Fifteen minute consultation: headache in children under 5 years of age

Arch Dis Child Educ Pract Ed. 2013 Oct;98(5):181-5. doi: 10.1136/archdischild-2012-303529. Epub 2013 Jul 13.

Abstract

Headache occurring in children under the age of 5 years may cause a high level of anxiety in both parents and medical professionals. Crucial to a consultation about this problem will be to actively seek out clues to sinister pathologies, and investigate or reassure as appropriate. Making a positive diagnosis of a primary headache disorder where one exists is also important; however, in young children, headache does not always conform to well-established diagnostic criteria. This short guide provides a practical overview using the scenario of a new referral to the outpatient clinic.

Keywords: Child, preschool; Neurology; headache.

MeSH terms

  • Brain Diseases / complications
  • Brain Diseases / diagnosis*
  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnosis*
  • Child, Preschool
  • Female
  • Headache Disorders, Primary / diagnosis*
  • Headache Disorders, Primary / etiology
  • Headache Disorders, Secondary / diagnosis*
  • Headache Disorders, Secondary / etiology
  • Humans
  • Infant
  • Male
  • Neurologic Examination / standards
  • Pediatrics*
  • Practice Guidelines as Topic
  • Referral and Consultation*