The value of brain imaging in children with headaches.


OBJECTIVE:To determine the value of performing computed tomography (CT) on magnetic resonance imaging (MRI) studies in children with chronic headaches. BACKGROUND:Headache is a common complaint in children. With the proliferation of brain imaging centers and the increasing patient demand for CT or MRI studies, brain imaging has become widely used to evaluate headaches. METHODS:A retrospective chart review was conducted of all children referred to the pediatric neurology clinic for evaluation of headaches over a 2-year period. Charts were reviewed for headache characteristics, clinical indications for performing CT and MRI studies, and imaging results. Particular attention was paid to evidence of brain tumors, vascular anomalies, or hydrocephalus. RESULTS:A total of 133 records were studied. Subjects ranged in age from 3 to 18 years. Most patients were diagnosed as having either vascular migrainous headaches (52%) or chronic tension headaches (21%). Other headache diagnoses were mixed tension-migraine, psychogenic, and post-traumatic. Headaches were unclassified in 25 patients (19%). Seventy-eight patients (59%) had brain imaging: 45 had MRI, 27 had CT, and 6 patients had both. In most cases, brain imaging studies were performed in patients with atypical headache pattern, presence of neurologic abnormalities during the headache, general symptoms (ie, weight loss or fatigue), or because of parents' or doctors' concerns about brain tumors. Cerebral abnormalities were found on brain imaging in four patients, but none indicated the presence of a treatable disease and all were deemed unrelated to the presenting complaint. Our findings of no relevant abnormalities in a series of 78 brain imaging studies indicate that the maximal rate at which such abnormalities might appear in this population is 3.8%. CONCLUSIONS:These results indicate that brain imaging studies have very limited value in evaluating headaches in pediatric patients without clinical evidence of an underlying structural lesion.






Maytal J,Bienkowski RS,Patel M,Eviatar L


Has Abstract


1995-09-01 00:00:00




3 Pt 1








  • Drugs for pediatric emergencies. Committee on Drugs, Committee on Drugs, 1996 to 1997, Liaison Representatives, and AAP Section Liaisons.

    abstract::This statement provides current recommendations about the use of emergency drugs for acute pediatric problems that require pharmacologic intervention. At each clinical setting, physicians and other providers should evaluate drug, equipment, and training needs. The information provided here is not all-inclusive and is ...


    pub_type: 指南,杂志文章,实务指引



    更新日期:1998-01-01 00:00:00

  • Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update.

    abstract::The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical supervision; careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from...


    pub_type: 杂志文章,实务指引


    authors: American Academy of Pediatrics.,American Academy of Pediatric Dentistry.,Coté CJ,Wilson S,Work Group on Sedation.

    更新日期:2006-12-01 00:00:00

  • Mental health screening in pediatric practice: factors related to positive screens and the contribution of parental/personal concern.

    abstract:OBJECTIVES:The goals were to examine factors related to positive Pediatric Symptom Checklist scores in an urban practice and to examine the relative contribution of parental/personal concern about emotional and behavioral problems to mental health problem identification. METHODS:Annual screening using the Pediatric Sy...


    pub_type: 杂志文章


    authors: Hacker KA,Myagmarjav E,Harris V,Suglia SF,Weidner D,Link D

    更新日期:2006-11-01 00:00:00

  • Time in continuity clinic as a predictor of continuity of care for pediatric residents.

    abstract:OBJECTIVE:In 1996, the Residency Review Committee-Pediatrics recommended doubling time in continuity clinic to 2 half days per week. It has yet to be demonstrated that increased time in clinic yields greater continuity of care. The objective of this study was to determine whether increasing the number of half days spen...


    pub_type: 杂志文章


    authors: McBurney PG,Moran CM,Ector WL,Quattlebaum TG,Darden PM

    更新日期:2004-10-01 00:00:00

  • Adenosine infusion improves oxygenation in term infants with respiratory failure.

    abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Konduri GG,Garcia DC,Kazzi NJ,Shankaran S

    更新日期:1996-03-01 00:00:00

  • Successful resection of localized intestinal lymphangiectasia post-Fontan: role of (99m)technetium-dextran scintigraphy.

