Male Speaker: A very common referral to is headache. How do you know a headache is something not so serious from the headache that could be somewhat serious?
Steven Pavlakis: Well, headaches are very common in children and most patients that have headaches that are children tend to have migraines. The way we know if someone has a migraine is by history.
Migraines tend to run in families, they tend to cause headaches that last from half an hour to days and the headaches were commonly associated with nausea, dizziness, sometimes vomiting and the child will actually during a headache not like lights and noises very typically will turn off the lights or will say things be quite to his mother or her mother and finally headaches that are migraines that are not concerning in terms of any bad stuff going on tend to be made better by lying down, so if one meets all those criteria that is we assuring and we don't generally do tests on those patients if they are normal and we examine them.
Male Speaker: When do you think a headache isn’t cared or something very serious?
Steven Pavlakis: Well, I think serious headaches are very rare in children but if a headache is worst one when lies down, if its waking patients up from sleep although migraines can wake you up from sleep so that shouldn't be something that makes everyone anxious in and of itself and certainly if they have an abnormal neurological examination that can be something more serious and would require brain imaging.
Male Speaker: That means.
Steven Pavlakis: Brain imaging.
Male Speaker: Is that mean then if a kid can’t move one arm that's a problem, isn’t it?
Steven Pavlakis: Well, if a child has a headache and can’t move an arm that still can be a migraine but certainly should be looked at urgently.
Male Speaker: What about if a kid wakes up in the morning everyday has headache and vomiting, is that hallmark of anything?
Steven Pavlakis: Well, you can wake up with the migraine in the morning but if it’s a new answer problem and they are waking up every morning and waking up from sleep vomiting that would be of some concern.
Male Speaker: What about if the kid sees double?
Steven Pavlakis: Again that could be a neurological problem; any new neurological finding would be of concern in the context of having a headache in addition.
Transcription by:
Scribe4you Transcription Services