Headache

Brain tumor
Concussion
Increased intracranial pressure
Migraine
Tension type headache
  • 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

Headache in Children Klein J, Koch T. Headache in Children. Pediatrics in Review 2020; 41(4): 159-171.

https://doi.org/10.1542/pir.2017-0012

Good review article outlining appropriate history questions when encountering a patient with headache, approach to primary vs. secondary headache disorders and a comprehensive overview of pharmacological and nonpharmacological approach to treatment.

Headache in Children and Adolescents. Szperka C. Headache in Children and Adolescents. Continuum 2021; 27(3): 703-731.

https://doi.org/10.1212/con.0000000000000993

Comprehensive overview of approach to headache diagnosis and management. Reviews up to date evidence in headache management of treatment.

Pediatric Hydrocephalus: Current State of Diagnosis and Treatment. Zachary Wright, Thomas W. Larrew, Ramin Eskandari; Pediatric Hydrocephalus: Current State of Diagnosis and Treatment. Pediatr Rev November 2016; 37 (11): 478–490.

https://doi.org/10.1542/pir.2015-0134

Good overview of pediatric hydrocephalus with very informative images.

Clinical Resources

Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications CPS position statement

https://pedsconcussion.com/wp-content/uploads/2019/07/Tool-2.2-PECARN-Management-Algorithm.pdf

PECARN algorithm for head imaging in children after head trauma

Patient Education Resource Kit: Migraine Management in one source!

https://migrainecanada.org/patient-education-resource-kit-migraine-management-in-one-source/

A great patient resource outlining pathophysiology of headache, migraine care, and pharmaceutical interventions. This is not pediatric specific, but much of this information does apply to the pediatric population.

The Living Guideline for Pediatric Concussion

https://pedsconcussion.com

A great up-to-date clinical practice guideline

Approach to Pediatric Migraines

https://pedscases.com/approach-pediatric-migraines

A good summary of an approach to pediatric migraine.

Elevated Intracranial Pressure

https://pedscases.com/elevated-intracranial-pressure

A good summary of an approach to increased intracranial pressure.


Virtual Patients or Cases

Approach to Pediatric Migraines

https://www.pedscases.com/approach-pediatric-migraines

Podcast about pediatric migraine

Episodic Syndromes That May Be Associated with Migraine in Children

https://www.pedscases.com/episodic-syndromes-may-be-associated-migraine-children

This podcast covers episodic syndromes that may be associated with migraine in children.

Cards

Headache

Headache

Canuc-Paeds physician authored, replayable cases