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Headache in Children and Adolescents: Evaluation and Diagnosis, Including Migraine and Its Subtypes

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The Cleveland Clinic Manual of Headache Therapy

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Abstract

This chapter reviews the evaluation and diagnosis of children and adolescents who present with episodic migraine and its subtypes. The first part of the chapter describes the evaluation of headaches in children and adolescents. Clinical pearls on common temporal patterns, likelihood of secondary headache, proper examination, and shortcuts to diagnosis are presented. An extensive section on pediatric headache characteristics is provided to expedite diagnosis. Guidelines on ancillary pediatric workup are provided, in particular when and how to look for secondary causes of headache. Key epidemiologic features of pediatric headache that bear on diagnosis are summarized. Crucial diagnostic criteria for pediatric episodic migraine with and without aura are reviewed. The chapter concludes with a discussion of pediatric hemiplegic migraine and basilar-type migraine.

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Author information

Authors and Affiliations

  1. Pediatric Neurology, S60, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA

    Catalina Cleves M.D.

  2. Pediatric Neurology, Cleveland Clinic, Cleveland, OH, USA

    A. David Rothner M.D.

Authors
  1. Catalina Cleves M.D.
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  2. A. David Rothner M.D.
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Corresponding author

Correspondence to Catalina Cleves M.D. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine Center for Headache and Pain, Neurological Institute Cleveland Clinic, Cleveland, OH, USA

    Stewart J. Tepper MD (Professor of Medicine (Neurology) (Professor of Medicine (Neurology)

  2. Center for Headache and Pain, Neurological Institute Cleveland Clinic, Cleveland, OH, USA

    Deborah E. Tepper MD

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© 2011 Springer Science+Business Media, LLC

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Cleves, C., Rothner, A.D. (2011). Headache in Children and Adolescents: Evaluation and Diagnosis, Including Migraine and Its Subtypes. In: Tepper, S.J., Tepper, D.E. (eds) The Cleveland Clinic Manual of Headache Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0179-7_6

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  • DOI: https://doi.org/10.1007/978-1-4614-0179-7_6

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0178-0

  • Online ISBN: 978-1-4614-0179-7

  • eBook Packages: MedicineMedicine (R0)

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