Headache

Question 1

Below what age should a child presenting with headache be urgently referred for neurological assessment?

Answer 1

4 years

Question 2

What are the red flag symptoms for a child under 12 years presenting with headache?

Answer 2

• Waking at night or present on waking in the morning
• Features of meningism
• Vomiting or ataxia
• Aggravated by coughing, sneezing, or bending down
• Progressively worsens
• Change in conscious level or pervasive lethargy
• Within 5 days of head injury
• Squint or failure of upward gaze
• New onset cognitive dysfunction