McCrea Nadine, Howells Rachel
Department of Paediatric Neurology, Addenbrooke's Hospital, Cambridge, UK.
Arch Dis Child Educ Pract Ed. 2013 Oct;98(5):181-5. doi: 10.1136/archdischild-2012-303529. Epub 2013 Jul 13.
Headache occurring in children under the age of 5 years may cause a high level of anxiety in both parents and medical professionals. Crucial to a consultation about this problem will be to actively seek out clues to sinister pathologies, and investigate or reassure as appropriate. Making a positive diagnosis of a primary headache disorder where one exists is also important; however, in young children, headache does not always conform to well-established diagnostic criteria. This short guide provides a practical overview using the scenario of a new referral to the outpatient clinic.
5岁以下儿童出现头痛可能会让家长和医学专业人员都高度焦虑。对于这个问题的会诊，关键在于积极寻找严重病变的线索，并进行适当的调查或安抚。对存在的原发性头痛障碍做出肯定诊断也很重要；然而，在幼儿中，头痛并不总是符合既定的诊断标准。本简短指南以新转诊至门诊的病例为场景，提供了一个实用的概述。