    abstract::Intestinal lymphangiectasia is a well-recognized complication of the Fontan procedure, occurring in up to 24% of patients. Because of the loss of chylous fluid into the gut lumen, protein-losing enteropathy results as well as lymphopenia and hypogammaglobulinaemia. In some cases, dilated lymphatics in the intestinal s...


    pub_type: 杂志文章


    authors: Connor FL,Angelides S,Gibson M,Larden DW,Roman MR,Jones O,Currie BG,Day AS,Bohane TD

    更新日期:2003-09-01 00:00:00

  • Fathers' experiences in the neonatal intensive care unit: a search for control.

    abstract:OBJECTIVE:This qualitative study aimed at understanding the experiences of fathers of very ill neonates in the NICU. METHODS:Sixteen fathers of very ill and/or very preterm infants who had been in the NICU for >30 days were interviewed by a male physician. Fathers were asked about their level of comfort with or concer...


    pub_type: 杂志文章


    authors: Arockiasamy V,Holsti L,Albersheim S

    更新日期:2008-02-01 00:00:00

  • Routine quantitative blood cultures in children with Haemophilus influenzae or Streptococcus pneumoniae bacteremia.

    abstract::The potential clinical value of quantitative blood cultures determined by a commercially available lysis-direct plating method was studied in 50 children with either Haemophilus influenzae or Streptococcus pneumoniae bacteremia. The magnitude of bacteremia correlated with the severity of the infection; patients with g...


    pub_type: 杂志文章


    authors: Bell LM,Alpert G,Campos JM,Plotkin SA

    更新日期:1985-12-01 00:00:00

  • Obesity rather than severity of sleep-disordered breathing as the major determinant of insulin resistance and altered lipidemia in snoring children.

    abstract:OBJECTIVE:Sleep-disordered breathing (SDB) is associated with insulin resistance and dyslipidemia in adults and in obese children. However, the prevalence of such metabolic abnormalities among snoring children is unknown. This study was done to prospectively assess the relative contribution of SDB and obesity to metabo...


    pub_type: 杂志文章


    authors: Tauman R,O'Brien LM,Ivanenko A,Gozal D

    更新日期:2005-07-01 00:00:00

  • Infant acceptance of breast milk after maternal exercise.

    abstract:OBJECTIVE:Previous research reported that breast milk lactic acid (LA) levels increase after lactating women complete a bout of exhaustive exercise, resulting in poor infant acceptance of the postexercise breast milk. This highly publicized finding may not apply to more practical, everyday exercise conditions of lactat...


    pub_type: 临床试验,杂志文章


    authors: Wright KS,Quinn TJ,Carey GB

    更新日期:2002-04-01 00:00:00

  • Collagen scaffolding during development and its deformation with chronic lung disease.

    abstract:OBJECTIVE:Infants with chronic lung disease (CLD) have an arrest of primary and secondary septation. We hypothesized that this may be related to damage or abnormal development of lung collagen secondary to positive pressure ventilation. Our aims were to identify the sites and quantity of collagen in control infants 22 ...


    pub_type: 杂志文章


    authors: Thibeault DW,Mabry SM,Ekekezie II,Zhang X,Truog WE

    更新日期:2003-04-01 00:00:00

  • Preschool vision screening frequency after an office-based training session for primary care staff.

    abstract:OBJECTIVE:Although vision screening for preschool children is recommended for detecting amblyopia, many pediatric and family medicine practices do not screen preschool-aged children. The aim of this study was to determine the effect of a training program for primary care clinical staff on vision screening behavior and ...


    pub_type: 杂志文章


    authors: Hered RW,Rothstein M

    更新日期:2003-07-01 00:00:00

  • Yield of chest radiography after removal of esophageal foreign bodies.

    abstract:OBJECTIVES:The aim of this study was to determine the benefit of routine postoperative chest radiography after removal of esophageal foreign bodies in children. METHODS:Medical records were reviewed of all patients evaluated with an esophageal foreign body at a single children's hospital over 10 years. Operative recor...


    pub_type: 杂志文章


    authors: Fisher J,Mittal R,Hill S,Wulkan ML,Clifton MS

    更新日期:2013-05-01 00:00:00

  • Use of antimicrobial drugs in general hospitals: IV. Infants and children.

