TY - CHAP M1 - Book, Section TI - Chapter 22. Headache A1 - Lueder, Gregg T. Y1 - 2011 N1 - T2 - Pediatric Practice: Ophthalmology AB - Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My child is having headaches.”Common CausesMigraineTension headacheOther CausesEyestrain (uncommon cause of headache)Accommodation difficultyHigh refractive errorIncreased intracranial pressureTumorHydrocephalusIdiopathic intracranial hypertensionKEY FINDINGSHistoryMigraineUsually fairly severe headacheChild stops activities to lie down or go to school nurseNausea/vomitingProdromal visual symptomsSparkling colors, jagged lines, visual field changesFamily historyTension headacheOften situational (e.g., during school)Less severe symptomsDo not stop activitiesEyestrainEye fatigue or double visionWorse when readingIncreased intracranial pressureProgressive symptoms, more constantHeadache may awaken child from sleepNausea, vomitingDouble visionTransient episodes of vision lossExaminationMigraineNormal visionNormal examinationIf seen during headache, may have visual field changesEyestrainVisual acuity usually normalIncreased intracranial pressureBulging fontanelle in infant (too young to complain of headache)PapilledemaPossible sixth nerve palsyOther cranial nerve palsies SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/16 UR - accesspediatrics.mhmedical.com/content.aspx?aid=56150767 ER -