PEDIATRIC HEADACHES: DOES NEUROIMAGING CONTRIBUTE TO DIAGNOSIS?

Objective
 Headache is a common complaint in childhood.
 While the etiology usually benign, such as migraine
 or tension-type headache, cranial imaging often
 performed on patients to identify any missed serious
 underlying pathology. In present study we assess
 and clinical characteristics of headaches
 children establish diagnostic contribution of
 methods.
 Material Method
 This retrospective included who
 presented with headaches Pediatric
 Neurology Outpatient Clinic Süleyman Demirel
 University Faculty Medicine between 2019 and
 2022. information (frequency, duration,
 type, characteristics, intensity, localization, accompanying findings) was obtained, cranial
 results were recorded. Headaches
 classified according criteria established by
 International Society.
 Results
 The 234 aged 2–18 years
 mean age 12.56 years, which 64.5% were
 female. diagnosis primary in
 68.4% patients, 46.2%, migraine 31.2%, other primary
 headache causes 22.5%. Among secondary
 headaches, disorders cranium, neck, eyes,
 ears, nose, sinuses, teeth cervical structures
 accounted for 79.7%, most cause
 being sinusitis. Cranial on
 66.7% 51.9% identified
 abnormal findings. 14.1% imaging
 evaluated incidentally
 detected cerebral abnormalities potential clinical
 significance; 10.3% findings that found
 incidentally had no significance. The
 treatment these did not change the
 result. Another 25% as
 extracerebral abnormality associated headache.
 Only one patient's outcome with
 headache. patient diagnosed sinus vein
 thrombosis arranged.
 Conclusion
 majority childhood identified found be leading infection
 migraine, methods to
 little benefit. It concluded that
 detailed assessment presenting
 could clarify etiology, while
 may useful selected cases.