Clinical News & Knowledge: Headache
November 1, 2007
Pediatric Migraine: Diagnosis—Early Intervention at School
In most children, migraine manifests with severe bilateral pain, nausea and/ or vomiting, and photophobia or phonophobia. More »
February 1, 2007
Photo Quiz: Making the Rounds: Round 2
The rash on the upper torso, arms, and back of an 11-year-old started after he had a headache and fever for 3 days. The patient also has a distinctive pharyngitis with redness and some petechiae. More »
February 1, 2007
WHATS YOUR DIAGNOSIS?
Sixteen-year-old boy referred to pediatric emergency department (ED) by his primary care physician with a history of headache, blurred vision, and mild proptosis of right eye. Vision: 20/200 OD (right eye) and 20/25 OS (left eye). More »
February 1, 2007
Case in Point: Herpes Zoster Meningitis
An 18-year-old presented to the emergency department (ED) with a 1-day history of severe headache of sudden onset and vomiting. He denied fever, neck pain, and photophobia. There was no history of head trauma, ill contacts, tick bite, or rash. The patient did not have a history of headaches, but his... More »
December 1, 2006
Case in Point: Heart Block as the Presenting Symptom of Lyme Disease
A 16-year-old girl presented to the emergency department (ED) with a 24-hour history of feeling tired and weak. The patient reported that she awoke that morning with the "worst headache of her life" and "passed out" while sitting on the edge of her bed. She did not tell her friends or family. More »
October 1, 2006
Woman With Worsening Headaches and Neurologic Symptoms the dialogue: Primary care doctor: This patient has severe, worsening headaches associated with progressive neurologic symptoms. What would be your diagnostic approach? Headache specialist: First, we need to find out why her symptoms are worsening. In our practice, we frequently see patients with migraine who report worsening headaches. However, this patient also reports neurologic symptoms that are becoming more intense and...
September 1, 2006
Woman With Frequent Severe Headaches the dialogue: Primary care doctor: Is this patient experiencing a single type of headache? Headache specialist: This patient presented with "frequent severe headaches" and did not distinguish between those that manifest behind her eye and those that involve half or all of her head. The clinical features of her headaches vary with the site of pain; this suggests the presence of separate headache entities.The duration of her headaches varies. Some...
September 1, 2006
Pediatric Migraine: Clinical Pearls in Diagnosis and Therapy
Steven, a 13-year-old boy, experienced his first headache at age 7 years. The frequency, intensity, and duration of his headaches have been increasing over the past 6 months. Steven now experiences 7 to 10 headaches each month that last up to 8 hours. The headaches are associated with mild nausea,... More »
February 11, 2006
RSNA research highlights imaging's role in avian flu
A perpetual headache for congress organizers is thinking of ways to ensure that people stay at a meeting until the final day. As clinical workloads continue to rise, spending time away from the hospital becomes increasingly difficult. This explains why the RSNA and ECR meetings tend to go very quiet... More »
August 1, 2005
Photo Finish: Acute Dx: What Cause of Sudden Illness?
For several days, a 9-year-boy has had painful swelling on the top and left side of his forehead, bilateral eye swelling, intermittent fever, and nasal congestion. He was seen in the office 4 weeks earlier, after he had hit his left eye on a school desk. At that time, he presented with a left... More »
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