    abstract::The use of antimicrobial drugs was studied among 933 randomly selected infants and children who were hospitalized in 20 short-stay general hospitals in Pennsylvania. Twenty-two percent of pediatric patients received antimicrobial drugs: 5% of neonates and 57% of patients aged 12 to 18 months. Sixty-eight percent of th...


    pub_type: 杂志文章


    authors: Townsend TR,Shapiro M,Rosner B,Kass EH

    更新日期:1979-11-01 00:00:00

  • Dental caries potential of liquid medications.

    abstract::Cariogenicity of seven commonly prescribed liquid medications was studied. Sucrose content of the medications ranged from 0 to 70 gm/100 ml. Initial pH and buffering capacity were measured and found to vary widely among the medications. Intraoral microbial plaque pH changes were determined at intervals for 30 minutes ...


    pub_type: 杂志文章


    authors: Feigal RJ,Jensen ME,Mensing CA

    更新日期:1981-09-01 00:00:00

  • Randomized trial of nutrient-enriched formula versus standard formula for postdischarge preterm infants.

    abstract:OBJECTIVES:Preterm infants are frequently discharged from the hospital growth retarded and show reduced growth throughout childhood. In a large efficacy and safety trial, we tested the hypothesis that nutritional intervention in the first 9 months postterm would reverse postdischarge growth deficits and improve neurode...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lucas A,Fewtrell MS,Morley R,Singhal A,Abbott RA,Isaacs E,Stephenson T,MacFadyen UM,Clements H

    更新日期:2001-09-01 00:00:00

  • Heat stress from enclosed vehicles: moderate ambient temperatures cause significant temperature rise in enclosed vehicles.

    abstract:OBJECTIVE:Each year, children die from heat stroke after being left unattended in motor vehicles. In 2003, the total was 42, up from a national average of 29 for the past 5 years. Previous studies found that on days when ambient temperatures exceeded 86 degrees F, the internal temperatures of the vehicle quickly reache...


    pub_type: 杂志文章


    authors: McLaren C,Null J,Quinn J

    更新日期:2005-07-01 00:00:00

  • Surfactant replacement therapy with a single postventilatory dose of a reconstituted bovine surfactant in preterm neonates with respiratory distress syndrome: final analysis of a multicenter, double-blind, randomized trial and comparison with similar tria

    abstract::The effects of a single dose of surfactant TA were assessed in premature neonates (birth weight 750 to 1749 g) with respiratory distress syndrome (RDS) in a multicenter, double-blind, randomized clinical trial. Only neonates with surfactant deficiency and without ultrasonographic evidence of intracranial hemorrhage gr...


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Fujiwara T,Konishi M,Chida S,Okuyama K,Ogawa Y,Takeuchi Y,Nishida H,Kito H,Fujimura M,Nakamura H

    更新日期:1990-11-01 00:00:00

  • Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial.

    abstract:OBJECTIVE:Our objective was to determine the impact of Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-based care on length of stay of very low birth weight (VLBW) infants. Secondary outcome measures were days of ventilation, incidence of chronic lung disease, and 18-month neurodevelopmental o...


    pub_type: 杂志文章,随机对照试验


    authors: Peters KL,Rosychuk RJ,Hendson L,Coté JJ,McPherson C,Tyebkhan JM

    更新日期:2009-10-01 00:00:00

  • Ethical issues in pediatric surgery: a national survey of pediatricians and pediatric surgeons.

    abstract::The findings reported in this article are based on a nationwide survey of the attitudes and practices of pediatric surgeons and pediatricians with respect to some of the difficult ethical choices confronting them in medical practice. Four hundred fifty-seven physicians completed a questionnaire in the spring of 1975 i...


    pub_type: 杂志文章


    authors: Shaw A,Randolph JG,Manard B

    更新日期:1977-10-01 00:00:00

  • Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction.

    abstract:OBJECTIVE:Our goal was to test the hypothesis that increased fruit juice intake and parental restriction of children's eating are associated with increased adiposity gain and whether exposure to nutritional counseling predicted reduced adiposity gain among children. PATIENTS AND METHODS:A sample of parents or guardian...


