Headache Common Stroke Symptom in Kids
Written by Editor   
Monday, March 06, 2017 12:52 PM
News bite: Do not automatically rule out stroke and other vascular insults in young children presenting with headache. 

A large study has suggested that for children 3 to 18 years of age, ischemic stroke commonly presents with headache, particularly when in the right hemisphere and in the vertebrobasilar circulation; 46% of acute arterial ischemic strokes presented with headache the report notes.
“Stroke should be on differential diagnosis for any child presenting with headache and new onset focal neurological symptoms or signs, and rapid neuroimaging should be considered,” the authors suggest.
While headache does not point to any specific stroke etiology, the author recommended that dedicated vascular imaging of head and neck should be performed in all children with suspected or confirmed stroke, given the finding of arteriopathies in about one-third of kids with stroke.  Stroke should be kept in the differential diagnosis for headache, even though rare.
Headache prevalence at presentation was significantly more common than no headache in right-sided infarct, posterior cerebral artery, and superior cerebellar artery.