Patel Vijay A, Liaw Jeffrey, Saadi Robert A, Isildak Huseyin, Kalmar Christopher L, Polster Sean P
Division of Otolaryngology - Head & Neck Surgery, Children's Hospital Los Angeles, 4650 Sunset Boulevard MS #58, Los Angeles, CA 90027, USA.
Department of Otolaryngology - Head & Neck Surgery, University of Missouri, Columbia, MO 65211 USA.
Otolaryngol Clin North Am. 2022 Jun;55(3):633-647. doi: 10.1016/j.otc.2022.02.007. Epub 2022 Apr 27.
Pediatric headache is a common medical complaint managed across multiple subspecialties with a myriad of unique factors (clinical presentation and disease phenotype) that make accurate diagnosis particularly elusive. A thorough understanding of the stepwise approach to headache disorders in children is essential to ensure appropriate evaluation, timely diagnosis, and efficacious treatment. This work aims to review key components of a comprehensive headache assessment as well as discuss primary and secondary headache disorders observed in children, with a particular focus on clinical pearls and "red flag" symptoms necessitating ancillary diagnostic testing.
儿童头痛是一种常见的医学主诉，多个亚专业都对其进行诊治，且存在众多独特因素（临床表现和疾病表型），这使得准确诊断尤为困难。全面了解儿童头痛疾病的逐步诊断方法对于确保进行恰当评估、及时诊断和有效治疗至关重要。本文旨在回顾全面头痛评估的关键组成部分，并讨论儿童中观察到的原发性和继发性头痛疾病，特别关注需要辅助诊断测试的临床要点和“警示”症状。
