두통 Headache

Headache 두통

Figure 1-107. Scalp, skull, meninges, brain Headache can be caused by some abnormality in the scalp, skull, meninges, cerebrum, etc. The meninges are the membranes that surround the brain and are composed of dura mater, arachnoid membrane, and smoke membrane.

The dura mater is called the dura mater, the arachnoid membrane is called the arachnoid or retinal membrane, and the smoke membrane is called the oil membrane or smoky. The membrane surrounding the brain and spinal cord is called the meninges. Copyright ⓒ 2013 John Sangwon Lee, MD., FAAP

Overview and causes of headache

• Headache is not a disease, it is a symptom.

• Almost all adults experience headaches at least once or twice, or more.

• By the age of 15, 75% of children and adolescents are reported to experience headaches.

• There are also many children and adolescents who suffer from headaches without knowing.

• Studies have shown that 25% of end-stage adolescent children aged 16-18 years experience severe or mild headaches 44.

• In general, the cause of headaches in children and adolescents is almost the same as that of adults.

• When pediatric and adolescent children complain of headaches, some parents start worrying about developing headaches from brain tumors or other dangerous brain diseases.

Types of headaches

• Most headaches in children and adolescents are caused by a simple cause. • Headaches such as tension headaches, migraine headaches, or cluster headaches (collective headaches/cluster headaches/cluster headaches) do not have brain problems.

• This type of headache is called a primary headache (benign headache).

• Brain tumors, brain abscesses, encephalitis, high blood pressure, or poisoning can cause organic lesions in the brain, which can lead to headaches. This headache is called secondary headache (morbid headache). It is important to differentiate between these two headaches.

• In addition, as a symptom of fever or some disease, acute headache caused by trauma to the central nervous system, drugs, brain tumors, or minor head trauma,

• Accidental headaches such as migraine headaches

• or acute recurrent headaches that come on a regular basis,

• Headaches become more and more severe from day to day, such as with organic disorders of the brain parenchyma, and there are also chronic progressive headaches with double vision, eruptive vomiting, alertness, and abnormal neurological symptoms or signs.

• Does not get worse from day to day, has no abnormal neurological symptoms or signs, such as tension headache, muscle spastic headache, drug headache, or atypical or chronic headache, and sometimes occurs accidentally and does not occur more than 15 days a month. There are also chronic non-progressive headaches.

• Headaches can be classified as mixed type headaches, which are caused by a mixture of the various types of headache symptoms described above.

• The most common causes of headaches in children and adolescents are colds or other types of viral upper respiratory tract infections, bacterial respiratory infections, or viral or bacterial infections of systems other than the respiratory system.

• The severity of headaches varies, and the types of headaches that appear vary.

How to express a headache (head pain) in severity.

① My head aches at regular intervals as if playing a drumstick.

② Headache appears dull all over the head, as if tightening the head with a band. ③ Sometimes, the head hurts as if a balloon is stretching.

④ My head keeps hurting constantly.

⑤ My head hurts for a while, then it doesn’t hurt anymore, and after a while it hurts again. ⑥ I have a fever while my head hurts, or only my head hurts without a fever.

⑦ Headache, abdominal pain, or other symptoms. If a doctor knows the degree and type of headache that a patient complains of, it can be very helpful in diagnosing and treating the cause of the headache. When you go to the Pediatrics Department for a headache that your children have, providing your doctor with the following information can be of great help in diagnosing treatment.

• A history of where and when you bumped your head and where and when you fell is also very helpful in diagnosing and treating headaches.

• Whether a headache occurs only in spring, when the density of outdoor pollen is high, or whether a headache occurs when you have allergic rhinitis. • Are you experiencing headaches only when you have other mental and psychological problems?

• Are there any headaches due to pain in the cranial joints on the mandibular side?

• Whether the headache goes away after a good night’s sleep or after getting enough mental and physical rest.

• Have you recently moved or transferred to another school?

• If your parents have recently divorced or who has died

• Whether any of your parents or siblings have had a history of headaches or family history

• etc

출처와 참조 문헌 Sources and references

• NelsonTextbook of Pediatrics 22ND Ed
• The Harriet Lane Handbook 22ND Ed
• Growth and development of the children
• Red Book 32^nd Ed 2021-2024
• Neonatal Resuscitation, American Academy Pediatrics

• www.drleepediatrics.com제12권. 소아청소년 신경 정신 질환, 행동 수면 문제
• www.drleepediatrics.com제7권 소아청소년 감염병
• Red book 29th-31st edition 2021
• Nelson Text Book of Pediatrics 19^{th —} 21st Edition

• The Johns Hopkins Hospital, The Harriet Lane Handbook, 22nd edition

• Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
• Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
• Emergency care, Harvey grant, and Robert Murray
• Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
• Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
• Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
• The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
• Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
• Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
• Manual of Emergency Care
• 응급환자관리 정담미디어
• 소아가정간호백과–부모도 반의사가 되어야 한다, 이상원
• Neonatal Resuscitation American heart Association
• Neonatology Jeffrey J.Pomerance, C. Joan Richardson
• Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
• Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
• Preparation for Birth. Beverly Savage and Dianna Smith
• Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
• The Harriet Lane Handbook 19th Edition
•  Handbook of Pediatric Neurology, Katherine B. Sims, MD
• 소아과학 대한교과서
• 제1권 소아청소년 응급의료 참조문헌과 출처
• Other