Migraine Flashcards
Majority of childhood headaches
Simple tension tyoe headaches resolve within short period with water and paracetemol
Causes of headaches in children
Tension headaches
Migraines
ENT
Analgesic headache
Probelms with cision
Raised ICP
Brain tumours
Menningitis
Encephelitis
Carbon monoxide poisonning
Symptoms of tension headacehes
Mild ache across forehead and pain or pressure in band like pattern around head
Resolve gradually over 30 mins
Symmetrical
Non specific - quiet, stop p,aying, tired
Triggers for tesnions headache
Stress, fear, discomfort
Skipping meals
Dehydration
Infection
Management tension headahces
Reassurance, analgesia, regular meals, avoiding dehydration and reducing sterss
Tyoes of migraine
- Migraine without aura
- Migraine with aura
- Silent migraine (migraine with aura but without a headache)
- Hemiplegic migraine
- Abdominal migraine
Symptoms migaines
Unilateral, more severe, throbbing, longer to resolve
Migraines are ass with
- Visual aura
- Photophobia and phonophobia
- Nausea and vomiting
- Abdominal pain
Manageemnt of migraines in children
Rest, fluids and low stimulus environment
Paracetemol
Ibuprofen
Sumatriptan
Antiemetics
Migraine prophylaxis
Propanolol - avoid in asthma
Pitzotifen - makes drowsy
Topirimate
What are children with migraines more likley to suffer with?
Central abdominal pain that lasts more than 1 hour
Nausea and vomitting
Anorexia
Headache
Pallor
What look for in child with new headache?
Viral URTI
Otitis media
Sinusitis
Tonsilitis
Headache relieves with infection
Where does sinusitis cause inflammation?
Ethmoidal, mazillary frontal or sphemoidal sinuses - facial pain behind nose, forehead and eyes
2-3 weeks resolve
