Specific analysis of baby “headache”
[Introduction]Headaches are not uncommon in childhood, they can be mild or severe, they can be temporary, they can be persistent, and they can recur.
Because the location and accompanying symptoms are different, a comprehensive analysis must be performed in conjunction with the medical history, physical signs, and necessary laboratory tests to find out the cause.
Systemic disease: The most common cause of pediatric headaches is systemic disease.
At this time, the children’s headache symptoms are diverse, ranging in severity, but often transient.
The following situations are common: 1.
Fever: Fever caused by any cause (infection, high temperature environment, dehydration, etc.) can cause headaches, dizziness and bloating to varying degrees.
Nervousness caused by chronic wasting disease or other reasons: Nervousness and excessive fatigue are common causes of headaches, especially when you are physically weak, have insufficient sleep or rest, and suffer from hunger or insufficient nutrition.
Headaches often worsen before meals, and children may feel tired and weak.
With proper rest, increased nutrition, or control of the primary disease, headaches can gradually ease.
Hypertension: There are not many patients with hypertension in childhood. Most of them are caused by kidney diseases (such as acute nephritis, chronic nephritis, renal dysplasia, etc.).
Most children with hypertension will have headaches, often with general head pain or bilateral temporal headache.
If there is a persistent, severe headache with vomiting, diplopia, etc., attention should be paid to the development of hypertensive encephalopathy (cerebral edema).
Metabolic disorders: such as uremia, acidosis, early diabetic coma, hypoglycemia, etc.
Various poisonings: carbon monoxide poisoning, aniline poisoning, metal poisoning, phosphorus, chlorine, sulfur pesticides and pesticides, cyanide, nitrite, carbon tetrachloride, gasoline, hydrogen sulfide and other poisoning can cause headaches and suffer fromAt the same time, other symptoms of poisoning appeared rapidly in children, which can be identified in combination with the history of poisoning.
Neurological headache: headaches vary in severity and location, and no abnormal signs can be detected.
This condition is relatively rare in childhood, and other causes should be carefully excluded before considering this disease.
2.Local craniocerebral factors: In childhood, headaches due to diseases of the eyes, nose, nasopharynx, ears and neck are very common, and the symptoms are also different.
1.Eye diseases: headache is more common in refractive errors (myopia, hyperopia, astigmatism), increased intraocular pressure disorders.
Among them, headaches caused by refractive errors are the most common. At this time, headaches mostly occur in the forehead, sometimes radiating to the back of the pillow, showing persistent pain, sometimes more severe, headaches worsened after reading a book or focusing on a little.
Corneal stroma, iritis, iridocyclitis, uveitis, congenital lens dislocation, congenital glaucoma, intraorbital tumors and other eye diseases can increase intraocular pressure and cause obvious headache symptoms in children.
2.Sinusitis: Acute and chronic sinusitis are often accompanied by headaches.
The location of the headache is on the same side as the inflamed sinus mucosa, which is related to the position and emptying of nasal secretions, and there is a certain time.
Otitis media: Acute and chronic otitis media can cause headaches.
The headache is reflex and is on the same side as the affected ear.
4.Nasopharyngeal diseases: adenoid hypertrophy, post-pharyngeal abscess, and craniopharyngioma of the nasopharynx can cause pain in one or both sides of the forehead.
5.Neck disease: Headache can be found in cervical muscle injury or inflammation, cervical spine disease (osteomyelitis, tumor), neck skin or subcutaneous tissue inflammation, etc.Severe headaches mostly occur in the posterior occipital region, and they occur concurrently with pain and complications, and there are tenderness at the junction of the craniocervical neck, and some may submit sensitive headaches, which can last for several months, sometimes mild and severe.
3.Craniocerebral diseases: Pediatric craniocerebral diseases are almost only short-term symptoms, most of which are caused by increased intracranial pressure, direct dural stimulation or traction, and abnormal contraction of cerebral blood vessels, relaxation or pulsation.
In addition, the cerebral and cervical nerves are more sensitive to pain, and headaches can also occur when damaged.
Headaches caused by intracranial brain diseases are often accompanied by other neurological symptoms, such as disturbances of consciousness, meningeal irritation, abnormalities in shallow and deep reflexes, autonomic dysfunction, localization and dyskinesia, ataxia and paresthesia.
Headaches caused by craniocerebral diseases are common in the following situations: 1.
Infectious diseases of the central nervous system: meningitis, encephalitis, toxic or infectious encephalopathy.
2.Craniocerebral injury: concussion, subdural hematoma, subarachnoid hemorrhage, brain tissue damage.
3.Intracranial mass injury: various intracranial tumors and metastases, cerebral parasitic disease and brain abscess.
4.Cerebrovascular disease: If the face of the child has obvious vascular stasis and neurological symptoms appear, the possibility of intracranial meningeal hemangioma should be considered.