    pub_type: 杂志文章


    authors: Faith MS,Dennison BA,Edmunds LS,Stratton HH

    更新日期:2006-11-01 00:00:00

  • A program to limit donor exposures to neonates undergoing extracorporeal membrane oxygenation.

    abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) has dramatically improved the survival of neonates with life-threatening respiratory and cardiac failure. However, ECMO requires numerous transfusions with significant risks. This study evaluated the effects of changing transfusion practices and blood component manag...


    pub_type: 杂志文章


    authors: Rosenberg EM,Chambers LA,Gunter JM,Good JA

    更新日期:1994-09-01 00:00:00

  • Racial-ethnic disparities in management and outcomes among children with type 1 diabetes.

    abstract:BACKGROUND AND OBJECTIVES:Previous research has documented racial/ethnic disparities in diabetes treatments and outcomes. It remains controversial whether these disparities result from differences in socioeconomic status (SES) or other factors. We examined racial/ethnic disparities in therapeutic modalities and diabete...


    pub_type: 杂志文章,多中心研究


    authors: Willi SM,Miller KM,DiMeglio LA,Klingensmith GJ,Simmons JH,Tamborlane WV,Nadeau KJ,Kittelsrud JM,Huckfeldt P,Beck RW,Lipman TH,T1D Exchange Clinic Network.

    更新日期:2015-03-01 00:00:00

  • Should chloral hydrate be banned?

    abstract:OBJECTIVE:Current federal regulations of potentially carcinogenic environmental chemicals are based on the assumption that risks for humans can be extrapolated from the effects of chronic high-dose exposure of rodents. It is assumed that all chemicals induce cancer by a genotoxic mechanism (direct interaction with DNA)...


    pub_type: 杂志文章,评审


    authors: Steinberg AD

    更新日期:1993-09-01 00:00:00

  • Ambulatory blood pressure recordings in children and adolescents.

    abstract:OBJECTIVE:To provide reference data for ambulatory blood pressure monitoring (ABPM) and to determine the influence of age, sex, and race on these values. METHODS:ABPM was performed on 300 healthy, normotensive boys and girls between the ages of 10 and 18 years, including 160 boys and 140 girls, of whom 149 were white ...


    pub_type: 杂志文章


    authors: Harshfield GA,Alpert BS,Pulliam DA,Somes GW,Wilson DK

    更新日期:1994-08-01 00:00:00

  • Does early treatment of urinary tract infection prevent renal damage?

    abstract:OBJECTIVE:Therapeutic delay has been suggested as the most important factor that is likely to have an effect on the development of scarring after acute pyelonephritis. However, this opinion has not been supported by prospective studies, so we tested it. METHODS:In a prospective clinical study, we evaluated whether the...


    pub_type: 杂志文章


    authors: Doganis D,Siafas K,Mavrikou M,Issaris G,Martirosova A,Perperidis G,Konstantopoulos A,Sinaniotis K

    更新日期:2007-10-01 00:00:00

  • Preterm Thrombocytopenia and Delay of Ductus Arteriosus Closure.

    abstract:OBJECTIVES:To evaluate whether preterm thrombocytopenia within 24 hours of birth is associated with delayed closure of patent ductus arteriosus (PDA) and higher proportion of hemodynamically significant PDA (Hs-PDA). METHODS:Neonates (gestation 260/7-336/7 weeks, age <24 hours) with known platelet count and PDA on ech...


    pub_type: 杂志文章


    authors: Kulkarni VV,Dutta S,Sundaram V,Saini SS

    更新日期:2016-10-01 00:00:00

  • Pediatric Psychopharmacology for Treatment of ADHD, Depression, and Anxiety.

    abstract::The pediatric practitioner is often the first point-of-contact for children and adolescents suffering from mental illness. Part of the treatment planning for psychiatric diagnoses includes consideration of medication. Attention-deficit/hyperactivity disorder, one of the most common diagnoses, is very responsive to sti...


    pub_type: 杂志文章,评审


    authors: Southammakosane C,Schmitz K

    更新日期:2015-08-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2009-12-01 00:00:00

  • Decline and change in seasonality of US rotavirus activity after the introduction of rotavirus vaccine.

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    pub_type: 杂志文章


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    更新日期:2009-08-01 00:00:00