Headache

Brain tumor
Concussion
Increased intracranial pressure
Migraine

  • Describe the anatomy and pain sensing structures of the head and neck
  • Classify headaches by etiology and explain the pathophysiology of each type
  • Outline the pathophysiology of increased intracranial pressure (ICP)
  • Describe the tissue origins and pathophysiology of central nervous system tumors
  • Apply the basic principles of pharmacology in the management of headache

Overview & Foundational Knowledge

Blume HK. Pediatric Headache: A Review. Pediatrics in Review 2012; 33: 562-576.

Good and clear review article.  Epidemiology of headaches, patterns of headache (nice graph), primary headache syndromes, secondary headaches, substances that can cause headaches, headaches in systemic disease, evaluation of headache, red flags and neuroimaging studies. Management of headaches. 

Comprehensive review of headache in children.

Discusses pathophysiology of headache, causes of headache in children, headache classification and management.

Annequin D, Tourniaire B & Massiou H.  Migraine and headache in childhood and adolescence.  Pediatric Clinics of North America 2000; 47(3), 617–631.
Tator CH. Primer: Concussions and their consequences: current diagnosis, management and prevention. CMAJ 2013; 185(11): 975–979.

Good tables on key points, neurological and psychological disorders in concussion, graduated return to activities and prevention of concussion. Practice points on diagnosis and management of concussions.

Purcell L, Kissick J & Rizos J. Five Things to Know About Concussion.  CMAJ 2013; 185(11): 981.

Important things to know about concussion.

Clinical Resources

Evaluation and management of children and adolescents with sports related concussion

http://www.cps.ca/documents/position/sport-related-concussion-evaluation-management

http://www.cps.ca/fr/documents/position/commotion-cerebrales-liees-au-sport

Canadian Pediatric Society Position Statement (2012, 2014)

Clinical Presentations