Which clinical history findings are characteristic of head trauma-related pediatric headaches?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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Answer

Headaches frequently follow closed-head trauma. The headache may appear acutely or may be present for months after the initial injury. Acutely, the patient may complain of headache shortly after the injury, which may worsen and may be accompanied by vomiting, lethargy, or seizures; these may be the earliest symptoms of an intracranial hemorrhage. In chronic cases, headache, dizziness, sleep disturbances, and personality changes may be present for months after the initial injury. Headache is a key feature of the postconcussive syndrome.


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