache incidence/prevalence: KB
Headache Classification – International Headache Society: http://ihs-classification.org/en/
The Primary Headaches: CP
• Migraine
• Tension
• Cluster
The Secondary Headaches: WH
• Benign eg Viral illness/sinusitis – most common in children
• Pathological eg SOL, Meningitis, BIIH
Cranial neuralgias, Facial pain and other headaches: KB
• Optic neuritis
• Shingles
• Weird and wonderful causes!
Headache History – important points KB
Headache Examination – important features WH
“PAWER”: Papilloedema Ataxia Weakness Eyes Reflexes
Headache Investigation – CP
Follow up – CP
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