Radiology Research, Division of Neuroradiology, Penn State Health, Penn State College of Medicine, Mail Code H066 500 University Drive, Hershey, PA 17033, USA.
Radiology Research, Division of Neuroradiology, Penn State Health, Penn State College of Medicine, Mail Code H066 500 University Drive, Hershey, PA 17033, USA.
Neurol Clin. 2022 Aug;40(3):679-698. doi: 10.1016/j.ncl.2022.02.007. Epub 2022 Jun 29.
Headache represents one of the most common disorders in childhood and leads to nearly half a million visits to the physician's office or emergency department every year. Although the estimated prevalence is around 58.4%, the actual incidence of headache in the pediatric population might be underestimated, given only a percentage of cases seek medical attention. The first step in the evaluation of pediatric headache is a detailed clinical history and relevant clinical examinations. AAN and ACR do not recommend neuroimaging for patients with primary headache. However, neuroimaging becomes mandatory in presence of red flags to rule out the underlying cause.
头痛是儿童最常见的疾病之一，每年导致近 50 万人次前往医生办公室或急诊室就诊。尽管估计患病率约为 58.4%，但鉴于只有一部分病例寻求医疗关注，儿科人群中头痛的实际发病率可能被低估。评估儿童头痛的第一步是详细的临床病史和相关的临床检查。AAN 和 ACR 不建议对原发性头痛患者进行神经影像学检查。然而，在存在排除潜在病因的警示症状时，神经影像学检查则成为必需。
