Dr. Moodley: Headaches in Children - Cleveland Clinic
Dr. Moodley: Headaches in Children - Cleveland Clinic
Dr. Moodley: Headaches in Children - Cleveland Clinic
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Headache Types<br />
Chronic Daily<br />
0 30 Time (days)<br />
60<br />
Evaluation of Headache<br />
Detailed History<br />
Physical exam<strong>in</strong>ation<br />
Neurological exam<strong>in</strong>ation<br />
Formulate a differential diagnosis<br />
Laboratory tests<br />
Treatment<br />
Follow-up<br />
<strong>Headaches</strong> follow<strong>in</strong>g epilepsy<br />
surgery<br />
Acute -together together with other post operative<br />
symptoms which disappear spontaneously<br />
Chronic headaches are poorly<br />
documented<br />
Migra<strong>in</strong>e and tension type headaches<br />
appear to be the commonest<br />
Symptoms<br />
Headache Types<br />
Mixed/Co-morbid<br />
Mixed/Co morbid<br />
0 30 Time (days)<br />
60<br />
Post Surgical Headache<br />
Poor documentation of post surgical<br />
headaches <strong>in</strong> general<br />
Headache follow<strong>in</strong>g epilepsy surgery is<br />
even less well documented<br />
Post craniotomy headache is relatively<br />
well documented – a comb<strong>in</strong>ation of<br />
tension type headache and site of <strong>in</strong>jury<br />
headache overly<strong>in</strong>g the surgical site<br />
Migra<strong>in</strong>e is:<br />
Almost always familial<br />
Episodic – not daily<br />
Variable symptoms:<br />
Frequency Aura<br />
Severity Nausea/Vomit<strong>in</strong>g<br />
Location Phono/Photophobia<br />
Phono/Photophobia<br />
Duration Neurological features
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