Which specialist consultations are beneficial to patients with pediatric headache?

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

The primary care physician can manage a significant portion of pediatric headaches and can reserve neurologic referral for complicated headache patterns, headaches refractory to treatment, and headaches with a suspected structural etiology.

Consultation with a surgeon is appropriate for headache caused by mass lesions, intracranial hemorrhage, or abscess.

Chronic recurrent headaches should be referred to either a pediatric neurologist or a neurosurgeon, depending on the cause.

Note that an ophthalmologic consultation frequently is requested to evaluate for refractive abnormalities; although this scenario is possible, an excessive tendency exists to attribute headaches to this problem.


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