Cohen B H
Neuro-Oncology Program, Cleveland Clinic Foundation, OH 44195, USA.
Semin Pediatr Neurol. 1995 Jun;2(2):144-50. doi: 10.1016/s1071-9091(05)80024-5.
When a headache develops in a child or adolescent, both the patient and the parents may fear the presence of a brain tumor. However, most headaches are not a symptom of a serious neurological disease but are related to stress or migraine. In this article, headaches in relationship to neurological disorders are reviewed. The pathophysiology of head pain and increased intracranial pressure are reviewed. Methods used to evaluate patients suspected of harboring an intracranial abnormality include a thorough history, a carefully performed physical examination, and neuroimaging studies. This article reviews cerebrovascular disease, neoplasms, hydrocephalus, and other structural abnormalities that cause headaches.
当儿童或青少年出现头痛时，患者及其父母可能都会担心患有脑肿瘤。然而，大多数头痛并非严重神经疾病的症状，而是与压力或偏头痛有关。本文对与神经障碍相关的头痛进行了综述。回顾了头痛和颅内压升高的病理生理学。用于评估怀疑有颅内异常患者的方法包括详尽的病史、仔细的体格检查和神经影像学研究。本文综述了导致头痛的脑血管疾病、肿瘤、脑积水及其他结构异常。
