Headache is defined as a somatic complaint. Incidence has increased in the last years\nprobably due to childrenÃ?´s lifestyle changes. Headaches have a wide variety of causes, either\nprimary or secondary ones. While the majority of headaches are self-limited and benign, headaches\noccasionally herald a life-threatening illness such as a brain tumor, intracranial hemorrhage\nor meningitis. The emergency department physician has to distinguish between ââ?¬Å?benignââ?¬Â\nand ââ?¬Å?seriousââ?¬Â headaches and therefore must have an organized approach to the evaluation of\nthese patients. Obtaining neuro imaging studies on a routine basis are not indicated in children\nwith recurrent headaches. An extensive history and physical examination are crucial and must\nguide the differential diagnosis. Management in the ED must be addressed to establish an accurate\ndiagnosis, ruling out secondary causes, by giving an effective treatment and by providing\na discharge plan that includes treatment and follow up with their primary care physician.
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