Pediatric Headaches in Clinical Practice

This book is a foundation for further study into childhood headache and serve as a quick, up-to-date reference for the recognition, diagnosis, basic understanding, evaluation and management of headache disorders in children and adolescents.- Covers primary headache disorders including migraine - Covers secondary headaches, including sinus, and post traumatic headache - Provides thoughtful guidelines on behavioural management strategies as well as pharmacologic therapies

Andrew D. Hershey, M.D., Ph.D., Director, Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH,USA.

Scott W. Powers, Ph.D., ABPP, Professor of Pediatrics; Director, Center for Child Behavior and Nutrition Research; Director, Postdoctoral Training in Psychology; Co-Director, The Headache Center, Cincinnati Children's Hospital Medical Center, The University of Cincinnati College of Medicine Division of Behavioral Medicine and Clinical Psychology, Sabin Education Center, Cincinnati, OH, USA.

Paul Winner, D.O., Palm Beach Headache Center, Premiere Research Institute, Palm Beach Neurology, Nova Southeastern University, West Palm Beach, FL, USA.

Marielle A. Kabbouche, M.D, Assistant Professor of Pediatrics and Neurology, Department of?Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Preface	p. ix
History of Childhood Headaches	p. 1
Childhood Headaches	p. 2
Migraine Variants and the Periodic Syndromes	p. 6
Classification and Criteria for Headaches	p. 7
Evaluations and Classification	p. 13
Evaluation	p. 13
Classification	p. 17
Diagnostic Testing and Concerning Variants	p. 21
Neuroimaging	p. 24
EEG	p. 26
Lumbar Puncture	p. 27
Clinical Laboratory Testing	p. 28
Epidemiology of Pediatric Headache	p. 31
Epidemiology of Migraine	p. 32
Incidence	p. 32
Prevalence	p. 32
The AMPP Study	p. 34
Disability	p. 35
Treatment Issues	p. 36
Other Primary Headaches	p. 36
Conclusions	p. 36
Impact of Childhood Headaches	p. 41
Childhood Headache and Quality of Life	p. 41
Evidence-based Assessment in Clinical Practice	p. 42
Summary	p. 42
Emergent Evaluation and Management	p. 45
Emergency-Room Evaluation and Management	p. 45
Treatments of Primary Headache in a Pediatric Emergency Room	p. 53
Management of Primary Headache in an Inpatient Unit	p. 57
Conclusions	p. 59
Pathophysiology of Primary Headaches	p. 61
Migraine	p. 61
Genetic Factors	p. 62
Population Studies	p. 62
Specific Genes	p. 65
Neuropeptides and Transmitters	p. 70
Factors Influencing Headache Characteristics	p. 71
Neuroimaging	p. 73
TTHs: Tension-type Headaches	p. 74
Migraine: Diagnosis and Treatment	p. 83
Diagnosis	p. 83
Treatment	p. 88
Conclusions	p. 95
Childhood Periodic Syndromes	p. 101
BPV: Benign Paroxysmal Vertigo	p. 102
AM: Abdominal Migraine	p. 104
CVS: Cyclical Vomiting Syndrome	p. 107
AHC: Alternating Hemiplegia of Childhood	p. 112
BPT: Benign Paroxysmal Torticolis	p. 114
Tension-type Headache: Diagnosis and Treatment	p. 117
Diagnosis of Tension-type Headaches (TTHs)	p. 117
Epidemiology	p. 120
Treatment	p. 120
Chronic Daily Headaches in Children	p. 125
Classification	p. 126
Epidemiology	p. 127
Clinical Characteristics	p. 128
Diagnosis	p. 130
Management	p. 131
Preventative Therapy	p. 132
Analgesic Agents	p. 136
Nonpharmacologic	p. 137
Prognosis	p. 138
Conclusions	p. 138
Other Primary Headache Disorders	p. 143
Introduction	p. 143
Cluster Headache	p. 144
Paroxysmal Hemicrania	p. 148
SUNCT: Short-Lasting Unilateral Neuralgiform Headache Attacks with Conjunctival Injection and Tearing	p. 150
Probable TAC	p. 152
Differential Diagnosis of 'TAC' and Short-Lasting Headaches	p. 153
Other Primary Headaches	p. 154
Biobehavioral Management of Childhood Headaches	p. 163
Lifestyle Habits	p. 163
Pharmacologic Adherence	p. 164
Nonpharmacological Interventions	p. 165
Summary	p. 168
Sinus Headache and Nasal Disease	p. 169
Identification of Sinus Headache	p. 169
Epidemiology	p. 171
Sinus Headache Diagnosis	p. 173
Treatment	p. 174
Summary	p. 174
Other Nasal Diseases and Headache	p. 175
Posttraumatic Headaches	p. 177
Diagnostic Issues	p. 179
Considerations for Returning to Play After a Concussion Injury	p. 181
Evaluations	p. 182
Neuropsychologic Testing	p. 182
Management	p. 183
Conclusions	p. 185
Headaches Associated with Altered Intracranial Pressure	p. 189
Increased Intracranial Pressure	p. 189
Decreased Intracranial Pressure	p. 196
Other Secondary Headaches	p. 201
Epidemiology	p. 202
Evaluations	p. 204
Selected Secondary Headaches	p. 206
Conclusions	p. 210
Index	p. 213
Table of Contents provided by Ingram. All Rights Reserved.

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Pediatric Headaches in Clinical Practice

Summary

Author Biography

Table of Contents

Supplemental Materials