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Academia Mexicana de Neurología, A.C.

2016, Number 3

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Rev Mex Neuroci 2016; 17 (3)

Headache in the pediatric patient

García HLG, González CM

Language: Spanish
References: 40
Page: 70-89
PDF size: 192.19 Kb.


ABSTRACT

Headache is a problem that commonly afflicts the pediatric population. Migraine, in particular, shows a substantial adverse impact on the child’s life and on the child’s family. Therefore, it is of the upmost importance to utilize a valid, reliable and widespread classification system with the goal of making thoughtful diagnoses with complete assessments of the underlying biological mechanisms of the pathology, as well as sharing risk factor profiles, evaluating patient clinical course and patient response to treatment. This publication takes into account the most recent published classification proposals included in the 2013 journal of headache, ICHD-III beta. Diagnosis of headache is mainly based on clinical criteria set out by the International Headache Society (IHS), which takes into account the presence and identification of secondary causes, which in turn can be determined through the systematic process of patient history and physical examination. Furthermore, it is crucial to keep in mind during evaluation that headache has a high number of associated comorbidities, including various psychiatric, neurological and cardiovascular disorders that must be discarded. In addition it is important to note that the pathophysiology of migraine is still controversial, and that 70% of cases have an identifiable and preventable precipitating factor, making a patient’s diary a useful and objective tool to determine frequency and precipitating factors of events. Finally, it is essential to individualize medical treatment to ensure lasting and significant results.


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