Headache is not uncommon in children with a view to re-light for a temporary, can be sustained, can also be recurrent. Due to the site and not associated with the same symptoms, we must combine history, physical examination and laboratory tests necessary to make a comprehensive analysis to identify the reasons.
⒈ systemic diseases: infantile period led to the most common causes of headache is a systemic disease. At this point, the children with a variety of symptoms, the severity varying degrees, but is often temporary. Have the following common situations:
⑴ heat: for any reason (infection, high temperature, dehydration, etc.) caused by fever, can cause varying degrees of headache, dizziness.
⑵ chronic wasting disease or other causes of stress: nervous tension, fatigue is a common cause of headache, in particular, physical weakness, lack of sleep to rest, hunger or nutritional deficiencies in the supply of common headaches. Headache often increase in the eating, and children can not feel tired. Proper rest, nutrition or control the primary disease, headaches can be eased gradually.
⑶ hypertension: hypertension in patients with small children, mostly from kidney disease (such as acute nephritis, chronic nephritis, renal dysplasia, etc.) caused. Most children with high blood pressure headache, often head for the whole two-temporal pain or headache. If the comparison of continuous severe headache, with vomiting, diplopia, etc., should pay attention to whether the development of hypertensive encephalopathy (cerebral edema).
⑷ diseases metabolic disorders: such as uremia, acidosis, diabetic coma early, such as low blood sugar.
⑸ various poisoning: carbon monoxide poisoning, aniline poisoning, metal poisoning, phosphorus, chlorine, sulfur insecticides and pesticides, cyanides, nitrites, carbon tetrachloride, gasoline, hydrogen sulfide can lead to poisoning, such as headache, At the same time, the rapid emergence of other children with symptoms of poisoning, combined with the history of poisoning can be identified.
⑹ functional nerve headache: a headache and the severity of different parts, inspection no abnormal signs. This situation is relatively rare in the pediatric period, should be carefully ruled out other reasons, be considered for this disease.
⒉ head outside the local factors: In the pediatric period, due to the eye, nose, nasopharynx, ears, neck and headache diseases are very common symptoms also varies.
⑴ eye diseases: headache was particularly prevalent in the refractive errors (myopia, hyperopia, astigmatism), increased intraocular pressure disorders. Among them, the headache caused by refractive errors up to see, when the headache occurred in frontal, occipital and sometimes after the radiation, manifested as persistent pain, and sometimes more intense, focused on reading or watching a little heavier after the headache. Children keratitis, iritis, iridocyclitis, uveitis, congenital lens dislocation, congenital glaucoma, orbital tumors and other eye diseases so that intraocular pressure can be increased, resulting in children with obvious symptoms .
⑵ sinusitis: acute and chronic sinusitis is often accompanied by headache. Headache and inflammation of parts of the sinus mucosa in the same side, nasal secretions and emptying position and conditions, and have some time.
⑶ nasopharyngeal diseases: adenoidal hypertrophy, retropharyngeal abscess, nasopharyngeal craniopharyngioma can cause unilateral or bilateral pain in the forehead.
⑷ media: acute and chronic otitis media can cause a headache. Headache for the reflex, and suffering from the ipsilateral ear.
⑸ neck diseases: headache can be found in the cervical injury or inflammation, of cervical lesions (osteomyelitis, tumor), inflammation of the neck, such as skin or subcutaneous tissue. Such headaches occur in the post-occipital, and neck pain the same time, and location in the cranio-cervical junction are tenderness, headache and some were radioactive, and sustainable for several months, the time when light weight.
⒊ within brain diseases: diseases in children with a view to almost all brain symptoms, most of intracranial hypertension, subdural, or traction, as well as direct stimulation of cerebral vascular anomalies systolic and diastolic, or pulse caused. In addition, the brain and neck nerve more sensitive to pain, headache can also be damaged.
Brain diseases with headache often accompanied by other neurological symptoms, such as disturbance of consciousness, meningeal irritation, shallow and deep reflection abnormal autonomic dysfunction, positioning and movement disorders, such as ataxia, and paresthesia.
Brain diseases with headache is commonly found in the following situations:
⑴ the central nervous system infections: meningitis, encephalitis, toxic encephalopathy, or infection.
⑵ brain injury: cerebral concussion, subdural hematoma, subarachnoid hemorrhage and brain injury.
⑶ intracranial space-occupying lesions: a variety of intracranial tumors and metastatic tumors, cerebrovascular disease and brain abscess parasites.
⑷ cerebral vascular disease: if the children face significant vascular birthmark and neurological symptoms occur, consideration should be given intracranial meningeal possibility of hemangioma.
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