Division of Neurology, Children's Hospital of Philadelphia University, Philadelphia, PA, USA.
Semin Pediatr Neurol. 2010 Jun;17(2):123-33. doi: 10.1016/j.spen.2010.04.001.
A majority of the children presented for evaluation of headache complaints, will have one of the primary headache disorder such as tension-type or migraine. During the course of the evaluation, consideration must be given to the diverse collection of other medical and systemic disorders which may also cause headache in children and adolescents. The purpose of this article is to review the spectrum of secondary headaches. In majority of the instances, a thorough medical and headache history coupled with physical and neurologic examination will uncover clues to the presence of these other disorders. This will also guide clinical decision making regarding the need for further diagnostic testing, including neuroimaging, electrophysiological testing, or specific laboratory testing.
大多数因头痛前来就诊的儿童将患有原发性头痛障碍之一，如紧张型头痛或偏头痛。在评估过程中，必须考虑到可能导致儿童和青少年头痛的其他各种医学和系统性疾病。本文的目的是回顾继发性头痛的范围。在大多数情况下，详细的病史和头痛史，加上身体和神经系统检查，将揭示这些其他疾病存在的线索。这也将指导临床决策，决定是否需要进一步的诊断测试，包括神经影像学、电生理学测试或特定的实验室测试。
