{"id":170,"date":"2014-03-17T02:50:06","date_gmt":"2014-03-17T02:50:06","guid":{"rendered":"https:\/\/www.pupdoc.ca\/?page_id=170"},"modified":"2026-01-03T14:04:44","modified_gmt":"2026-01-03T14:04:44","slug":"headache","status":"publish","type":"page","link":"https:\/\/www.pupdoc.ca\/en\/headache\/","title":{"rendered":"Headache"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#961622&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header title=&#8221;Headache&#8221; text_orientation=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover=&#8221;null&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover=&#8221;null&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover=&#8221;null&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover=&#8221;null&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover=&#8221;null&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover=&#8221;null&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover=&#8221;null&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover=&#8221;null&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover=&#8221;null&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover=&#8221;null&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover=&#8221;null&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover=&#8221;null&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover=&#8221;null&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover=&#8221;null&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_tabs module_class=&#8221;key-conditions&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_tab title=&#8221;Key Conditions&#8221; _builder_version=&#8221;4.27.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]Brain tumor<br \/>\nConcussion<br \/>\nIncreased intracranial pressure<br \/>\nMigraine<br \/>\nTension type headache[\/et_pb_tab][et_pb_tab title=&#8221;Foundational Knowledge&#8221; _builder_version=&#8221;4.27.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Describe the anatomy and pain sensing structures of the head and neck<\/li>\n<li>Classify headaches by etiology and explain the pathophysiology of each type<\/li>\n<li>Outline the pathophysiology of increased intracranial pressure (ICP)<\/li>\n<li>Describe the tissue origins and pathophysiology of central nervous system tumors<\/li>\n<li>Apply the basic principles of pharmacology in the management of headache<\/li>\n<\/ul>\n<p>[\/et_pb_tab][et_pb_tab title=&#8221;Resources&#8221; _builder_version=&#8221;4.27.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Headache in Children <\/strong>Klein J, Koch T. Headache in Children. Pediatrics in Review 2020; 41(4): 159-171.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.2017-0012\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.2017-0012<\/a><\/p>\n<p><em>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. <\/em>\n<\/td>\n<\/tr>\n<tr>\n<td><strong>Headache in Children and Adolescents. <\/strong>Szperka C. Headache in Children and Adolescents. Continuum 2021; 27(3): 703-731. <\/p>\n<p><a href=\"https:\/\/doi.org\/10.1212\/con.0000000000000993\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1212\/con.0000000000000993<\/a><\/p>\n<p><em>Comprehensive overview of approach to headache diagnosis and management. Reviews up to date evidence in headache management of treatment.<\/em>\n<\/td>\n<\/tr>\n<tr>\n<td><strong>Pediatric Hydrocephalus: Current State of Diagnosis and Treatment. <\/strong>Zachary Wright, Thomas W. Larrew, Ramin Eskandari; Pediatric Hydrocephalus: Current State of Diagnosis and Treatment. Pediatr Rev November 2016; 37 (11): 478\u2013490. <\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.2015-0134\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.2015-0134<\/a><\/p>\n<p><em>Good overview of pediatric hydrocephalus with very informative images.<\/em>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div><\/p>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Clinical Resources<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications<\/strong> CPS position statement<\/p>\n<p><a href=\"https:\/\/pedsconcussion.com\/wp-content\/uploads\/2019\/07\/Tool-2.2-PECARN-Management-Algorithm.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pedsconcussion.com\/wp-content\/uploads\/2019\/07\/Tool-2.2-PECARN-Management-Algorithm.pdf<\/a><\/p>\n<p><em>PECARN algorithm for head imaging in children after head trauma<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Patient Education Resource Kit: Migraine Management in one source!<\/strong><\/p>\n<p><a href=\"https:\/\/migrainecanada.org\/patient-education-resource-kit-migraine-management-in-one-source\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/migrainecanada.org\/patient-education-resource-kit-migraine-management-in-one-source\/<\/a><\/p>\n<p><em>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. <\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>The Living Guideline for Pediatric Concussion<\/strong><\/p>\n<p><a href=\"https:\/\/pedsconcussion.com \" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pedsconcussion.com <\/a><\/p>\n<p><em>A great up-to-date clinical practice guideline<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Approach to Pediatric Migraines<\/strong><\/p>\n<p><a href=\"https:\/\/pedscases.com\/approach-pediatric-migraines\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pedscases.com\/approach-pediatric-migraines<\/a><\/p>\n<p><em>A good summary of an approach to pediatric migraine.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Elevated Intracranial Pressure<\/strong><\/p>\n<p><a href=\"https:\/\/pedscases.com\/elevated-intracranial-pressure\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pedscases.com\/elevated-intracranial-pressure<\/a><\/p>\n<p><em>A good summary of an approach to increased intracranial pressure.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div><br \/>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Virtual Patients or Cases<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Approach to Pediatric Migraines<\/strong><\/p>\n<p><a href=\"https:\/\/www.pedscases.com\/approach-pediatric-migraines\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.pedscases.com\/approach-pediatric-migraines<\/a><\/p>\n<p><em>Podcast about pediatric migraine<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Episodic Syndromes That May Be Associated with Migraine in Children<\/strong><\/p>\n<p><a href=\"https:\/\/www.pedscases.com\/episodic-syndromes-may-be-associated-migraine-children\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.pedscases.com\/episodic-syndromes-may-be-associated-migraine-children<\/a><\/p>\n<p><em>This podcast covers episodic syndromes that may be associated with migraine in children.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div><\/p>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Cards<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Headache<\/strong><\/p>\n<p><a href=\"https:\/\/cards.ucalgary.ca\/deck\/595\" target=\"_blank\" rel=\"noopener noreferrer\">Headache<\/a><\/p>\n<p><em>Canuc-Paeds physician authored, replayable cases<\/em><\/td>\n<\/tr>\n<tr>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;||0px|&#8221; custom_padding_phone=&#8221;||0px|&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/abdominal-pain-abdominal-mass\/\">Abdominal Pain &amp; Abdominal Mass<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/acutely-ill-child\/\">Acutely Ill Child<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/adolescent-health-issues\/\">Adolescent Health Issues<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/altered-loc\/\">Altered Level of Consciousness<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/bruising-bleeding\/\">Bruising \/ Bleeding<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/dehydration\/\">Dehydration<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/development-behavioural-learning-problems\/\">Development \/ Behavioural \/ Learning Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/diarrhea\/\">Diarrhea<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/edema\/\">Edema<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/eye-issues\/\">Eye Issues<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; custom_css_main_element=&#8221;margin-bottom: 0px !important;&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/fever\/\">Fever<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/genitourinary-complaints\/\">Genitourinary Complaints<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/growth-problems\/\">Growth Problems<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/headache\/\"><strong>Headache<\/strong><\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/inadequately-explained-injury\/\">Inadequately explained injury<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/limp-extremity-pain\/\">Limp \/ Extremity Pain<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/lymphadenopathy\/\">Lymphadenopathy<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/mental-health-concerns\/\">Mental Health Concerns<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/murmur\/\">Murmur<\/a><br \/><a href=\"https:\/\/www.pupdoc.ca\/neonatal-jaundice\/\">Neonatal Jaundice<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; 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