The headaches associated with muscle-contraction (tension) mi graine, increased intracranial pressure and occipital neuralgia have a reasonably typical clinical profile. The optimal out patient diagnostic evaluation of the child with headaches includes a thorough history and physical examination, and a skull x-ray. Radioactive brain scan, cervical spine x-rays, lumbar puncture, and psychiatric consultation are reserved for selected patients. Recommendations for therapy, based on the type of headache includes alleviation of family and environmental stresses, pro phylactic anticonvulsant medication and rarely Methysergide.
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References
1.
Committee on Classification of Headache: Classification of headache. JAMA179: 717, 1962 .
2.
Carter, S.: Personal communication.
3.
Friedman, A.P. and Harms, E., Eds.: Headaches in Children. Springfield, Charles C Thomas, 1967.
4.
Pearce, C.M. : Migraine. Springfield, Charles C Thomas, 1969.
5.
Holquin, J. and Fenichel, G.: Migraine. J. Pediatr.70: 290, 1967.
6.
Whitehouse, D.: Pediatric aspects of the migraine syndrome . Pediatr. Digest10: 33, 1968.
7.
Dugan, M. et al.: Occipital neuralgia in adolescents and young adults. N. Engl. J. Med.267: 1166, 1962.
8.
Ling, W. et al.: Depressive illness in children presenting as severe headache . Am. J. Dis. Child.120: 122, 1970.
