ACR Appropriateness Criteria on headache-child.
In a pediatric patient with an isolated headache or a classic migraine unaccompanied by neurologic signs, presence of a seizure, or supporting historical data, an imaging workup is usually not indicated. For a sudden severe headache or a headache with positive neurologic signs or symptoms or supporting historical data, MRI or CT should be considered. For the acute severe (thunderclap) headache, CTA, MRA, or catheter angiography may be appropriate.
Strain
John D
JD
Department of Radiology, The Children's Hospital, Denver, CO 80218, USA. strain.john@tchden.org
D000293:Adolescent; D000367:Age Factors; D002648:Child; D003952:Diagnostic Imaging / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006261:Headache / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010147:Pain Measurement; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012955:Societies, Medical / Q000592:standards*; D014057:Tomography, X-Ray Computed / Q000379:methods; D019564:Unnecessary Procedures